Chronic Top Head Pain: Causes and Treatment Options - Psychiatry

More Info

---

Chronic top head pain, as described in your inquiry regarding your mother, can be a complex issue with various potential causes. Given her age and the long-standing nature of her symptoms, it is essential to consider both primary and secondary headache disorders.


Potential Causes of Chronic Top Head Pain
1. Tension-Type Headaches: These are the most common type of primary headache. They often present as a dull, aching sensation all over the head or a feeling of tightness or pressure across the forehead or on the sides and back of the head. Stress, anxiety, and poor posture can exacerbate these headaches.

2. Migraine: While migraines typically present with unilateral (one-sided) pain, they can also manifest as bilateral pain. Symptoms may include throbbing pain, sensitivity to light and sound, and nausea. Migraines can be triggered by various factors, including hormonal changes, certain foods, stress, and environmental changes.

3. Cervicogenic Headaches: These headaches originate from issues in the cervical spine (neck). They can cause pain that radiates to the top of the head and may be associated with neck stiffness or pain.

4. Medication Overuse Headaches: If your mother has been using over-the-counter medications frequently, this could lead to rebound headaches. These occur when pain relief medications are taken too often, leading to a cycle of headache and medication use.

5. Secondary Causes: Although less common, secondary causes such as hypertension, intracranial pressure changes, or even tumors should be considered, especially given the chronic nature of the pain. However, previous medical evaluations have ruled out significant pathology.


Treatment Options
1. Medication Management: Depending on the diagnosis, treatment may include:
- Over-the-counter analgesics: Such as acetaminophen or NSAIDs (ibuprofen).

- Prescription medications: For migraines, triptans may be effective. For tension-type headaches, muscle relaxants or low-dose antidepressants may help.

- Preventive medications: If headaches are frequent, a healthcare provider may recommend preventive treatments.

2. Non-Pharmacological Approaches:
- Lifestyle Modifications: Encourage regular sleep patterns, hydration, and a balanced diet. Stress management techniques such as yoga, meditation, or cognitive behavioral therapy can also be beneficial.

- Physical Therapy: If cervical issues are suspected, physical therapy focusing on neck and shoulder exercises may alleviate symptoms.

- Acupuncture or Massage Therapy: These alternative therapies can provide relief for some individuals.

3. Regular Follow-Up: Since your mother has seen multiple doctors without resolution, it may be beneficial to consult a neurologist who specializes in headache disorders. They can provide a comprehensive evaluation and tailor a treatment plan specific to her needs.


Recommendations for Local Care
In Keelung City, you may consider visiting the following hospitals for specialized care:
- Keelung Municipal Hospital: Offers a range of services, including neurology.

- Chang Gung Memorial Hospital, Keelung: Known for its comprehensive medical services and specialists.


Conclusion
Chronic top head pain can significantly impact quality of life, and it is crucial to approach this condition with a thorough evaluation and a multidisciplinary treatment plan. Encourage your mother to maintain a headache diary to track triggers, frequency, and severity, which can be invaluable for her healthcare provider in determining the best course of action. Regular follow-ups and open communication with her healthcare team will be key in managing her condition effectively.