Occipital Pain: Could Throat Issues Be the Cause? - Neurology

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Pain in the right occipital region of the brain?


Hello Doctor: A few weeks ago, I had a sore under my tongue and a painful throat, which made it extremely difficult to eat and drink because swallowing was very painful.
However, I had to force myself to eat, and during that time, the food would irritate the sore under my tongue and my throat, resulting in significant pain at the right occipital region where the neck connects to the skull (the pain was deep and could not be reached by touch).
It wasn't a sharp pain, but rather a dull, throbbing sensation.
When I wasn't eating, the pain was less intense.
After the sore and throat pain healed, I no longer experienced that pain.
However, since those symptoms resolved, I have been feeling dizzy every day, especially during physical activity, almost like a heavy-headedness.
Sometimes, I also feel weakness in my left arm, although it should have strength.
Could the pain from the sore under my tongue and throat have caused the pain in the right occipital region? Is it possible that the throat and tongue pain led to muscle and nerve tension in that area? I found some information online about vertebral artery dissection, and the pain points seem similar to mine, which makes me worry that this could be the cause.
Is it possible that I have a vertebral artery dissection? What kind of examinations should I undergo? I am quite concerned, and I would appreciate your advice.
Thank you, Doctor.

Andrew, 30~39 year old female. Ask Date: 2017/08/11

Dr. Jiang Junyi reply Neurology


Hello: The most common cause of left-sided neck pain is cervical myofascial pain.
If a vertebral artery dissection occurs, it can cause severe pain near the posterior neck close to the occipital region due to the vascular dissection.
Sometimes, the pain may radiate to the neck, jaw, and throat, and it is often unilateral.
Patients with vertebral artery dissection frequently have hypertension issues.
In addition to severe headaches, some individuals may experience mild neurological symptoms such as dizziness, slurred speech, weakness in the limbs, drooping eyelids, or facial paralysis.
It is recommended that you consult a neurologist or a rehabilitation specialist to discuss examination and treatment options.
Wishing you good health and peace.
Taoyuan Hospital cares about you.

Reply Date: 2017/08/11

More Info


Understanding your symptoms and concerns is essential, especially when it comes to pain and discomfort in the head, neck, and throat areas. Based on your description, it seems you experienced a series of interconnected issues that may have contributed to your current symptoms, including occipital pain and feelings of dizziness.

Firstly, the pain you experienced in your throat and under your tongue could have been due to an infection or inflammation, which is common and can lead to significant discomfort when swallowing. This pain can sometimes radiate to other areas, including the neck and the occipital region (the back of the head), due to shared nerve pathways. When you were experiencing throat pain, it is plausible that the surrounding muscles and nerves became tense or irritated, leading to the dull, aching pain in the occipital area. This phenomenon is often referred to as referred pain, where pain is perceived in an area different from its source.

The subsequent symptoms you described, such as daily dizziness and a feeling of heaviness in your head, could be related to several factors. One possibility is that the initial pain and discomfort led to increased muscle tension in your neck and upper back, which can contribute to tension headaches and feelings of dizziness. Additionally, if you were experiencing anxiety or stress related to your throat issues, this could also exacerbate feelings of dizziness and lightheadedness.

Regarding your concern about vertebral artery dissection, it is important to note that this condition is relatively rare and typically presents with more severe symptoms, such as sudden onset of severe headache, neck pain, or neurological deficits. While it is understandable to worry about serious conditions, it is crucial to approach this with a balanced perspective. If your symptoms have improved since the throat issues resolved, it is less likely that you are experiencing a serious condition like vertebral artery dissection.

However, if you continue to experience dizziness, headaches, or any new symptoms, it would be wise to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies, such as an MRI or CT scan, to rule out any structural issues or vascular concerns. Additionally, a physical examination focusing on your neck and neurological status could provide valuable insights.

In the meantime, consider the following strategies to help alleviate your symptoms:
1. Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet, as dehydration and poor nutrition can contribute to dizziness and fatigue.

2. Posture and Ergonomics: Pay attention to your posture, especially if you spend long hours sitting or working at a desk. Poor posture can lead to muscle tension and headaches.

3. Stress Management: Engage in relaxation techniques such as deep breathing, meditation, or gentle yoga to help reduce muscle tension and anxiety.

4. Physical Activity: Regular, moderate exercise can improve circulation and reduce tension in the neck and shoulders, which may help alleviate headaches and dizziness.

5. Follow-Up Care: If symptoms persist or worsen, do not hesitate to seek further medical evaluation. Keeping a symptom diary may also be helpful for your healthcare provider to understand the pattern and triggers of your symptoms.

In conclusion, while your initial throat issues may have contributed to your occipital pain and dizziness, it is essential to monitor your symptoms and consult with a healthcare professional if they persist. Taking proactive steps to manage stress, maintain good posture, and stay active can also support your overall well-being.

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