Sharp and Throbbing Head Pain: Possible Causes and Insights - Neurology

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Sharp and throbbing pain in the head?


Hello, Dr.
Jiang.
Recently, I've been experiencing occasional sharp and throbbing pain in the upper left side of my head over the past two days.
Each episode lasts about a second.
When I press on a specific point, I feel the same pain (similar to the sensation of pressing on a bruise).
However, I haven't had any trauma or injury to my head recently, and I have never experienced this type of pain before in my life.
I would like to ask Dr.
Jiang what might be causing this issue or what factors could be involved.
Thank you, Dr.
Jiang.

Niming, 20~29 year old female. Ask Date: 2022/07/31

Dr. Jiang Junyi reply Neurology


Hello, Sir: You mentioned that "pressing on a certain point also causes the same pain." It is important to first consider the possibility of tissue inflammation, particularly related to cervical myofascial inflammation.
Additionally, tension-type headache should be considered, which is a form of myofascial pain.
Tension-type headaches are caused by tightness in the head muscles.
Common manifestations include tight, constricting pain in the forehead and temples, resembling the feeling of wearing the Monkey King's golden headband.
Since this is caused by muscle fatigue, it typically begins in the afternoon and peaks in the evening or at night.
Taking a hot shower, getting a massage, or sleeping can provide relief.
Lack of sleep, stress, or anxiety can exacerbate the severity of the headache.
If symptoms persist, it is advisable to consult a neurologist for further evaluation.
Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health and peace.
Dr.
Jiang Junyi, Taoyuan Hospital, cares for you.

Reply Date: 2022/07/31

More Info


Hello! Thank you for reaching out with your concerns regarding the sharp and throbbing head pain you’ve been experiencing. Based on your description, it sounds like you are dealing with a type of headache that could have several underlying causes. Let's explore some potential explanations and insights into your symptoms.

Firstly, the sharp and throbbing pain localized to the left upper part of your head could be indicative of a few different types of headaches. One possibility is a tension-type headache, which is often characterized by a feeling of tightness or pressure around the head. However, since you mentioned that the pain is sharp and occurs in brief episodes, it might also be related to a migraine or even a cluster headache, although the latter typically presents with more severe pain and is often accompanied by other symptoms like nasal congestion or eye tearing.

Another important consideration is the possibility of a neuralgia, such as occipital neuralgia, which can cause sharp, shooting pain in the head and neck area. This condition occurs when the occipital nerves, which run from the top of the spinal cord to the scalp, become irritated or inflamed. The pain can be triggered by pressure on the nerve, which might explain why you feel similar pain when pressing on certain points on your head.

Additionally, your symptoms could be related to muscle tension or strain, particularly if you spend long hours in front of a computer or in a position that puts stress on your neck and upper back. This tension can lead to referred pain in the head, manifesting as sharp or throbbing sensations.

It’s also worth considering other factors that could contribute to your symptoms. Stress and anxiety are common triggers for headaches, and if you have been experiencing increased stress lately, this could be a contributing factor. Furthermore, dehydration, lack of sleep, or changes in your diet can also lead to headaches.

Given that you have not experienced any trauma to the head recently, it is less likely that your symptoms are due to a serious injury. However, if the pain persists or worsens, it is crucial to seek medical attention. A healthcare professional may recommend imaging studies, such as an MRI or CT scan, to rule out any structural issues or abnormalities in the brain.

In the meantime, here are some suggestions that may help alleviate your symptoms:
1. Stay Hydrated: Ensure you are drinking enough water throughout the day, as dehydration can trigger headaches.

2. Manage Stress: Engage in relaxation techniques such as deep breathing, meditation, or yoga to help reduce stress levels.

3. Posture Awareness: Pay attention to your posture while working at a computer. Consider using ergonomic furniture and taking regular breaks to stretch and move around.

4. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage acute pain, but be cautious with their use and consult a healthcare provider if you have any concerns.

5. Sleep Hygiene: Ensure you are getting adequate and quality sleep each night, as poor sleep can exacerbate headache symptoms.

6. Consult a Specialist: If your symptoms continue, consider seeing a neurologist or headache specialist for further evaluation and tailored treatment options.

In conclusion, while your symptoms may be concerning, they can often be managed effectively with lifestyle adjustments and proper medical care. If you have any further questions or if your symptoms change, please do not hesitate to reach out to a healthcare professional for personalized advice. Take care!

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