Pain in the Occipital Bone: Work-Related Issues or Poor Posture?

Could you please tell me about the issue with the bones on both sides at the lower back?

Hello doctor, I would like to ask about the two protruding bones located on the lower sides of the back of my head (what are they called?).
Recently, the one on my left side has been painful when pressed, but it doesn't hurt when not pressed.
My job involves electronic soldering of ICs, so I need to hold a heat gun up with my left hand.
For about a week, while holding the heat gun high to solder the IC, I've been experiencing shoulder soreness and stiffness.
During my lunch break at work, I can only lean back in my computer chair and rest my head backward.
When I got home and washed my hair, I noticed that pressing on the bone on the left side causes pain.
Is this related to my work, or is there some other issue, perhaps poor posture? Will this heal on its own? Thank you, doctor.

Xiao Lai, 30~39 year old female. Ask Date: 2021/07/11

Dr. Wang Shouji reply Orthopedics

Hello, bones are not completely flat; tenderness at bony prominences is usually not harmful and is often related to posture and pressure.
Shoulder muscles can benefit from heat therapy and stretching to adjust posture, which should help alleviate discomfort.
It is important to avoid excessive strain on your posture, as this can lead to chronic muscle inflammation.
Changhua Hospital cares about your health.
Sincerely, Wang Shou-ji.

Reply Date: 2021/07/11

More Info

The pain you're experiencing in the occipital region, particularly on the left side, could be attributed to several factors, including work-related issues, poor posture, or even underlying musculoskeletal conditions. The two prominent bones you mentioned at the back of your head are likely the occipital condyles, which articulate with the first cervical vertebra (the atlas) and play a crucial role in head movement.

Given your job as an electronic soldering technician, where you frequently lift a heat gun and maintain awkward postures, it is plausible that your symptoms are related to repetitive strain or overuse injuries. Holding your arm in an elevated position for extended periods can lead to muscle fatigue and tension in the neck and shoulder regions, which may contribute to discomfort in the occipital area. Additionally, leaning back in your chair during breaks may not provide adequate support for your neck, exacerbating any existing tension.

The pain you feel when pressing on the left occipital area could indicate muscle tightness or strain in the surrounding musculature, such as the trapezius or splenius capitis muscles. These muscles can become tense due to prolonged static positions or repetitive movements, leading to localized pain and discomfort.
To address your concerns, here are some recommendations:
1. Posture Awareness: Pay attention to your posture while working. Ensure that your workstation is ergonomically set up to minimize strain on your neck and shoulders. Consider using a chair that provides good lumbar support and allows you to maintain a neutral spine position.

2. Breaks and Stretching: Incorporate regular breaks into your work routine. During these breaks, perform gentle neck and shoulder stretches to alleviate tension. Simple exercises like neck tilts, shoulder rolls, and upper back stretches can be beneficial.

3. Heat and Cold Therapy: Applying heat to the affected area may help relax tight muscles, while cold therapy can reduce inflammation if there is any swelling. Alternate between heat and cold as needed.

4. Strengthening Exercises: Strengthening the muscles of your neck and upper back can help support your posture and reduce the risk of injury. Consider consulting with a physical therapist who can design a personalized exercise program tailored to your needs.

5. Professional Evaluation: If the pain persists or worsens, it would be wise to consult a healthcare professional. They may recommend imaging studies, such as X-rays or MRI, to rule out any underlying structural issues, such as cervical spine problems or nerve impingement.

6. Workplace Ergonomics: Discuss with your employer the possibility of ergonomic assessments or adjustments to your workspace. This could include tools or equipment that reduce the need for awkward postures.

In conclusion, while your symptoms may be related to your work and posture, it's essential to monitor them closely. If you experience persistent pain, numbness, or weakness, seek medical attention to ensure that there are no serious underlying conditions. With proper care and adjustments, many musculoskeletal issues can improve significantly over time.

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