Head Pain: Possible Causes and Connections to Past Injuries - Neurology

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Headache issues


Hello Doctor: Recently, I've noticed some pain on the left side of my scalp when I press on it, which is accompanied by slight discomfort in my temple and neck.
When I was a child, I injured the left side of my head by hitting a wall, and I'm unsure if this could be causing any lingering effects.
Generally, I do not experience headaches or dizziness without reason.
The pain seems to extend from my neck to the top of my head, but it doesn't last long and isn't very severe—just somewhat uncomfortable.
I'm wondering what could be causing this.
Is it related to my childhood injury, or could it be associated with my neck and posture? I also notice that when I'm tired, I hear a cracking sound when I move my neck.

Hsin-Yi, 20~29 year old female. Ask Date: 2009/01/10

Dr. Gao Chunde reply Neurology


Based on your description, the stiffness and soreness in your neck and shoulder muscles are indeed related.
The muscle tension on the left side of your neck is not due to an old injury; it may be caused by poor posture or excessive fatigue.
Treatment and symptom relief methods to consider include some soft tissue mobilization and stretching exercises for the upper neck, local heat application with a warm towel, and if these do not help, you should consult a physician for medication or physical therapy.

Reply Date: 2009/01/10

More Info


Head pain can be a complex issue, often influenced by various factors, including past injuries, posture, and even stress levels. In your case, the discomfort you are experiencing on the left side of your head, particularly when pressing on that area, could be related to several potential causes.

Firstly, it is important to consider the history of your head injury from childhood. While it is possible for past trauma to have lingering effects, it is more common for such injuries to lead to immediate symptoms rather than chronic pain years later. However, if the injury resulted in any structural changes or damage to the underlying tissues, it could potentially contribute to your current discomfort. Conditions like post-traumatic headache can occur after head injuries, but these typically present with more persistent and severe symptoms than what you describe.

The pain you feel extending from your neck to the top of your head may suggest a tension-type headache or cervicogenic headache. Tension headaches are often characterized by a feeling of tightness or pressure around the head, and they can be triggered by muscle tension in the neck and shoulders. Poor posture, especially if you spend long hours in front of a computer or looking down at your phone, can lead to muscle strain and tension, resulting in headaches. The "crackling" sound you hear when moving your neck could indicate joint movement or muscle tightness, which may also contribute to discomfort.

Additionally, the involvement of your temples and neck suggests that the pain may be related to muscle tension or even a migraine, particularly if the pain is unilateral (on one side). Migraines can sometimes present with neck pain and may be triggered by stress, fatigue, or changes in sleep patterns. If your headaches are accompanied by other symptoms such as nausea, sensitivity to light, or visual disturbances, it would be important to consider this possibility.

Stress and fatigue are also significant contributors to headaches. If you are experiencing increased stress levels or have been feeling particularly tired, this could exacerbate any underlying issues, leading to more frequent or intense headaches. It is essential to manage stress through relaxation techniques, regular exercise, and adequate sleep.

In summary, while your childhood injury could potentially play a role in your current symptoms, it is more likely that factors such as muscle tension, posture, and stress are contributing to your discomfort. It would be advisable to consult with a healthcare professional, such as a neurologist or a physical therapist, who can conduct a thorough evaluation and recommend appropriate treatment options. This may include physical therapy to address any musculoskeletal issues, lifestyle modifications to improve posture and reduce stress, or further imaging studies if warranted.

In the meantime, consider implementing some self-care strategies. Regular stretching and strengthening exercises for your neck and shoulders, maintaining good posture, and ensuring you take breaks during prolonged periods of computer use can help alleviate tension. Additionally, practicing relaxation techniques such as deep breathing or mindfulness may also be beneficial in managing stress-related headaches.

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