Pain in the Back of the Head: Possible Causes and Next Steps - Neurosurgery

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Understanding pain in the back of the head can be complex, as it may stem from various underlying causes. Based on your description, it seems that you are experiencing a deep, muscular pain in the right posterior aspect of your head, particularly when engaging in certain movements like turning your head, swallowing, or chewing. This type of pain can be indicative of several potential issues, and it’s important to consider both muscular and neurological factors.

One common cause of pain in the back of the head is tension-type headaches, which can occur due to muscle strain or tension in the neck and scalp. Given that you mentioned a sensation similar to "pulling" when you move your head or engage in specific activities, it is possible that muscle tension or spasms in the neck region are contributing to your discomfort. This can often be exacerbated by poor posture, prolonged periods of sitting, or sleeping in an awkward position.

Another possibility is that your symptoms could be related to cervical spine issues. Conditions such as cervical spondylosis (age-related wear and tear on the spinal discs in the neck) or herniated discs can lead to referred pain in the head. The cervical spine is closely linked to the head and can influence pain perception in that area. If you have a history of neck stiffness or "wry neck" (commonly referred to as a "stiff neck"), this could further support the idea that your pain is related to cervical spine issues.

Additionally, the pain you describe could be associated with other conditions such as occipital neuralgia, which is characterized by sharp, shooting pain in the back of the head and neck, often triggered by neck movement. This condition occurs when the occipital nerves, which run from the top of the spinal cord to the scalp, become irritated or inflamed.

Given that your symptoms have persisted for two days without improvement, it is advisable to seek medical evaluation. A visit to a neurologist would be appropriate, as they can conduct a thorough examination and may recommend imaging studies, such as an MRI or CT scan, to rule out any serious underlying conditions. They can also assess for any signs of nerve involvement or other neurological issues.

In the meantime, consider implementing some self-care measures. Applying heat to the neck and upper back can help relax tense muscles, and gentle stretching exercises may alleviate some discomfort. Maintaining good posture, especially when sitting for extended periods, is also crucial. If you find that certain movements exacerbate your pain, try to avoid them until you can get a professional assessment.

In summary, while there are several potential causes for the pain in the back of your head, including muscle tension, cervical spine issues, or nerve irritation, a thorough evaluation by a healthcare professional is essential for accurate diagnosis and appropriate treatment. Keep track of your symptoms, including any triggers or patterns, as this information will be valuable during your consultation.