Persistent Headaches: Causes and When to Seek Help - Neurology

More Info

---

Persistent headaches can be a significant concern, especially when they change in frequency, intensity, or character. Based on your description of experiencing a dull, constant pain primarily located at the back of your head, there are several potential causes to consider.

Firstly, tension-type headaches are one of the most common forms of headaches. They often present as a tight band-like sensation around the head and can be exacerbated by stress, poor posture, or prolonged periods of sitting, especially in front of a computer. Given your mention of increased headache frequency and the dull nature of the pain, tension headaches could be a likely culprit. These headaches can sometimes be resistant to over-the-counter pain medications, especially if they are chronic.

Another possibility is cervicogenic headaches, which originate from issues in the cervical spine (the neck). Poor posture, particularly from extended periods of computer use, can lead to muscle tension and strain in the neck, which can then refer pain to the back of the head. This type of headache may also be accompanied by neck stiffness or discomfort.

Migraines, although typically characterized by unilateral, throbbing pain, can sometimes present with a dull ache and may occur in the back of the head. Migraines can also be triggered by various factors, including stress, hormonal changes, certain foods, and sleep disturbances. If you have a history of migraines, this could be a consideration.

In more serious cases, persistent headaches can indicate underlying conditions such as increased intracranial pressure, tumors, or vascular issues like aneurysms. However, these conditions are less common and usually present with additional symptoms, such as visual disturbances, neurological deficits, or changes in consciousness.

Given that your headaches have become persistent and are not responding to typical analgesics, it is advisable to seek further evaluation from a healthcare professional. A thorough medical history, physical examination, and possibly imaging studies (like an MRI or CT scan) may be warranted to rule out any serious underlying conditions. Additionally, a referral to a neurologist may be beneficial for specialized assessment and management.

In the meantime, consider lifestyle modifications that may help alleviate your symptoms. These include:
1. Posture Correction: Ensure that your workstation is ergonomically set up to reduce strain on your neck and back. Take regular breaks to stretch and move around.

2. Stress Management: Engage in relaxation techniques such as deep breathing, meditation, or yoga to help reduce tension.

3. Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet, as dehydration and certain food triggers can exacerbate headaches.

4. Sleep Hygiene: Maintain a regular sleep schedule and create a restful sleeping environment to improve sleep quality.

5. Physical Activity: Regular exercise can help reduce the frequency and severity of headaches by relieving tension and improving overall health.

In conclusion, while tension-type headaches and cervicogenic headaches are common causes of persistent headaches, it is essential to rule out more serious conditions. Seeking medical advice is crucial, especially since your symptoms have changed and are not responding to typical treatments. A healthcare professional can provide a tailored approach to diagnosis and management, ensuring you receive the appropriate care for your situation.