Tension Headaches: Neck Pain and Muscle Strain Solutions

Tightness on both sides of the head and neck pain?

I have been experiencing upper back pain that extends to my shoulders and neck, with tightness and a feeling of pressure on both sides of my temples.
There is also pain when pressing on the top of my head.
The discomfort, primarily a tight and pressure-like sensation, has persisted since October of last year.
I have undergone X-rays and nerve conduction studies, both of which showed no issues.
The doctor diagnosed me with myofascial pain syndrome, which has lasted for several months.
Although my condition is not as uncomfortable as it was before, the symptoms mentioned above continue to persist.
Could this possibly be related to a problem in my head? I would appreciate any guidance on treatment options.
Thank you.

joseph, 30~39 year old female. Ask Date: 2017/02/07

Dr. Jiang Junyi reply Neurology

Hello, your symptoms are very similar to cervical myofascial pain syndrome, which clinically presents as pain at the affected site, discomfort and soreness, muscle stiffness, or a feeling of heaviness.
Sometimes, palpable myofascial trigger points can be felt under the skin.
Symptoms may worsen in the morning or with changes in weather, but can be alleviated with stretching activities, and often recur.
During acute episodes, there may be local muscle tension, spasms, and limited mobility.
Generally, it is important to pay attention to your posture, and muscle relaxants can be taken to relieve symptoms.
I recommend consulting with a rehabilitation specialist or a neurologist/neurosurgeon to discuss examination and treatment options.
Wishing you good health and peace.
Dr.
Tao, Neurology Department, cares about you.

Reply Date: 2017/02/07

More Info

Tension headaches, often characterized by a feeling of tightness or pressure around the head, can be closely linked to muscle strain and discomfort in the neck and upper back. Your symptoms, which include tightness in the temples, pain when pressing on the top of your head, and discomfort radiating from your upper back to your shoulders and neck, suggest that muscle tension may be a significant contributing factor to your headaches.

Understanding Tension Headaches
Tension headaches are the most common type of primary headache and are typically associated with muscle tension in the neck and scalp. They can be triggered by various factors, including stress, poor posture, prolonged periods of sitting (especially at a computer), and inadequate sleep. The discomfort you describe, such as the feeling of being "squeezed" or "tightened," is characteristic of this type of headache.

Possible Causes of Your Symptoms
1. Muscle Tension and Strain: Prolonged periods of poor posture, especially while working at a desk or using electronic devices, can lead to muscle tension in the neck and shoulders. This tension can radiate to the head, causing headaches.

2. Stress and Anxiety: Emotional stress can lead to muscle tightness, particularly in the neck and shoulders, which can exacerbate headache symptoms.

3. Cervical Spine Issues: Although your X-rays and nerve conduction studies were normal, underlying issues related to the cervical spine, such as muscle strain or minor misalignments, could still contribute to your symptoms.

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

Treatment and Management Strategies
1. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide targeted exercises to strengthen neck and shoulder muscles, improve posture, and reduce tension.

2. Massage Therapy: Regular massages can help relieve muscle tension in the neck and shoulders, which may alleviate headache symptoms. Consider seeking a licensed massage therapist who specializes in treating tension headaches.

3. Stress Management Techniques: Incorporating relaxation techniques such as deep breathing exercises, yoga, or meditation can help reduce stress levels and muscle tension.

4. Posture Correction: Evaluate your workspace ergonomics. Ensure that your chair, desk, and computer screen are set up to promote good posture. Take regular breaks to stretch and move around.

5. Medication: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can be effective for managing headache pain. However, consult with your healthcare provider before starting any medication regimen.

6. Hydration and Nutrition: Make sure you are adequately hydrated and consuming a balanced diet rich in vitamins and minerals that support muscle function and overall health.

7. Regular Exercise: Engaging in regular physical activity can help reduce stress and improve muscle tone, which may alleviate tension headaches.

8. Sleep Hygiene: Ensure you are getting enough restful sleep. Establish a regular sleep schedule and create a calming bedtime routine to improve sleep quality.

When to Seek Further Help
If your symptoms persist despite these interventions, or if you experience new symptoms such as visual changes, severe headaches, or neurological symptoms (like numbness or weakness), it is essential to consult a healthcare professional for further evaluation. A neurologist or headache specialist may provide additional insights and treatment options tailored to your specific condition.

In summary, tension headaches can be effectively managed through a combination of lifestyle changes, physical therapy, stress management, and possibly medication. By addressing the underlying muscle tension and improving your overall well-being, you can work towards reducing the frequency and intensity of your headaches.

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