Posture Changes and Headaches: Your Symptoms - Neurology

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Changes in posture can lead to headaches?


Hello doctor, my blood pressure is 170/57, and I do not have any chronic diseases or hypertension, nor do I have symptoms of migraines.
About two days ago, when the temperature was lower, I played basketball and felt very cold, shivering afterward.
The next day, I noticed that whenever I changed my posture, I experienced a throbbing pain in the back and sides of my head, lasting about 15 seconds before it subsided.
There was no vomiting, but my neck feels a bit sore.
I went to the emergency room yesterday, and the doctor told me it was a muscle strain and prescribed pain medication.
Could you please explain my condition? Thank you.

Ye Xiansheng, 20~29 year old female. Ask Date: 2017/01/29

Dr. Jiang Junyi reply Neurology


Hello, based on your description:
1.
Elevated blood pressure is commonly observed during periods of stress or headaches, as vasoconstriction can lead to reflex hypertension.
It is advisable to record blood pressure after the pain subsides to avoid delaying the diagnosis and treatment of primary hypertension.
2.
The more common causes of pain in the back of the head and both temples are cervical myofascial pain.
Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder discomfort.
Initially, resting may alleviate the pain, but it can progressively worsen and disrupt normal activities.
Some patients may experience severe neck pain upon waking, characterized by stiffness, tightness, and intolerable pain levels.

Recommendations for daily management include:
a.
Changing positions: Alter your posture every 15 minutes to allow the neck tissues to rest.
Any sustained position (including normal ones) can lead to tissue fatigue and inflammation, so moving around briefly can reduce the risk of muscle inflammation.

b.
Neck heat therapy: Apply heat for 15 to 20 minutes, ensuring the temperature is safe to avoid burns.

c.
Non-steroidal anti-inflammatory drugs (NSAIDs): For individuals without a history of peptic ulcers, allergies to NSAIDs, or normal kidney function, consider using NSAIDs as needed to reduce inflammation and alleviate pain.
It is recommended that you consult a neurologist or a rehabilitation physician to discuss further examination and treatment.
Wishing you good health and peace.

Reply Date: 2017/01/29

More Info


It sounds like you are experiencing a combination of symptoms that may be related to muscle tension and posture changes, particularly after engaging in physical activity like basketball. Let's break down your situation and explore potential causes and solutions.


Understanding Your Symptoms
1. Postural Changes and Headaches: The fact that you experience a throbbing pain in your head when changing positions suggests that muscle tension or strain might be involved. This is often seen in tension-type headaches, which can occur due to poor posture, especially during physical activities. When you play basketball, your neck and shoulder muscles may become tense, leading to discomfort in the head.

2. Muscle Strain: You mentioned that a doctor diagnosed you with a muscle strain and prescribed pain relief medication. Muscle strains can occur from sudden movements or overexertion, especially if your body is not accustomed to the activity. The strain can lead to tightness in the neck and upper back, which can refer pain to the head.

3. Cold Weather Effects: Playing basketball in colder temperatures can also contribute to muscle tightness. Cold weather can cause muscles to contract, making them more susceptible to strains and tension. This could explain why you felt cold and shivery after playing, which may have exacerbated your muscle tightness.

4. Duration of Symptoms: The fact that your headache lasts for about 15 seconds with each posture change is interesting. This transient nature suggests that it may not be a migraine or a more serious condition, as those typically involve longer-lasting pain and additional symptoms like nausea or sensitivity to light.


Recommendations for Relief
1. Rest and Recovery: Since you have been diagnosed with a muscle strain, it's essential to allow your body time to heal. Avoid activities that exacerbate your symptoms, and consider applying ice to the affected area to reduce inflammation.

2. Gentle Stretching: Once the acute pain subsides, gentle neck and shoulder stretches can help alleviate tension. Focus on slow, controlled movements to avoid further strain. Stretching can improve blood flow and reduce muscle tightness.

3. Posture Awareness: Pay attention to your posture during daily activities and while playing sports. Ensure that your neck is aligned with your spine and avoid slouching. Good posture can significantly reduce the risk of muscle strain and associated headaches.

4. Hydration and Nutrition: Staying hydrated and maintaining a balanced diet can also help prevent headaches. Dehydration can lead to muscle cramps and tension, so ensure you drink enough water, especially after physical activities.

5. Physical Therapy: If your symptoms persist, consider consulting a physical therapist. They can provide targeted exercises and treatments to strengthen your neck and shoulder muscles, improving your overall posture and reducing the likelihood of future strains.

6. Follow-Up with a Doctor: If your headaches continue or worsen, or if you develop new symptoms, it is crucial to follow up with a healthcare provider. They may want to conduct further evaluations to rule out any underlying conditions.


Conclusion
In summary, your symptoms appear to be related to muscle tension and strain, likely exacerbated by posture changes and physical activity in cold weather. By focusing on rest, gentle stretching, posture awareness, and hydration, you can help alleviate your discomfort. If symptoms persist, seeking further medical advice is essential to ensure there are no underlying issues. Remember, taking care of your body during physical activities is vital for long-term health and well-being.

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