Neck and Head Pain: Is It Related to Your Recent Cold? - Neurology

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Bending the head forward can cause significant pain?


Hello, doctor: I've been experiencing persistent headaches lately.
Bending down causes significant pain, which also radiates to my neck.
During these episodes, I am unable to move at all.
I had a cold a while ago, but my sore throat and other cold symptoms have resolved.
Now, I am only dealing with headaches.
Is there a connection between this and my previous cold? I'm not sure how to describe it, but when I bend down, I can feel a sensation of blood flowing through the top of my head.

Mr. Wu, 30~39 year old female. Ask Date: 2023/12/26

Dr. Jiang Junyi reply Neurology


Hello Mr.
Wu: You mentioned that "bending my head down is very painful, and it also hurts my neck...
I feel a sensation of blood flowing through the top of my head when I bend down." Your symptoms may suggest cervical headache.
This is related to tightness in the cervical muscles and fascia, as well as cervical degeneration.
It is characterized by pain at the affected site, discomfort, muscle stiffness, or neurological symptoms.
Symptoms may worsen in the morning upon waking or with changes in weather, but can be alleviated with stretching and movement, often recurring.
During acute episodes, there may be localized muscle tension and spasms, with limited mobility.
Typically, these symptoms can worsen during a cold.
However, if you experience persistent fever, headache, photophobia, chills, rapid heartbeat, neck stiffness, fatigue, drowsiness, or agitation, it may indicate meningitis.
I recommend consulting a neurologist 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 Junyi, Taoyuan Medical Center, cares about you.

Reply Date: 2023/12/26

More Info


Head and neck pain can be quite distressing, especially when it follows a recent cold or upper respiratory infection. Your symptoms, which include headaches that worsen when you bend your head forward, along with neck pain, suggest a few potential underlying causes that may be related to your recent illness.

Firstly, it is important to understand that headaches can arise from various sources, and they can be classified into primary and secondary headaches. Primary headaches include tension-type headaches, migraines, and cluster headaches, while secondary headaches are symptomatic of another condition, such as an infection or structural issue.

Given that you recently experienced a cold, it is possible that your headaches are secondary to post-viral inflammation. After a viral infection, some individuals may experience lingering symptoms, including headaches, due to inflammation in the sinuses or other areas. This can lead to sinus headaches, which are characterized by pain in the forehead, cheeks, and around the eyes, often accompanied by nasal congestion.

Another possibility is that your headaches are related to tension-type headaches, which are common among individuals who have experienced stress or illness. Tension headaches can cause a sensation of tightness or pressure around the head and may be exacerbated by poor posture, especially if you have been spending long hours in front of a computer. The neck pain you are experiencing could also be a result of muscle tension in the neck and shoulders, which often accompanies tension headaches.

Additionally, your description of feeling blood flow when you bend your head could indicate a cervical spine issue, such as cervical spondylosis or muscle strain. Poor posture, especially during prolonged computer use, can lead to muscle tightness and discomfort in the neck, which can radiate to the head and cause headaches.

It is also worth considering that if your headaches persist or worsen, it may be necessary to rule out more serious conditions. For instance, if there is any concern about meningitis (inflammation of the protective membranes covering the brain and spinal cord), especially if you experience symptoms like fever, neck stiffness, or sensitivity to light, you should seek medical attention promptly.

In summary, while your recent cold may have contributed to your current headaches and neck pain, it is essential to consider other factors such as muscle tension, posture, and potential underlying conditions. If your symptoms continue or worsen, it would be advisable to consult a healthcare professional, such as a neurologist or an ear, nose, and throat (ENT) specialist, for a thorough evaluation and appropriate management. They may recommend imaging studies, such as an MRI or CT scan, if deemed necessary, to rule out any structural issues. In the meantime, practicing good posture, taking breaks from screen time, and engaging in relaxation techniques may help alleviate some of your discomfort.

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