Is It Normal to Feel Pain in the Back of the Head After Lying Down? - Neurosurgery

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Occipital headache


Hello, I would like to inquire if it is normal to experience pain in the back of the head after lying down and having it come into contact with a hard object, such as the floor or an arm.
Thank you!

Liao Xiaojie, 10~19 year old female. Ask Date: 2015/06/27

Dr. Ding Xianwei reply Neurosurgery


It is normal.

Reply Date: 2015/06/27

More Info


Experiencing pain in the back of the head after lying down can be concerning, but it is not uncommon. The pain you describe, particularly when pressure is applied to the back of the head, can be attributed to several factors, including muscle tension, nerve irritation, or even the positioning of your head and neck while lying down.

When you lie down, especially on a hard surface like a floor, the weight of your head can create pressure on the muscles and nerves in the neck and back of the head. This pressure can lead to discomfort or pain, particularly if you have pre-existing tension or tightness in those areas. The muscles in the neck and upper back can become strained from poor posture or prolonged periods of sitting, which can exacerbate pain when lying down.

Additionally, the occipital nerves, which run from the top of the spinal cord up through the scalp, can become irritated or compressed. This condition is known as occipital neuralgia, and it can cause sharp, shooting pain in the back of the head, often triggered by pressure or movement. If you are experiencing this type of pain, it may be worth consulting a healthcare professional for a thorough evaluation.

Another consideration is the surface you are lying on. Hard surfaces can create pressure points that may lead to discomfort. If you frequently find yourself lying on hard surfaces, it might be beneficial to use a softer surface or a pillow to provide cushioning for your head and neck.

In some cases, headaches can also be triggered by changes in position or pressure on the head and neck. For example, tension-type headaches can be exacerbated by lying down, especially if you are in a position that strains your neck. If you have a history of headaches, it may be worthwhile to monitor the frequency and intensity of your symptoms in relation to your sleeping or resting positions.

If the pain persists or worsens, or if you experience additional symptoms such as dizziness, nausea, or visual disturbances, it is important to seek medical attention. A healthcare provider can help determine the underlying cause of your pain and recommend appropriate treatment options. This may include physical therapy, medication, or lifestyle modifications to alleviate tension and improve your overall comfort.

In summary, while it is not unusual to feel pain in the back of the head after lying down, especially on a hard surface, it is essential to pay attention to the nature of the pain and any accompanying symptoms. If the discomfort continues or affects your daily life, consulting a healthcare professional is advisable to rule out any serious underlying conditions and to receive tailored advice for your situation.

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