Painful Scalp Bumps: Causes and Treatment Options - Surgery

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When it comes to painful scalp bumps, there are several potential causes that could explain your symptoms. The characteristics you've described—a soft, painful bump that causes discomfort when touched or when you tilt your head back—suggest a few possibilities.
1. Sebaceous Cyst: One common cause of soft bumps on the scalp is a sebaceous cyst. These are non-cancerous lumps that form when a hair follicle becomes blocked with oil and dead skin cells. They can be tender, especially if they become inflamed or infected.
2. Folliculitis: This is an inflammation of the hair follicles, often caused by bacterial or fungal infections. It can lead to red, swollen bumps that may be painful to the touch. Folliculitis can occur anywhere on the scalp and may be associated with itching or burning sensations.

3. Lipoma: A lipoma is a benign tumor made of fatty tissue. These are usually soft and movable under the skin. While they are generally painless, they can sometimes cause discomfort if they press on nearby nerves or tissues.

4. Infection or Abscess: If the bump is warm, red, and increasingly painful, it could be an abscess, which is a collection of pus that forms due to infection. This would require medical evaluation and possibly drainage.

5. Lymphadenopathy: Sometimes, swollen lymph nodes can present as bumps on the scalp. This could occur in response to infections or other systemic conditions. If the bump is firm and associated with other symptoms like fever or systemic illness, this could be a consideration.

6. Trauma or Injury: If you've recently bumped your head or experienced any trauma, a hematoma (a localized collection of blood outside of blood vessels) could form, leading to a painful swelling.

Given the variety of potential causes, it is essential to seek medical evaluation for an accurate diagnosis. A healthcare provider will likely perform a physical examination and may order imaging studies, such as an ultrasound or CT scan, to better understand the nature of the bump.
In terms of treatment, it will depend on the underlying cause. For instance:
- Sebaceous cysts may not require treatment unless they become infected or bothersome, in which case they can be surgically removed.

- Folliculitis may be treated with topical or oral antibiotics if bacterial infection is suspected.

- Lipomas are usually left alone unless they cause discomfort or cosmetic concerns.

- Abscesses typically require drainage and possibly antibiotics.

- If lymphadenopathy is suspected, treating the underlying infection or condition is necessary.

In the meantime, avoid manipulating the bump, as this can exacerbate inflammation or introduce infection. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate discomfort. However, it is crucial to consult with a healthcare professional to ensure proper diagnosis and treatment tailored to your specific situation.
In summary, while there are several potential causes for the painful bump on your scalp, a thorough evaluation by a healthcare provider is essential to determine the exact nature of the issue and to initiate appropriate treatment.