Scalp Pain: Causes and When to Seek Help

Pressing on a certain area of the head causes pain?

Hello, Doctor.
Today, while I was sitting and bending down, I suddenly felt pain near the top of my head, similar to the sensation of hair being pulled.
I pressed on the painful area with my hand, but I couldn't tell if there were any indentations or lumps (it feels like there aren't any).
However, pressing on that spot causes pain, but if I don't press it, there is no discomfort.
I would like to ask for your advice.
Thank you!

Ke Ke, 20~29 year old female. Ask Date: 2020/10/27

Dr. Jiang Junyi reply Neurology

Hello, based on your description, it may be necessary to consider cervical myofascial tension.
This condition is characterized by pain at the affected site, discomfort, muscle stiffness, and possibly neurological symptoms.
Symptoms may worsen in the morning upon waking or with changes in weather, but can be alleviated with stretching activities, and often recur.
During acute episodes, there may be localized muscle tension and spasms, leading to restricted movement.

For treatment, when nerves are compressed, an inflammatory response occurs, resulting in pain.
Non-steroidal anti-inflammatory drugs (NSAIDs) can be used for treatment, as they have both anti-inflammatory and analgesic properties, which can reduce the inflammatory response and alleviate pain.

Wishing you good health and peace.
Dr.
Jiang from Taoyuan Hospital cares about you.

Reply Date: 2020/10/27

More Info

Scalp pain can be a perplexing and uncomfortable experience, and understanding its potential causes is essential for determining the appropriate course of action. Based on your description, it sounds like you are experiencing localized pain on your scalp, particularly when bending forward or applying pressure to the area. This type of pain can arise from various factors, and it's important to consider both the physical and neurological aspects involved.

One common cause of scalp pain is tension or muscle strain. When you bend forward, the muscles in your neck and scalp may become tense, leading to discomfort. This is particularly true if you have been sitting for long periods or if you have poor posture. The sensation of pain resembling that of hair being pulled could indicate that the muscles or nerves in that area are sensitive or irritated.
Another possibility is that the pain could be related to a condition known as "allodynia," where normally non-painful stimuli, such as touch or pressure, cause pain. This can occur due to nerve irritation or inflammation, which may be linked to various underlying conditions, including migraines or tension-type headaches. If you have a history of headaches, this could be a contributing factor.

Additionally, scalp pain can sometimes be associated with dermatological issues, such as scalp psoriasis or dermatitis, which can cause localized pain and sensitivity. However, since you mentioned that there are no visible signs of swelling or lumps, this may be less likely.

In terms of when to seek medical help, it is advisable to consult a healthcare professional if the pain persists, worsens, or is accompanied by other symptoms such as fever, swelling, or neurological signs (e.g., numbness, weakness, or changes in vision). These could indicate a more serious underlying condition that requires immediate attention.

If the pain is mild and does not interfere significantly with your daily activities, you might consider some self-care measures. These can include gentle scalp massages, applying a warm compress to the area, and practicing relaxation techniques to reduce muscle tension. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may also help alleviate discomfort.

In summary, while your scalp pain may be related to muscle tension or nerve sensitivity, it is essential to monitor your symptoms closely. If you experience any concerning changes or if the pain persists, seeking medical advice is the best course of action. A healthcare professional can conduct a thorough evaluation, potentially including a physical examination and imaging studies if necessary, to determine the underlying cause of your scalp pain and recommend appropriate treatment options.

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