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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Back Of The Head?

Hi, I have an area of tenderness at the back of my head,approx 50cent sized area,feels like a stabbing pain,it came on one day and never left.I didn't hit my head,no nausea,blurred vision, hearing problems,or gait problems.Hurts when I touch the area,very sensitive.No neck issues. My E-mail is YYYY@YYYY
Fri, 20 Oct 2017
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Ayurveda Specialist 's  Response
**
Thanks for contacting with your health concern

1. Although most of the symptoms have been excluded in your history even then a Neurologist opinion is must to exclude any extracranial cause of your occipital neuralgia.

2. In general practice 'a tension headache' [stress headache] is the most common type [due to muscle tension/spasms] which feels like a constant pressure/ache especially at the temples or back of the head and neck and needs just an analgesic and maybe a tranquilizer but because the pain is cervicogenic thus consult an Orthopedic surgeon to rule out early cervical spondylitis with x-ray cervical [AP & Lateral]

3. Till you get an appointment for opinion-examination-investigation, one can adopt the following guidelines:

- take rest in a dark, quiet room.
- massage and press the scalp using counterirritants like vicks/amrutanjan to the forehead.
- take an over the counter [OTC] medicine like disprin/ibuprofen [they should be used occasionally since they might cause rebound headaches] and if the signs go on increasing/worsen contact your primary care provider or visit an Emergency Medicine Doctor.

4. make sure to exclude any triggered effect of your pain [since it is now chronic], like eye issues, blood pressure, sinus infection, poor posture, addiction, emotional stress and if painkillers are working he might prescribe you a muscle relaxant along with an antidepressant [SSRI's] which can stabilize your level of serotonin and can help you cope with stress, other recommendation which one can follow is: cognitive behavioral therapy to help recognise situations that cause stress/anxiety/tension] and acupuncture to reduce stress/tension.

PS. since alternative treatment can interact with conventional medicines talk with your doctor before opting for the same
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What Causes Pain In The Back Of The Head?

** Thanks for contacting with your health concern 1. Although most of the symptoms have been excluded in your history even then a Neurologist opinion is must to exclude any extracranial cause of your occipital neuralgia. 2. In general practice a tension headache [stress headache] is the most common type [due to muscle tension/spasms] which feels like a constant pressure/ache especially at the temples or back of the head and neck and needs just an analgesic and maybe a tranquilizer but because the pain is cervicogenic thus consult an Orthopedic surgeon to rule out early cervical spondylitis with x-ray cervical [AP & Lateral] 3. Till you get an appointment for opinion-examination-investigation, one can adopt the following guidelines: - take rest in a dark, quiet room. - massage and press the scalp using counterirritants like vicks/amrutanjan to the forehead. - take an over the counter [OTC] medicine like disprin/ibuprofen [they should be used occasionally since they might cause rebound headaches] and if the signs go on increasing/worsen contact your primary care provider or visit an Emergency Medicine Doctor. 4. make sure to exclude any triggered effect of your pain [since it is now chronic], like eye issues, blood pressure, sinus infection, poor posture, addiction, emotional stress and if painkillers are working he might prescribe you a muscle relaxant along with an antidepressant [SSRI s] which can stabilize your level of serotonin and can help you cope with stress, other recommendation which one can follow is: cognitive behavioral therapy to help recognise situations that cause stress/anxiety/tension] and acupuncture to reduce stress/tension. PS. since alternative treatment can interact with conventional medicines talk with your doctor before opting for the same