Scalp pain or scalp tenderness?
Hello doctor, for the past two days, I've been experiencing unexplained sharp pain on the scalp at the top right side of my head.
I haven't bumped my head or sustained any injuries.
The pain started suddenly when I woke up in the morning, and I also feel sharp pain when walking or turning my head.
However, when I look in the mirror, there is no redness or swelling on my scalp, and there are no visible injuries.
Brushing my hair also causes sharp pain.
I've taken a lot of anti-inflammatory and pain relief medications, but they haven't been effective.
I've also tried traditional Chinese medicine for nourishment, but that hasn't helped either.
Doctor, could you please tell me what might be wrong with my scalp? Is it a tumor or cancer?
Da Bao, 20~29 year old female. Ask Date: 2009/05/10
Dr. Chen Shunsheng reply Rare Disease
The scalp on the right side of the head is experiencing unexplained sharp pain, without any trauma or injury, and there is no redness or swelling.
Even brushing the hair causes pain.
Several important conditions to consider include: temporal arteritis, postherpetic neuralgia, migraine, cluster headache, other neuropathic pain, and other forms of vasculitis.
It is advisable to seek medical attention from a neurologist promptly.
Reply Date: 2009/05/10
More Info
Scalp pain, especially when it presents as a sudden, sharp, or stabbing sensation without any visible signs of injury, can be concerning and may arise from various underlying causes. While it’s understandable to worry about serious conditions like tumors or cancer, it’s essential to consider a broader range of possibilities.
One common cause of scalp pain is nerve irritation or neuropathy. Conditions such as occipital neuralgia, where the occipital nerves at the back of the head become irritated, can lead to sharp, shooting pains in the scalp. This can occur without any trauma and may be exacerbated by movements of the head or neck.
Another potential cause is muscle tension. Stress or poor posture can lead to tension in the muscles of the neck and scalp, resulting in referred pain that feels like it’s coming from the scalp itself. This type of pain can be quite sharp and may worsen with certain movements or activities.
Dermatological conditions should also be considered. Conditions like seborrheic dermatitis, psoriasis, or even folliculitis can cause discomfort and pain in the scalp, even if there are no visible signs of redness or swelling. Sometimes, these conditions can be subtle and may not present with the typical symptoms one might expect.
Additionally, migraines or other types of headaches can manifest with scalp tenderness or pain. Some individuals experience a phenomenon known as allodynia, where normally non-painful stimuli (like brushing hair) can cause pain. This is often associated with migraine conditions.
In rare cases, vascular issues such as temporal arteritis (inflammation of the blood vessels) can lead to scalp pain, particularly in older adults. This condition requires prompt medical attention as it can lead to serious complications if left untreated.
Given that you have already tried anti-inflammatory medications and herbal remedies without relief, it is crucial to seek further evaluation from a healthcare professional. A thorough examination, including a detailed medical history and possibly imaging studies, may be necessary to rule out more serious conditions.
If you are experiencing additional symptoms such as visual changes, significant headaches, or systemic symptoms like fever or weight loss, it is imperative to seek immediate medical attention. These could indicate a more serious underlying condition that requires prompt intervention.
In conclusion, while it’s natural to worry about serious issues like tumors or cancer, many causes of scalp pain are benign and treatable. A healthcare provider can help determine the exact cause of your symptoms and recommend appropriate treatment options. It’s essential to communicate all your symptoms clearly and consider follow-up appointments if your condition does not improve.
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