
What Causes Constant Pain At The Top Of The Head And Neck Soreness?

Male 56 years old. With very thin hair.
Tension type headache more likely
Detailed Answer:
I read your question carefully and I understand your concern.
Judging from the description of the pain, the most likely cause would be a tension type headache. It is the most common type of primary headache (primary meaning without an identifiable cause), often triggered/exacerbated by stress and anxiety. It is commonly associated by abnormal scalp sensations such as the burning one you describe and irradiated in the neck with increased tension of the head and neck muscles. Best medication to alleviate it would be over the counter Ibuprofen 400-600 mg.
Other possibilities would include infections or brain issues such as stroke, but I wouldn't call it likely for the characteristics of the pain and lack of other manifestations. However if Ibuprofen seems to have no effect then it would be prudent to head to the ER to check for presence of any other neurological signs you might have missed and maybe some routine blood tests to screen for infections.
I remain at your disposal for other questions.


My coordination and reasoning is off a little. Only enough as to say I don't feel normal
Thank you
Read below
Detailed Answer:
Thank you for the additional information. Fortunately such scalp sensations in the lack of headache as well as those bumps you mention drive the possibilities even further from the brain. The brain is located behind the thick skull and whether there is any lesion or not it doesn't manifest that way, doesn't anatomically correlate with any brain region or with the coordination and reasoning issues you mention. So I would feel reassured it is not a threatening brain issue.
I still believe symptoms are mainly due to increased scalp and neck muscle tension. Wouldn't be surprised if anxiety played a role, as it causes such tension as well as often associated with lightheadedness and concentration issues.
So I would relax and continue the anti-inflammatory medication. If persisting would check with primary physician or if he/she not available for possibility of infection.
Let me know if I can further assist you.

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