Occasional Sharp Pain in the Left Back of the Head - Family Medicine

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Hello Dr.
Liu, I would like to ask about a recent issue I've been experiencing.
Sometimes I feel a sharp pain in the left back of my head.
Last Friday, November 5th, I had a day where it was quite painful (just regular pain), but by November 6th, it improved a bit, and today it feels much better, although I still occasionally feel a sharp sensation.
What could this problem be? Do I need to go to the hospital for a brain scan, or could it just be due to fatigue? What should I do now? Thank you for your patient response to my questions.
Thank you.

A-Jian, 20~29 year old female. Ask Date: 2010/11/08

Dr. Liao Yaopan reply Family Medicine


Hello, I am Dr.
Liao from Changhua Hospital.
Regarding your issue, I recommend visiting either the Family Medicine or Neurology department for a physician's evaluation to better understand your condition.
After that, we can consider whether additional tests are necessary.
Thank you for your inquiry, and we care about your well-being at Changhua Hospital.

Reply Date: 2010/11/08

More Info


Hello! Thank you for reaching out with your concerns regarding the occasional sharp pain in the left back of your head. I understand that experiencing such symptoms can be quite distressing, and it’s important to address them properly.

Based on your description, the sharp pain you are experiencing could be attributed to several potential causes. One common reason for sharp pain in the back of the head is tension-type headaches, which are often associated with muscle tightness and stress. This type of headache typically presents as a dull, aching sensation but can sometimes manifest as sharp pains, especially if there is significant muscle tension in the neck and upper back.

Another possibility is that the pain could be related to the occipital nerves, which run from the top of the spinal cord up through the scalp. Occipital neuralgia can cause sharp, shooting pain in the back of the head and can be triggered by neck tension, poor posture, or even stress. If you have been under increased stress or have had any recent changes in your daily routine, this could be a contributing factor.

Additionally, it’s worth considering whether there have been any recent physical activities or injuries that might have strained your neck or back. Sometimes, even minor strains can lead to localized pain that may feel sharp or stabbing.

Given that your symptoms have fluctuated, with periods of increased pain followed by relief, it may suggest that the pain is not due to a serious underlying condition. However, it’s essential to remain vigilant. If the pain persists, worsens, or is accompanied by other symptoms such as dizziness, visual disturbances, or neurological changes (like weakness or numbness), it would be prudent to seek medical attention.

In terms of next steps, here are some recommendations:
1. Monitor Your Symptoms: Keep track of when the pain occurs, its intensity, and any accompanying symptoms. This information can be helpful for your healthcare provider.

2. Manage Stress: Since stress can exacerbate headaches, consider incorporating relaxation techniques such as deep breathing, meditation, or yoga into your routine.

3. Posture Awareness: Pay attention to your posture, especially if you spend long hours sitting or working at a desk. Ergonomic adjustments can help reduce strain on your neck and back.

4. Physical Activity: Engage in gentle physical activities like walking or stretching to help relieve muscle tension.

5. Consult a Healthcare Provider: If the pain continues or if you have any concerns about its nature, it would be wise to consult a healthcare professional. They may recommend imaging studies, such as an MRI or CT scan, to rule out any serious conditions, especially if there are red flags in your symptoms.

In conclusion, while occasional sharp pain in the back of the head can often be attributed to tension or muscle strain, it’s essential to monitor your symptoms and seek medical advice if they persist or worsen. Taking proactive steps to manage stress and maintain good posture can also be beneficial in alleviating your discomfort. Please take care, and I hope you find relief soon!

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