Occasional Pain in the Left Back of the Head: Causes and When to See a Doctor - Neurosurgery

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Intermittent sharp pain in the left posterior part of the head?


I recently traveled to South Korea and experienced a frostbite sensation in my left nostril (the right nostril was unaffected).
After returning, I felt a burning and nerve pain in my left nostril, which extended to the back of my left head with mild nerve pain.
Currently, there is no sensation in my nose, but the pain in the back of my left head has become more pronounced.
What could this issue be? Should I see a doctor? Would it be appropriate to consult a neurosurgeon?

M, 40~49 year old female. Ask Date: 2017/01/26

Dr. Zhang Junwei reply Neurosurgery


If the pain persists, it is recommended to consult a neurosurgery outpatient clinic for evaluation.

Reply Date: 2017/01/26

More Info


Understanding occasional pain in the left back of the head can be complex, as it may stem from various causes. Based on your description of experiencing a sensation of frostbite in your left nostril during your trip to Korea, followed by a burning and neuralgic pain that extends from your nose to the left back of your head, it is essential to consider several factors.

Firstly, the symptoms you experienced in your nose could indicate a form of sinusitis or nasal inflammation, especially if you were exposed to cold weather. Sinusitis can lead to referred pain in the head, particularly in the areas where the sinuses are located. The left back of your head may be experiencing pain due to irritation or inflammation of the sinus cavities, which can cause pressure and discomfort that radiates to surrounding areas.

The neuralgic pain you describe could also suggest a condition known as trigeminal neuralgia, which affects the trigeminal nerve responsible for sensation in the face. This condition can cause severe, shooting pain in the areas innervated by the nerve, including the forehead, cheek, and jaw. If the pain is localized to the left side, it may indicate that the left trigeminal nerve is affected.

Additionally, the sensation of pain in the left back of your head could be related to muscle tension or strain, particularly if you have been under stress or have had poor posture. Tension headaches often manifest as a dull, aching pain that can feel like pressure at the back of the head and neck.

Given the progression of your symptoms and their persistence, it is advisable to consult a healthcare professional. While you mentioned considering a visit to a neurosurgeon, it may be more appropriate to start with a neurologist. A neurologist specializes in conditions affecting the nervous system and can help determine whether your symptoms are due to a neurological issue, such as migraines, tension headaches, or neuralgia.

During your consultation, the doctor may perform a thorough examination, including a neurological assessment, and may recommend imaging studies such as an MRI or CT scan to rule out any structural abnormalities or other underlying conditions. They may also inquire about your medical history, lifestyle factors, and any other symptoms you may be experiencing.

In summary, the pain in the left back of your head could be attributed to several potential causes, including sinusitis, trigeminal neuralgia, or tension headaches. It is crucial to seek medical advice to obtain an accurate diagnosis and appropriate treatment. Early intervention can help alleviate your symptoms and improve your quality of life. Remember, it is always better to err on the side of caution when it comes to health concerns, especially when experiencing persistent or worsening pain.

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