Numbness Around the Back of the Head: Possible Causes and Concerns - Neurology

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Numbness near the occipital region?


Hello doctor, starting today, I have been experiencing a tingling sensation in my head and face intermittently (sometimes lasting for a long time), primarily around the back of my head and near my cheeks.
Could you please tell me what this might be? Is it related to my recent late nights working on reports? Thank you for your guidance.

SKDJ, 20~29 year old female. Ask Date: 2019/05/10

Dr. Hong Weibin reply Neurology


Hello: External stress and irregular lifestyle can often lead to physiological issues, such as excessive fatigue, numbness, pain, and general discomfort.
It is recommended that you get plenty of rest and observe whether your condition improves.
Wishing you a speedy recovery.

Reply Date: 2019/05/10

More Info


Numbness around the back of the head and face can be concerning, and it’s important to consider various potential causes. Based on your description, the numbness you are experiencing could be related to several factors, including tension, nerve compression, or even stress-related issues.
One common cause of numbness in the head and face is tension headaches, which can occur due to prolonged periods of stress, poor posture, or extended hours spent in front of a computer screen. Given that you mentioned working late on reports, it’s possible that muscle tension in your neck and shoulders is contributing to the numbness. When the muscles in the neck become tight, they can compress nerves that lead to sensations of numbness or tingling in the head and face.

Another possibility is that you may be experiencing symptoms related to anxiety or stress. Stress can lead to hyperventilation, which may cause temporary numbness or tingling sensations in various parts of the body, including the head and face. Additionally, if you have been experiencing sleep disturbances due to your late-night work, this could exacerbate feelings of anxiety and contribute to physical symptoms like numbness.

It’s also essential to consider the possibility of nerve-related issues. For instance, conditions such as occipital neuralgia, where the occipital nerves at the back of the head become irritated or compressed, can lead to numbness or pain in the back of the head and sometimes radiate to the face. If you have a history of neck injuries or conditions like cervical spondylosis, these could also play a role in your symptoms.

In some cases, numbness can be a sign of more serious conditions, such as multiple sclerosis or a transient ischemic attack (TIA). However, these conditions are less common and typically present with additional symptoms. If your numbness is persistent, worsening, or accompanied by other neurological symptoms (such as weakness, vision changes, or difficulty speaking), it is crucial to seek medical attention promptly.

Given your situation, I recommend the following steps:
1. Monitor Your Symptoms: Keep a detailed log of when the numbness occurs, its duration, and any associated activities or stressors. This information can be helpful for your healthcare provider.

2. Posture and Ergonomics: Ensure that your workspace is ergonomically designed to reduce strain on your neck and shoulders. Take regular breaks to stretch and move around.

3. Stress Management: Engage in relaxation techniques such as deep breathing, meditation, or yoga to help manage stress levels.

4. Consult a Healthcare Provider: If the numbness persists or worsens, it would be wise to consult a neurologist or your primary care physician. They may recommend imaging studies, such as an MRI or CT scan, to rule out any underlying conditions.

5. Lifestyle Adjustments: Prioritize sleep and consider adjusting your schedule to allow for adequate rest, as sleep deprivation can exacerbate symptoms of anxiety and tension.

In conclusion, while your symptoms may be related to stress and tension, it is essential to approach this with caution. If you have any concerns about the nature or persistence of your symptoms, do not hesitate to seek professional medical advice. Early intervention can often lead to better outcomes and peace of mind.

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