Bumps on the Back of the Head: Causes and Concerns - Surgery

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The occipital protuberance?


For the past six months, I have frequently touched the lower left side of my occiput, around the area behind my ear, and noticed a hard lump.
When I press on it, there is a sensation of soreness.
There was a period when I felt very fatigued, and my neck and shoulders were in constant pain, as if there was a tight muscle, which made it difficult to move my head in different directions.
It was around that time that I discovered this lump.
I don't check it every day, so I'm not sure if it is present daily or if it has disappeared and reappeared.
I initially thought it might just be due to fatigue, especially since my recent schedule has been more regular.
However, the lump has been present for several months, so I wanted to inquire about it.
Thank you for your help!

Daxuesheng shui mian xiguan bu hao, 20~29 year old female. Ask Date: 2019/09/28

Dr. Peng Xianwen reply Surgery


Hello, it is recommended to visit the clinic for a clearer diagnosis, as it is difficult to assess remotely.
Thank you.
I hope to have the opportunity to serve you.

Reply Date: 2019/09/28

More Info


When it comes to bumps or protrusions on the back of the head, particularly in the area just above the neck and behind the ears, there are several potential causes that should be considered. Given your description of a hard bump that is painful to the touch, along with associated symptoms of neck and shoulder pain, it is important to explore the possible underlying issues.

One common cause of a hard bump in this area could be a lymph node enlargement. Lymph nodes can become swollen due to infections, inflammation, or other immune responses. If you have had any recent infections, such as a cold or flu, this could explain the lymph node swelling. However, if the bump persists and is painful, it may warrant further investigation.

Another possibility is a muscle knot or tension in the muscles of the neck and upper back. Given that you mentioned experiencing tightness and pain in your neck and shoulders, it is plausible that muscle tension could lead to the formation of a palpable knot or bump. This is often due to poor posture, prolonged periods of sitting (especially in front of a computer), or stress, which can cause the muscles to contract and become tense.

Additionally, conditions such as cysts or lipomas (benign fatty tumors) can also present as bumps on the scalp or neck. These are generally harmless but can sometimes cause discomfort if they press on surrounding tissues or nerves. If the bump is firm and has been present for several months without change, it may be worth having it evaluated by a healthcare professional to rule out any serious conditions.

In rare cases, a bump in this area could be indicative of more serious conditions, such as a bone spur or even a tumor. While these are less common, they should not be overlooked, especially if you experience other concerning symptoms such as headaches, dizziness, or changes in vision.

Given that you have been experiencing this bump for several months, along with neck and shoulder pain, it is advisable to seek a medical evaluation. A healthcare provider may perform a physical examination and, if necessary, imaging studies such as an ultrasound or MRI to assess the nature of the bump and any underlying issues.

In summary, while the bump on the back of your head could be related to muscle tension, lymph node enlargement, or benign growths, it is important to consult with a healthcare professional for a thorough evaluation. They can provide a definitive diagnosis and recommend appropriate treatment options based on the findings. Taking care of your posture, managing stress, and ensuring adequate rest can also help alleviate some of the discomfort you are experiencing.

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