Neck and Head Tension: Causes and Concerns - Neurology

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Head and neck


Hello doctor, I used to have a tight spot on the left side of my neck, which would occasionally feel sore.
Recently, I've been experiencing tightness in my scalp, forehead, and even around my eyes, which sometimes feel achy.
Occasionally, I also feel a bit of warmth and experience brief headaches that last only a few seconds.
I'm really worried; could this be serious? 😭

Li Wen, 20~29 year old female. Ask Date: 2020/04/15

Dr. Jiang Junyi reply Neurology


Hello, based on your description, the most common cause of left-sided neck pain is cervical myofascial pain.
Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort.
Initially, resting may alleviate the pain, but it can progressively worsen, affecting daily activities.
Some patients experience severe neck pain, stiffness, and tightness upon waking in the morning, making it difficult to tolerate.

I recommend the following:
1.
Change positions: Alter your posture every 15 minutes to allow the neck tissues to rest.
Maintaining any position (including a normal one) for an extended period can lead to tissue fatigue and inflammation, so moving around briefly can reduce the risk of muscle inflammation.
2.
Rest: Resting allows the muscles to utilize their self-repair capabilities; avoid strenuous activities during this time.
3.
Neck heat therapy: Apply heat for 15 to 20 minutes, ensuring the temperature is safe to avoid burns.
4.
Non-steroidal anti-inflammatory drugs (NSAIDs): For individuals without a history of gastric ulcers, allergies to NSAIDs, or normal kidney function, consider using NSAIDs to reduce inflammation and alleviate pain if necessary.
5.
Neck muscle stretching exercises: After the acute pain phase, develop a habit of performing slow, gentle neck stretches every 15 to 20 minutes, ensuring the angles do not provoke discomfort.

I suggest consulting a neurologist or a rehabilitation specialist for further evaluation and treatment.
Wishing you good health and peace.

However, due to the ongoing uncertainty surrounding the COVID-19 pandemic, it is advisable to wait until the situation stabilizes before visiting a hospital for examination.
Please also practice self-protection measures, including cleaning and disinfecting before and after seeking medical care.

Reply Date: 2020/04/15

More Info


Hello! It sounds like you're experiencing a range of symptoms that can be quite distressing. The tension and discomfort you're feeling in your neck, scalp, forehead, and around your eyes could be attributed to several factors, and it's important to consider both physical and psychological aspects.

Firstly, the tightness and pain in your neck, particularly on the left side, could be a result of muscle tension. This is often caused by poor posture, especially if you spend long hours sitting at a desk or using electronic devices. When the muscles in the neck and shoulders become tense, they can lead to referred pain in the head and face, resulting in headaches or a feeling of pressure in the forehead and eyes. This is commonly referred to as tension-type headaches.

The sensation of heat and occasional headaches that last only a few seconds may also suggest that your body is reacting to stress or anxiety. Stress can lead to muscle tightness and can exacerbate feelings of discomfort. Additionally, if you are experiencing anxiety about your symptoms, this can create a feedback loop where the anxiety increases muscle tension, which in turn leads to more discomfort.

Another possibility to consider is eye strain, especially if you spend a lot of time looking at screens. Symptoms of eye strain can include discomfort around the eyes, headaches, and a feeling of pressure in the forehead. If you haven't had your vision checked recently, it might be a good idea to see an eye care professional to rule out any vision-related issues.

In terms of the heat sensation and the tightness in your scalp, this could also be related to muscle tension or even a condition known as scalp dysesthesia, where the scalp feels sensitive or painful without any apparent cause. This can be associated with stress, anxiety, or even previous injuries.

Given that your symptoms have been persistent and are causing you concern, it would be wise to consult with a healthcare professional. A neurologist or a primary care physician can perform a thorough evaluation to rule out any serious underlying conditions. They may suggest imaging studies, such as an MRI or CT scan, if they suspect any structural issues, but often, tension-type headaches and muscle strain can be managed with conservative treatments.

In the meantime, here are some strategies you might find helpful:
1. Posture Awareness: Pay attention to your posture while sitting or using devices. Ensure that your workstation is ergonomically set up to reduce strain on your neck and shoulders.

2. Regular Breaks: Take frequent breaks to stretch and move around, especially if you are sitting for long periods.

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

4. Heat Therapy: Applying a warm compress to your neck and shoulders can help relax tight muscles.

5. Massage: Gentle massage of the neck and scalp may provide relief from tension.

6. Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet, as dehydration and poor nutrition can contribute to headaches.

7. Sleep Hygiene: Maintain a regular sleep schedule and create a restful environment to improve sleep quality, which can help reduce tension.

If your symptoms persist or worsen, or if you experience any new symptoms such as visual changes, severe headaches, or neurological signs (like weakness or numbness), seek medical attention promptly. Your health and well-being are important, and addressing these concerns early can lead to better outcomes. Take care!

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