the Causes of Occasional Pain in the Back of the Head - Neurology

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Experiencing pain in the back of the head can be concerning, especially when it occurs frequently or during specific activities like walking on a treadmill. There are several potential causes for this type of headache, and understanding them can help you determine the best course of action.

One common cause of pain in the back of the head is tension-type headaches. These headaches are often associated with muscle tension in the neck and shoulders, which can be exacerbated by poor posture, stress, or prolonged periods of sitting or standing in one position. Given that you mentioned feeling pain when you stretch your arms, it’s possible that muscle tension in your neck and upper back is contributing to your headache. The muscles in these areas can become tight and refer pain to the back of the head, leading to discomfort.

Another possibility is cervicogenic headache, which originates from issues in the cervical spine (the neck). This type of headache can occur due to muscle strain, herniated discs, or degenerative changes in the cervical spine. If you have a history of neck or shoulder pain, it may be worth considering whether cervical spine issues are contributing to your headaches.

Additionally, it’s important to consider the role of physical activity in your symptoms. While exercise is generally beneficial, certain movements or postures during exercise can lead to increased tension in the neck and shoulders, potentially triggering headaches. For example, if you are leaning forward excessively while using the treadmill or not maintaining proper alignment, this could strain your neck muscles and lead to pain.

Your blood pressure reading of 125/90 is within a generally acceptable range, but the diastolic number (90) is on the higher side of normal. While this is unlikely to be the direct cause of your headaches, it’s important to monitor your blood pressure regularly, as hypertension can sometimes contribute to headache symptoms.

Given the complexity of headache causes, it may be beneficial to keep a headache diary. Documenting when your headaches occur, their intensity, duration, and any associated symptoms can help identify patterns and triggers. This information can be valuable when discussing your symptoms with a healthcare provider.

If your headaches persist or worsen, or if you experience additional symptoms such as visual disturbances, dizziness, or significant neck stiffness, it is crucial to seek medical attention. A healthcare professional can perform a thorough evaluation, which may include a physical examination, imaging studies (like X-rays or MRIs), and possibly referrals to specialists such as a neurologist or physical therapist.

In the meantime, consider implementing some self-care strategies to alleviate your symptoms. These may include:
1. Posture Correction: Ensure that your posture is correct while exercising and throughout your daily activities. Keeping your head aligned with your spine can reduce strain on your neck muscles.

2. Stretching and Strengthening: Incorporate gentle neck and shoulder stretches into your routine. Strengthening exercises for the neck and upper back can also help improve muscle balance and reduce tension.

3. Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can help prevent headaches.

4. Stress Management: Techniques such as mindfulness, yoga, or deep breathing exercises can help reduce stress and muscle tension.

5. Regular Breaks: If you spend long periods in one position, take regular breaks to move and stretch.

In summary, while occasional pain in the back of the head can stem from various causes, including tension headaches, cervicogenic headaches, or exercise-related strain, it’s essential to monitor your symptoms and consult with a healthcare provider if they persist. Implementing self-care strategies can also help manage and alleviate your discomfort.