Pressing on the side of the head causes pain?
Hello, doctor.
About 4.5 days ago, I accidentally pressed on the side of my head, and it hurts (approximately at the upper edge of my ear).
I thought that pressing on it for a few days might help relieve the pain, but it still hurts.
What could be the possible causes? If I need to see a doctor, which specialty should I consult?
Chen, 10~19 year old female. Ask Date: 2016/05/23
Dr. Jiang Junyi reply Neurology
Hello, based on your described symptoms and myofascial pain syndrome, the clinical presentation often includes pain at the affected site, discomfort, muscle stiffness, or a feeling of heaviness.
Sometimes, palpable myofascial trigger points can be felt under the skin.
During acute episodes, local muscle tension and spasms may occur, leading to restricted movement.
I recommend that you consult with a rehabilitation specialist, neurologist, or physical medicine and rehabilitation physician to discuss evaluation and treatment options.
Wishing you good health and peace.
Dr.
Tao, Neurology, cares about you.
Reply Date: 2016/05/23
More Info
When experiencing pain on the side of the head, particularly in the area near the ear, there are several potential causes to consider. Given your description of the pain occurring after accidentally pressing on that area, it could be related to a few different factors, including muscle tension, nerve irritation, or even issues related to the temporomandibular joint (TMJ).
1. Muscle Tension: The muscles around the head and neck can become tense due to various reasons, including stress, poor posture, or prolonged periods of sitting, especially if you are working at a computer for long hours. This tension can lead to discomfort or pain in the temples or sides of the head.
2. Nerve Irritation: The area you described is also home to several nerves, including branches of the trigeminal nerve, which can become irritated due to pressure or inflammation. This could result in localized pain that may feel sharp or throbbing.
3. Temporomandibular Joint (TMJ) Disorders: If you have been clenching your jaw or grinding your teeth (often a response to stress), this can lead to pain in the jaw area that radiates to the side of the head. TMJ disorders can cause discomfort in the jaw joint and surrounding muscles, leading to headaches.
4. Ear-Related Issues: Since the pain is located near the ear, it’s also worth considering that it could be related to an ear infection or inflammation, which can sometimes cause referred pain to the head.
5. Other Considerations: While less common, it’s important to rule out other potential causes such as sinusitis, which can cause pain in the forehead and around the eyes, or even more serious conditions like a vascular headache or a neurological issue.
When to See a Doctor
If the pain persists beyond a few days, worsens, or is accompanied by other symptoms such as fever, swelling, or changes in vision, it would be advisable to seek medical attention. You should consider seeing a healthcare provider who specializes in ear, nose, and throat (ENT) issues, or a neurologist if you suspect a neurological cause.
Recommended Steps
1. Observation: Keep track of your symptoms. Note when the pain occurs, its intensity, and any accompanying symptoms. This information can be helpful for your healthcare provider.
2. Self-Care: In the meantime, you might find relief through self-care measures such as applying a warm compress to the area, practicing relaxation techniques, or taking over-the-counter pain relief medications as needed.
3. Consultation: If the pain does not improve or if you have concerns about the nature of the pain, schedule an appointment with a healthcare provider. They may perform a physical examination and, if necessary, recommend imaging studies like an X-ray or MRI to rule out any underlying issues.
In summary, while there are several potential causes for the pain on the side of your head, many of them are manageable with appropriate care. However, if the pain persists or worsens, seeking medical advice is the best course of action to ensure proper diagnosis and treatment.
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