Heat Sensation in the Back of the Head: Causes and Solutions

Heat sensation in the back of the head?

Recently, I have been frequently experiencing a sensation of heat at the back of my head, sometimes at the crown as well.
This occurs whether I am outdoors in the heat or indoors in an air-conditioned room.
I am unsure what the cause might be.
Could this be related to my job, where I use a computer for extended periods, as well as my personal time spent on computers and mobile devices? How can I alleviate this symptom, and which medical specialty should I consult for diagnosis? Thank you.

Xiao Xuan, 20~29 year old female. Ask Date: 2022/07/02

Dr. Jiang Junyi reply Neurology

Dear Miss Hsiao-Hsuan,
You mentioned experiencing a sensation of heat in your scalp, sometimes at the back of your head and other times at the top.
This may indicate cervical myofascial pain syndrome, which can present with symptoms such as pain, discomfort, muscle stiffness, or a feeling of heaviness.
Symptoms may worsen with changes in weather and can be alleviated through stretching activities, often recurring.
During acute episodes, there may be localized muscle tension and spasms, leading to restricted movement.

I recommend developing a habit of performing gentle neck muscle stretching exercises every 15 to 20 minutes, ensuring that the angles do not provoke discomfort in your neck.
It would be advisable to consult with a neurologist or a rehabilitation physician for further evaluation and treatment.
Thank you for your inquiry, and feel free to discuss any related questions.
Wishing you good health and peace.
Dr.
Jiang Jun-Yi, Taoyuan Hospital

Reply Date: 2022/07/02

More Info

Experiencing a sensation of heat in the back of the head can be concerning and may stem from various underlying causes. Given your description, it’s essential to consider several factors that could contribute to this sensation, especially in the context of your lifestyle, which involves prolonged computer and smartphone use.

Potential Causes
1. Muscle Tension and Strain: One of the most common reasons for heat sensations in the head, particularly in the back, is muscle tension. Prolonged periods of sitting and staring at screens can lead to poor posture, resulting in tightness in the neck and shoulder muscles. This tension can radiate to the head, causing discomfort and a sensation of heat. Conditions like cervical spondylosis or myofascial pain syndrome can also contribute to these symptoms.

2. Nerve Compression: If there has been any previous trauma to the head or neck, such as a concussion or whiplash, it may lead to nerve compression. This can manifest as unusual sensations, including heat or burning in the head. The cervical spine houses nerves that can become irritated or compressed due to muscle tightness or structural changes, leading to referred sensations in the head.

3. Increased Blood Flow: Physical or emotional stress can lead to increased blood flow to certain areas of the body, including the head. This can create a sensation of warmth or heat. Additionally, conditions like migraines or tension-type headaches can also cause localized sensations of heat.

4. Environmental Factors: External factors, such as temperature changes or humidity, can also influence how we perceive sensations in our bodies. If you are frequently moving between hot and cold environments, your body might react with sensations of heat in response to these changes.

5. Underlying Medical Conditions: Certain medical conditions, such as hypertension, thyroid disorders, or infections, can also lead to sensations of heat or discomfort in the head. If these sensations are accompanied by other symptoms, such as headaches, dizziness, or changes in vision, it is crucial to seek medical advice.

Recommendations for Improvement
1. Posture Correction: Ensure that your workstation is ergonomically set up. Your computer screen should be at eye level, and your chair should support your lower back. Take regular breaks every 20-30 minutes to stretch and move around.

2. Neck and Shoulder Exercises: Incorporate gentle stretching and strengthening exercises for your neck and shoulders. Simple neck rolls, shoulder shrugs, and chin tucks can help alleviate muscle tension.

3. Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet. Dehydration can exacerbate headaches and sensations of heat.

4. Stress Management: Engage in stress-reducing activities such as yoga, meditation, or deep-breathing exercises. These can help reduce muscle tension and improve overall well-being.

5. Consult a Specialist: Given the complexity of your symptoms, it would be wise to consult a healthcare professional. A neurologist or a physical medicine and rehabilitation specialist would be appropriate for evaluating your symptoms. They can conduct a thorough examination, possibly including imaging studies, to determine if there are any underlying issues that need to be addressed.

Conclusion
The sensation of heat in the back of the head can be multifactorial, often related to muscle tension, nerve issues, or environmental factors. By addressing posture, incorporating regular breaks and exercises, and consulting with a healthcare professional, you can work towards alleviating these symptoms. If the sensations persist or worsen, seeking medical evaluation is crucial to rule out any serious underlying conditions.

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