Pulsations in the Back of the Head: Is It Normal? - Neurology

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Experiencing pulsations in the back of the head, especially when you are focused on an activity like looking at your phone or practicing breathing exercises, can be concerning but is often a normal physiological response. The sensation you describe, where you feel a rhythmic pulsing that aligns with your heartbeat, is typically related to the normal functioning of blood vessels in the area.
When you lean forward or tilt your head down, as you might do while using your phone, you can increase the pressure in the blood vessels at the back of your head. This can make you more aware of the pulsations of the arteries, particularly the vertebral arteries, which supply blood to the brain. The vertebral arteries run along the spine and up through the neck, and they can be felt more prominently when you are in certain positions or when you are exerting pressure on them.

The fact that you do not experience any irregularities in the rhythm or discomfort is a good sign. Pulsations that are synchronized with your heartbeat and do not cause pain are generally not a cause for concern. However, if you were to experience additional symptoms such as severe headaches, dizziness, visual disturbances, or any other unusual sensations, it would be prudent to seek medical evaluation.

Your mention of practicing abdominal breathing and noticing the pulsations during this exercise is also interesting. When you engage in deep breathing, especially if you are lying down and using a pillow, you may inadvertently increase blood flow to the head and neck area, which can amplify the sensation of pulsation. This is a common experience, particularly in individuals who may have heightened sensitivity to bodily sensations, as you mentioned your traditional Chinese medicine practitioner noted about your constitution.

In terms of whether this is a normal phenomenon, it generally is, especially in the context of your activities. However, it is essential to maintain awareness of your body and any changes that may occur. If the pulsations become more pronounced, are accompanied by pain, or if you experience other neurological symptoms, it would be wise to consult a healthcare professional for a thorough evaluation.
In summary, the pulsations you feel in the back of your head while focused on your phone or during breathing exercises are likely a normal response to changes in blood flow and pressure in the arteries. As long as there are no accompanying symptoms of concern, this is typically not a sign of a serious issue. However, always listen to your body, and don't hesitate to seek medical advice if you have any doubts or if your symptoms change.