Persistent Head Pain: Is It Related to Your Cold? - Neurology

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Intermittent headaches?


Hello Dr.
Jiang, last Sunday I experienced a sore throat, and the next day I started having occasional sharp pains on the scalp above my left ear, happening every few minutes.
I have experienced this occasionally in the past, but it usually lasts no more than half a day.
However, this time the sharp pain has persisted for 4-5 days now, and there is also a slight tenderness when touched.
I still have not fully recovered from my cold.
I would like to ask if this head pain is related to my cold? Since I am currently abroad and it is not convenient for me to seek medical attention, I am reaching out here for your advice.
Thank you for taking the time to respond, and I wish you all the best.

13, 20~29 year old female. Ask Date: 2020/10/16

Dr. Jiang Junyi reply Neurology


Hello: Your symptoms should indeed first consider the possibility of poor local circulation caused by a cold, which can lead to tension-type headaches.
Tension-type headaches are, in fact, a form of myofascial pain.
The fascia refers to the connective tissue that envelops the surface of muscles.
Tension-type headaches are caused by tightness in the muscles of the head.
Common manifestations include tight, constricting pain in the forehead and temples, resembling the sensation of wearing a tight headband.
Since this is caused by muscle fatigue, the pain typically begins in the afternoon and peaks in the evening or at night.
Taking a hot shower, getting a massage, or sleeping can provide relief.
Lack of sleep, stress, or anxiety can exacerbate the severity of the headache.
In addition to medication, improving lifestyle habits is important for treating tension-type headaches.
This includes avoiding staying up late and drinking alcohol.
It is also essential to maintain proper spinal posture while working, avoid holding the same position for extended periods, and frequently change positions or engage in activities to relax the muscles.
Learning simple muscle relaxation techniques and physical therapy can also be beneficial.
Maintaining a healthy lifestyle and a positive mood is ideal.
In severe cases, pain relievers, muscle relaxants, or medications to alleviate anxiety may be prescribed by a physician.
Wishing you good health and peace.
Dr.
Jiang from Taoyuan cares about you.

Reply Date: 2020/10/16

More Info


Persistent head pain can be a perplexing issue, especially when it coincides with other symptoms like a sore throat or cold. Based on your description, it seems that you are experiencing a specific type of head pain localized to the scalp above your left ear, which has been ongoing for several days. This situation raises a few important considerations regarding the relationship between your cold and the head pain you are experiencing.

Firstly, it is not uncommon for viral infections, such as the common cold, to lead to secondary symptoms that can include headaches. The inflammation and congestion associated with a cold can cause pressure in the sinuses, which may result in referred pain to the head. This is often described as a sinus headache, where the pain is felt in the forehead, cheeks, or around the eyes, but it can also manifest as pain in other areas, including the scalp.

In your case, the intermittent sharp pain you describe, especially if it is localized and accompanied by tenderness upon touch, could also suggest a condition known as "tension-type headache" or even a "cervicogenic headache." Tension-type headaches are often triggered by stress, poor posture, or muscle tension in the neck and shoulders, which can be exacerbated by illness. Given that you mentioned you are currently dealing with a cold, it is plausible that the overall discomfort and tension in your body could be contributing to the head pain.

Another possibility to consider is the phenomenon of "post-viral headache," which can occur after a viral infection. This type of headache can persist even after other symptoms of the cold have resolved. The body’s inflammatory response to the virus may continue to affect the nervous system, leading to ongoing pain.

It’s also worth noting that if you have a history of similar episodes, it could indicate a recurring issue that may not be directly related to your current cold. For instance, if you have experienced similar scalp pain in the past, it may be beneficial to explore whether there are underlying factors such as tension, stress, or even migraine triggers that could be at play.

Given that you are currently abroad and may have limited access to healthcare, here are some self-care strategies you might consider:
1. Rest and Hydration: Ensure you are getting enough rest and staying well-hydrated, as dehydration can exacerbate headaches.

2. Warm Compress: Applying a warm compress to the affected area may help alleviate some of the discomfort.

3. Gentle Massage: Gently massaging the scalp and neck can relieve muscle tension that may be contributing to your pain.

4. Over-the-Counter Pain Relief: If you are comfortable doing so, consider using over-the-counter pain relief medications, such as ibuprofen or acetaminophen, to manage the pain.

5. Monitor Symptoms: Keep track of your symptoms. If the pain worsens or if you develop additional concerning symptoms (such as fever, severe headache, or neurological symptoms), it would be advisable to seek medical attention as soon as possible.

In conclusion, while your current head pain may be related to your cold, it is essential to consider other factors such as tension and previous headache history. If symptoms persist beyond a week or worsen, it would be prudent to seek medical advice when possible. Take care, and I hope you find relief soon!

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