a Bump on the Back of Your Head: Causes and Solutions - Orthopedics

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I have a round protrusion in the middle of the bone at the back of my head?


About three months ago, I noticed a round protrusion in the middle of the back of my head, approximately one centimeter in diameter.
Sometimes, when I am under stress, I feel tightness in my head and dizziness.
I'm not sure what to do.

Anne, 30~39 year old female. Ask Date: 2004/10/04

Dr. Ye Qingnian reply Orthopedics


There is a protrusion in the middle of the back of the head, which should be the occipital protuberance located above the neck.
There are many causes of dizziness, including poor sleep, high stress, anemia, hypertension, cervical vascular obstruction, cerebellar lesions, and vestibular disorders.
If dizziness occurs frequently, it is advisable to consult a neurologist and an otolaryngologist for evaluation.

Reply Date: 2004/10/04

More Info


A bump on the back of your head can be concerning, especially when accompanied by symptoms like tension, headaches, or dizziness. Understanding the potential causes and appropriate responses is crucial for your health and peace of mind.


Possible Causes of a Bump on the Back of the Head
1. Cysts: One common cause of a bump on the head is a sebaceous cyst, which is a non-cancerous lump filled with keratin. These cysts can develop due to blocked hair follicles or skin glands and are usually harmless.

2. Lipomas: These are soft, fatty lumps that grow under the skin. They are generally painless and benign, but if they become bothersome or painful, they can be surgically removed.

3. Bone Growths: Sometimes, bony growths can occur on the skull, known as exostoses. These are usually benign but can be a sign of other underlying conditions if they change in size or shape.

4. Trauma: If you have experienced any recent trauma or injury to your head, a bump could be a hematoma, which is a localized collection of blood outside of blood vessels. This can occur after a bump or blow to the head.

5. Infections: Conditions like scalp folliculitis or other skin infections can lead to localized swelling and bumps. If the bump is red, warm, or painful, an infection might be present.

6. Tension Headaches: The feeling of tightness or pressure in the head, especially during times of stress, can lead to tension headaches. These headaches can cause discomfort in the neck and back of the head, which might be perceived as a bump or tightness.


When to Seek Medical Attention
While many bumps on the head are benign, certain symptoms warrant a visit to a healthcare professional:
- Persistent Growth: If the bump increases in size or changes in appearance.

- Pain or Discomfort: If the bump becomes painful or is associated with severe headaches.

- Neurological Symptoms: If you experience dizziness, vision changes, or other neurological symptoms, it’s essential to seek medical advice.

- Signs of Infection: Redness, warmth, or discharge from the bump could indicate an infection that requires treatment.


Diagnostic Approach
If you decide to consult a healthcare provider, they may perform a physical examination and possibly recommend imaging studies, such as an X-ray or MRI, to assess the bump's nature and rule out any serious conditions.

Management and Treatment
1. Observation: If the bump is benign and asymptomatic, your doctor may recommend simply monitoring it over time.

2. Medication: For headaches or discomfort associated with stress, over-the-counter pain relievers like ibuprofen or acetaminophen can be effective. Additionally, stress management techniques such as mindfulness, yoga, or therapy can help alleviate tension headaches.

3. Surgical Removal: If the bump is bothersome, painful, or suspected to be a cyst or lipoma, surgical removal may be an option.

4. Lifestyle Modifications: Incorporating regular exercise, maintaining good posture, and managing stress through relaxation techniques can help reduce tension and improve overall well-being.


Conclusion
In summary, a bump on the back of your head can arise from various causes, ranging from benign cysts to more serious conditions. Given your experience of tension and dizziness, it’s advisable to consult a healthcare professional for a thorough evaluation. They can provide a definitive diagnosis and recommend an appropriate treatment plan tailored to your specific situation. Remember, early intervention can often lead to better outcomes and peace of mind.

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