Head Pain After Massage: Causes and Remedies - Surgery

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Head issues?


Two nights ago, I went to a wellness center for a massage.
The therapist massaged my head and lightly tapped it at the end.
I did not feel any discomfort during the process.
However, since then, I have been experiencing pain in my head, which feels like it's in the scalp.
The pain is tolerable and not severe.
There are no other obvious physical abnormalities.
I would like to inquire about the possible causes of this pain, what I can do to alleviate it, and how long it might take to resolve.
If the pain persists, should I seek medical attention, and which specialty should I consult? I am a bit worried; it shouldn't be serious enough to cause a concussion or intracranial bleeding, right? Or is it simply due to the fact that my head hasn't been massaged or tapped for a long time, leading to irritation of the sensory nerves in my scalp? Thank you, doctor.

123, 20~29 year old female. Ask Date: 2019/08/17

Dr. Li Zhonghuai reply Surgery


Hello! Pure massage and gentle tapping are not strong enough to cause a concussion, nor will they lead to intracranial bleeding.
Taking pain relievers can help improve the situation.
Take care! Changhua Hospital cares about you!

Reply Date: 2019/08/17

More Info


Head pain following a massage, particularly one that involves the head and neck, can be attributed to several factors. While it’s understandable to be concerned about the nature of the pain, especially after a massage, it’s important to consider the context and the characteristics of your symptoms.

Firstly, the pain you are experiencing could be a result of muscle tension or strain. During a massage, the therapist may apply pressure to various areas of the head and neck, which can sometimes lead to soreness or discomfort afterward. This is particularly true if the muscles in your neck or scalp were tense prior to the massage. The manipulation of these muscles can release built-up tension, but it can also lead to temporary soreness as the muscles adjust to the changes.

Another possibility is that the pain is related to the stimulation of the nerves in the scalp. The head is rich in nerve endings, and pressure applied during a massage can sometimes lead to a sensation of pain or discomfort in the skin or underlying tissues. This type of pain is often described as superficial and may feel like a sensitivity of the scalp rather than a deep, throbbing headache.

Additionally, if the massage involved any vigorous movements or if you were in an awkward position during the treatment, this could lead to tension headaches. These headaches are often characterized by a dull, aching sensation and can be exacerbated by muscle tightness in the neck and shoulders.

In terms of remedies, there are several strategies you can employ to alleviate the discomfort. Applying a warm compress to the affected area can help relax the muscles and improve blood flow, which may reduce pain. Gentle stretching of the neck and shoulders can also be beneficial. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may provide relief if the pain is bothersome.

As for the duration of the pain, it typically resolves within a few hours to a couple of days, depending on the individual and the extent of the muscle soreness. If the pain persists beyond a few days, or if it worsens or is accompanied by other symptoms such as nausea, vomiting, visual disturbances, or neurological symptoms (like weakness or numbness), it would be prudent to seek medical attention.

In such cases, visiting a primary care physician or a neurologist would be appropriate. They can conduct a thorough evaluation to rule out any serious underlying conditions, such as a concussion or other neurological issues. However, given that you did not experience any discomfort during the massage and the pain is described as manageable, it is likely that your symptoms are benign and related to muscle tension or nerve sensitivity.

In conclusion, while it’s natural to be concerned about head pain following a massage, it is often a result of muscle tension or nerve stimulation rather than a serious condition. Employing self-care measures and monitoring your symptoms will be key in managing your discomfort. If you have any doubts or if your symptoms change, do not hesitate to consult a healthcare professional for further evaluation.

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