IS HEAD PAIN CANCER?
Q: I HAVE been getting severe headaches for a few months now.
My doctor prescribed codeine, but even that does not help.
If l press the back of my neck and my temples, it alleviates the pain for a while.
Please can you advise me what to do as l am very worried?
A: 紧张型头痛是最常见的头痛类型，通常表现为太阳穴、额头或后颈部位的疼痛或压迫感。按压这些区域有时可缓解症状，治疗紧张型头痛的首选止痛药是对乙酰氨基酚、阿司匹林或布洛芬。
瑜伽、按摩等放松活动也有帮助。压力、脱水、睡眠不足、姿势不良和眼疲劳均可能引发此类头痛。
另一种可能与按压相关的头痛类型是颈源性头痛，其起源于颈椎问题（如关节炎或肌肉紧张），疼痛从颈部向上蔓延至头部，特定颈部活动会加剧症状。
您按压颈部和太阳穴时可能无意中进行了指压疗法，该疗法通过按压特定穴位缓解疼痛和肌肉紧张。作为源自中医的无针灸疗法，其原理是刺激身体特定点位促进健康状态。
需特别警惕两类警示信号：
- 50岁以上人群突发严重头痛或太阳穴/咀嚼时疼痛，需排除颞动脉炎（可致视力丧失或中风）；
- 炸裂性头痛（5分钟内达峰值的剧烈头痛），可能提示脑出血。
其他警示症状包括：伴随发热/颈僵/意识模糊（提示脑膜炎）；伴随视觉改变/肢体无力（神经系统症状）；头部外伤后头痛；进行性加重或治疗无效的头痛。
Sick of feeling always off balance
Q: ABOUT two years ago I suffered a bout of blurred vision and sickness.
I was diagnosed with vertigo before being told I had vestibular neuritis which, owing to damage it had done to the nerves in my ear, could not be cured.
Iâve been told I would have this for life.
Is there any way I could be cured of this and be able to walk without fear of falling over?
It is ruining my life.
A: 前庭神经炎虽不可逆，但可通过前庭康复治疗显著改善症状。该疗法通过特定物理训练帮助大脑适应内耳信号变化，即使发病数年后仍可能见效。建议寻求专科转介，并结合心理治疗缓解长期头晕带来的精神压力。
TIP OF THE WEEK
搬运重物时牢记**“用腿不用背”**原则：屈膝直背，利用腿部力量举起物品。
WEEKEND WARRIOR WIN
哈佛大学研究显示，周末突击锻炼（每周2-2.5小时中强度运动）可使糖尿病患者早亡风险降低21%，心血管死亡风险下降33%。英国已有3000万成年人达成NHS运动目标。
CALL TO HAVE HPV JAB
英国NHS启动HPV疫苗补种计划，旨在2040年前消除宫颈癌。1998年后出生、未接种者将收到接种通知，该疫苗对预防口咽癌、生殖器癌症同样重要。
Q: I AM a pensioner and I need an RSV vaccine.
I have begged my doctor for the jab but they say I canât have it because they have a limit on the people they can give it to â and at 83 years old, I am outside their limit.
A: NHS将RSV疫苗接种限定在75-79岁人群（2024年9月后满80岁者可接种至2025年8月31日），此限制基于临床试验数据，非医生个人决定。您可通过自费渠道接种，或与医生讨论其他预防措施。
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