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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Persistent Headache, Pain Worse On Standing. Hip Surgery Done. History Of Osteoporosis. Causes?

I very rarely get headaches , but one started yesterday and continues today. Pain is worse when standing and slightly eases while lying down. Feels like my head is going to explode from the pressure. The only time this has happened before was in the hospital following a total hip replacement . Wondered if it was a blood pressure issue. Though I ve never had an issue with it before. (FYI... 44 yo female post surgical menopause at 25, multiple rt hip surgeries, OA, and osteoporosis w/ multiple stress fx of lower extremities)...otherwise healthy. ;)
Sat, 20 Jul 2013
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Neurologist 's  Response
Hi,

Based on details you seem to suffer from postural headache secondary to orthostatic hypotension ( headache more on standing and less on lying)

Precipitating factors in your case is recent hip surgery (hip surgery produce blood loss and hypotension).

You require neurological assesment , blood pressure monitoring .and hemoglobin checked.

Consult family physician/neurologist for further management
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Persistent Headache, Pain Worse On Standing. Hip Surgery Done. History Of Osteoporosis. Causes?

Hi, Based on details you seem to suffer from postural headache secondary to orthostatic hypotension ( headache more on standing and less on lying) Precipitating factors in your case is recent hip surgery (hip surgery produce blood loss and hypotension). You require neurological assesment , blood pressure monitoring .and hemoglobin checked. Consult family physician/neurologist for further management