Persistent Head Numbness: When to Seek Medical Advice

Facial concerns?

Hello, I have been experiencing a tingling sensation in the back of my head lately, similar to the goosebumps you get when you're anxious, and it has been persistent.
Could you please tell me what this issue might be? Do I need to see a doctor?

ABC, 20~29 year old female. Ask Date: 2019/05/11

Dr. Jiang Junyi reply Neurology

Hello, based on your description, it may be necessary to consider cervical nerve root compression.
This could be due to prolonged poor posture with the head bent forward, or rheumatic joint diseases, leading to curvature and narrowing deformities of the cervical spine.
The intervertebral disc may be compressing the nerves that control the shoulders between the fourth and fifth cervical vertebrae, resulting in shoulder and neck pain, as well as tingling sensations.
If the compression affects the nerves that control the upper arms and fingertips between the fifth and sixth cervical vertebrae, symptoms such as numbness, pain, and weakness in both hands may occur.
It is recommended that you consult with a rehabilitation specialist or a neurologist/neurosurgeon to discuss examination and treatment options.
Wishing you good health and peace.
Dr.
Jiang from Taoyuan Medical Center cares about you.

Reply Date: 2019/05/11

More Info

Persistent head numbness, particularly in the back of the head, can be concerning and warrants careful consideration. The sensation you describe, akin to a tingling or prickling feeling, may be indicative of several underlying issues, ranging from benign to more serious conditions. It is essential to understand the context of your symptoms and when to seek medical advice.

Firstly, the sensation of numbness or tingling in the head can be associated with various causes. Common benign reasons include tension headaches, anxiety, or even poor posture, especially if you spend long hours in front of a computer. These factors can lead to muscle tension in the neck and shoulders, which may radiate discomfort to the head. Stress and anxiety can also manifest physically, causing sensations like tingling or numbness.

However, persistent numbness, especially if it is unilateral (affecting one side) or accompanied by other symptoms such as weakness, vision changes, difficulty speaking, or coordination issues, could indicate a more serious condition. These symptoms may suggest neurological issues such as migraines, multiple sclerosis, or even transient ischemic attacks (TIAs) or strokes. In such cases, immediate medical evaluation is crucial.

Given that your symptoms are persistent, it is advisable to consult a healthcare professional. A thorough evaluation by a neurologist may be warranted. They may recommend imaging studies such as an MRI or CT scan to rule out any structural abnormalities in the brain or cervical spine. Additionally, blood tests may be conducted to check for underlying conditions such as vitamin deficiencies or thyroid issues that could contribute to neurological symptoms.

In the meantime, consider keeping a symptom diary. Note when the numbness occurs, its duration, any associated activities, and other symptoms. This information can be invaluable for your healthcare provider in diagnosing the issue.

If you experience any of the following symptoms, seek immediate medical attention:
- Sudden onset of numbness or weakness, especially on one side of the body
- Confusion or difficulty speaking
- Severe headache that feels different from past headaches
- Vision changes
- Loss of balance or coordination
In conclusion, while the sensation of numbness in the head can often be benign, persistent symptoms should not be ignored. It is essential to seek medical advice to rule out serious conditions and to receive appropriate care. Early intervention can lead to better outcomes, especially if a neurological issue is present. Always prioritize your health and well-being by consulting with a healthcare professional when in doubt.

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