Tension Headaches: Causes and Remedies for Occipital Pain - Neurology

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Pain in the back of the head with a feeling of tightness?


Hello, doctor.
I have been experiencing pain in the back of my head (the area where the bone behind the ear protrudes), along with a tight feeling in my head and some dizziness.
I tend to be more anxious, and I am currently experiencing premenstrual syndrome.
Could this be a contributing factor? Additionally, the air conditioning at work blows directly on my head—could this also be a contributing factor?

Xiao Yu, 30~39 year old female. Ask Date: 2016/09/07

Dr. Gao Chunde reply Neurology


What you mentioned is possible.
You can avoid direct exposure to the air conditioning, and additionally, make sure to get up regularly to move your shoulders and neck.
Consider trying local massage and heat therapy as well.

Reply Date: 2016/09/07

More Info


Tension headaches are a common type of headache that can cause discomfort and pain, particularly in the occipital region, which is located at the back of the head. Understanding the causes and potential remedies for these headaches can help you manage your symptoms effectively.


Causes of Tension Headaches
1. Muscle Tension: One of the primary causes of tension headaches is muscle tension in the neck and scalp. This can be exacerbated by poor posture, especially for individuals who spend long hours at a computer. The muscles in the neck and shoulders can become tight and fatigued, leading to pain that radiates to the back of the head.

2. Stress and Anxiety: Emotional stress and anxiety can significantly contribute to the development of tension headaches. If you have a tendency to be anxious or if you are currently experiencing stress—such as from work or personal life—this can lead to increased muscle tension and headaches.

3. Environmental Factors: You mentioned that the air conditioning in your office blows directly onto your head. Cold air can cause muscle tightness, particularly if you are already tense. Additionally, changes in temperature can lead to discomfort, which may trigger headaches.

4. Hormonal Changes: You noted that you are experiencing premenstrual syndrome (PMS). Hormonal fluctuations during the menstrual cycle can lead to headaches in some individuals. The combination of hormonal changes and stress may be a contributing factor to your symptoms.

5. Dehydration and Poor Nutrition: Sometimes, inadequate hydration or poor dietary habits can lead to headaches. Ensure you are drinking enough water and consuming a balanced diet.


Remedies for Tension Headaches
1. Relaxation Techniques: Since stress is a significant contributor to tension headaches, incorporating relaxation techniques such as deep breathing exercises, meditation, or yoga can be beneficial. These practices can help reduce muscle tension and promote overall well-being.

2. Posture Correction: Pay attention to your posture while sitting at your desk. Ensure that your computer screen is at eye level and that you are using a chair that supports your lower back. Taking regular breaks to stretch and move around can also help alleviate tension.

3. Heat Therapy: Applying a warm compress or heating pad to the neck and shoulders can help relax tight muscles. A warm shower or bath may also provide relief.

4. Physical Activity: Regular physical activity can help reduce stress and tension. Consider engaging in activities like walking, swimming, or gentle stretching exercises to promote relaxation and improve blood circulation.

5. Over-the-Counter Pain Relief: If your headaches persist, over-the-counter medications such as acetaminophen (Tylenol) or ibuprofen (Advil) may provide relief. However, it’s essential to use these medications as directed and not to rely on them excessively.

6. Consult a Healthcare Professional: If your headaches continue or worsen, it may be beneficial to consult a healthcare professional. They can help determine if there are underlying issues contributing to your headaches and recommend appropriate treatments or therapies.


Conclusion
In summary, tension headaches can be caused by a variety of factors, including muscle tension, stress, environmental influences, and hormonal changes. By addressing these factors through relaxation techniques, posture correction, and physical activity, you may find relief from your symptoms. If your headaches persist, seeking medical advice is crucial to rule out any underlying conditions and to receive tailored treatment options. Remember to take care of your overall health, as a balanced lifestyle can significantly impact headache frequency and intensity.

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