Somatic dysfunction: I'm sorry to hear you've had a headache for 4 years! headaches have a variety of causes, but one of the most common is muscle tension, particularly along the cervical spine and shoulders. You may want to have your neck re-evaluated by an osteopathic physician who practices osteopathic manipulative medicine; they may be able to detect alterations in the cervical spine contributing to the headache.
Answered 8/10/2012
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