Throbbing Sensation at the Back of the Head: Should You Be Concerned?

Pulsating sensation in the back of the head?

I have been experiencing this symptom for about a year, which started after I hit the back of my head.
Initially, the pulsating sensation was very noticeable, but it has since diminished.
However, I can still feel it while sleeping.
Although it doesn't prevent me from sleeping, I am worried that there might be an underlying issue.
Aside from the pulsating sensation, I don't have any other obvious symptoms.
Should I get this checked?

Mr. Lu, 10~19 year old female. Ask Date: 2022/11/27

Dr. Chen Jili reply Cardiology

It is recommended that you seek medical consultation.
Thank you, and wishing you good health!

Reply Date: 2022/11/27

More Info

Experiencing a throbbing sensation at the back of your head for an extended period, especially following a head injury, can understandably cause concern. While the sensation may have diminished over time, the fact that it persists, particularly during sleep, warrants careful consideration and possibly further evaluation.

Firstly, it's important to recognize that head injuries can lead to a variety of symptoms, some of which may not manifest immediately. The throbbing sensation you describe could be related to several factors, including but not limited to:
1. Post-Traumatic Headaches: Following a head injury, it is common for individuals to experience headaches that can present as throbbing or pulsating sensations. These headaches can be a result of changes in the brain's structure or function due to the injury.

2. Cervicogenic Headaches: Sometimes, issues in the cervical spine (neck) can refer pain to the head, causing sensations that may feel like throbbing. This could be due to muscle tension or nerve irritation stemming from the neck.

3. Vascular Issues: The throbbing sensation could be related to vascular changes in the brain or surrounding tissues. Conditions such as migraines or other vascular headaches can cause similar symptoms.

4. Anxiety and Stress: Psychological factors can also contribute to physical sensations. Anxiety can lead to muscle tension and headaches, which may exacerbate the perception of throbbing in the head.

Given that this symptom has persisted for about a year, it is advisable to seek medical attention. A healthcare provider, particularly a neurologist, can perform a thorough evaluation, which may include:
- Neurological Examination: This will assess your overall neurological function and help identify any potential issues.

- Imaging Studies: Depending on the findings from the examination, your doctor may recommend imaging studies such as an MRI or CT scan to rule out any structural abnormalities or complications from the head injury.

- Discussion of Symptoms: It is crucial to provide a detailed account of your symptoms, including when they occur, their intensity, and any associated factors (like stress or sleep patterns).

In the meantime, there are some self-care strategies you might consider to help manage your symptoms:
- Stress Management: Techniques such as mindfulness, meditation, or yoga can help reduce anxiety and muscle tension, potentially alleviating some of the throbbing sensations.

- Regular Sleep Hygiene: Ensure you maintain a consistent sleep schedule and create a restful sleeping environment to improve your overall sleep quality.

- Physical Therapy: If cervical issues are suspected, physical therapy may help address any underlying musculoskeletal problems contributing to your symptoms.

In conclusion, while the throbbing sensation may not be accompanied by other alarming symptoms, its persistence and your history of head trauma suggest that a medical evaluation is warranted. Early intervention can lead to better outcomes and peace of mind. Please consult with a healthcare professional to discuss your symptoms and explore appropriate diagnostic and treatment options.

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