Head Pain: Causes and Concerns in Neurology

Head issues

Hello, doctor.
I experience headaches when I lie back on a specific spot on the back of my head while sitting in a chair.
The pain is not located at the area in contact with the chair, but rather closer to the top of my head.
I haven't hit my head or experienced any other injuries.
What could be the cause of this? Thank you.

ren, 20~29 year old female. Ask Date: 2022/02/11

Dr. Jiang Junyi reply Neurology

Hello Mr.
Ren,
You mentioned that "lying back on a certain spot on the back of your head causes headaches, and the pain is not at the point of contact but rather closer to the top of your head..." This symptom may suggest cervical myofascial pain.
Prolonged periods of looking down can lead to overuse of the trapezius muscles in the neck, resulting in neck and shoulder discomfort.
Initially, resting may alleviate the pain, but over time, it can worsen and disrupt normal activities.
Some patients experience severe neck pain upon waking, characterized by stiffness, tightness, and unbearable pain levels.
I recommend the following:
1.
Change Positions: Change 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: Rest is essential for allowing the muscles to utilize their self-repair capabilities.
Avoid vigorous exercise during this time.
3.
Neck Heat Therapy: Apply heat for 15 to 20 minutes, ensuring that the temperature is safe to avoid burns.
4.
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): If you do not have a history of gastric ulcers, allergies to NSAIDs, or impaired kidney function, you may consider using NSAIDs to reduce inflammation and alleviate pain.
5.
Neck Muscle Stretching Exercises: After the acute pain phase, develop a habit of performing slow and gentle neck stretches every 15 to 20 minutes, ensuring that the angles do not cause discomfort.
Stretch in all directions: up, down, left, and right.
I suggest consulting with a neurologist or a rehabilitation specialist for further evaluation and treatment options.
Thank you for your inquiry, and feel free to discuss further! Wishing you good health, peace, and joy.
Dr.
Jiang Junyi
Taoyuan Medical Center

Reply Date: 2022/02/11

More Info

Understanding head pain, particularly in the context of neurology, requires a comprehensive approach to identifying the underlying causes and potential implications of the symptoms experienced. Your description of experiencing pain at the back of your head, specifically when lying on a chair, raises several important considerations.

Firstly, it is essential to recognize that head pain can arise from various sources, and the location of the pain can provide clues about its origin. The brain itself does not have pain receptors, so headaches are typically caused by issues involving the surrounding structures, such as blood vessels, nerves, muscles, and the meninges (the protective layers covering the brain).
In your case, the pain you experience when lying back could be related to muscle tension or strain. Poor posture while sitting or lying down can lead to muscle tightness in the neck and upper back, which can then refer pain to the head. This is often seen in individuals who spend long hours in front of a computer or in positions that strain the neck. The discomfort may not be directly at the point of contact with the chair but rather in areas where muscle tension is prevalent, such as the occipital region (the back of the head) or even radiating towards the crown of the head.

Another possibility is that you may be experiencing a type of tension-type headache. These headaches are characterized by a dull, aching sensation and can be triggered by stress, anxiety, or prolonged periods of inactivity. The fact that the pain is induced by a specific position suggests that it may be related to muscle tension rather than a more serious neurological condition.

Additionally, it is important to consider the role of the autonomic nervous system in headache disorders. Stress and anxiety can lead to increased muscle tension and changes in blood flow, which may exacerbate headache symptoms. If you find that your headaches are accompanied by feelings of stress or anxiety, addressing these underlying factors through relaxation techniques, physical therapy, or counseling may be beneficial.

If the pain persists or worsens, it is crucial to consult a neurologist or healthcare professional for a thorough evaluation. They may recommend imaging studies, such as an MRI or CT scan, to rule out any structural issues or neurological conditions. Conditions such as cervical spine disorders, which can affect the nerves and blood vessels supplying the head, should also be considered.

In summary, the pain you are experiencing when lying back could be attributed to muscle tension, poor posture, or stress-related factors. However, it is essential to monitor your symptoms closely and seek professional medical advice if they persist or if you experience additional symptoms, such as visual changes, dizziness, or neurological deficits. Early intervention can help manage symptoms effectively and improve your overall quality of life.

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