Head Pain: When to Seek Neurological Care

Head-related issues?

Hello, Doctor.
I would like to ask about something.
For the past few weeks, I have been experiencing persistent pain on the left side of my head.
Even when there is no pain, I still feel a sense of pressure in my head.
Sometimes it feels both swollen and painful, and I feel like I can't take it anymore.
I accidentally touched a hard lump on the back left side of my head, and it hurts when I touch it.
Pulling my hair makes the pain even more pronounced, as if something is moving along with my hair.

In the past two months, I have been receiving treatment at a martial arts clinic, and they also felt this swollen area, which is quite significant.
Each time I have a headache, it starts from that point and gradually intensifies.
They mentioned they could help treat this issue, but it would involve bloodletting.
I'm quite confused; can bloodletting really be done on the head? Is there a certain level of risk associated with this? They say I'm overthinking it, but I still have my own concerns.
Would it be better to get checked at a larger hospital?

Yang, 10~19 year old female. Ask Date: 2015/08/11

Dr. Jiang Junyi reply Neurology

Hello, based on your described symptoms, they are very similar to cervical myofascial pain syndrome.
Clinically, it often presents as pain at the affected site, discomfort, muscle stiffness, or a feeling of heaviness, and sometimes palpable myofascial trigger points can be felt under the skin.
Symptoms may worsen upon waking in the morning or with changes in weather, and can be alleviated with stretching activities, often recurring.
During acute episodes, there may be local muscle tension, spasms, pain, and restricted movement.
It is recommended that you consult with a rehabilitation specialist or a neurologist/neurosurgeon to discuss examination and treatment options.
Wishing you good health and peace.

Reply Date: 2015/08/11

More Info

When it comes to persistent head pain, especially when accompanied by unusual sensations or physical findings, it is crucial to seek medical attention from a neurologist or a healthcare professional. Your symptoms, particularly the localized pain on the left side of your head, the sensation of a lump, and the associated discomfort when touching or pulling your hair, warrant a thorough evaluation.

Headaches can arise from various causes, including tension headaches, migraines, cluster headaches, and more serious conditions such as intracranial lesions or infections. The fact that you have noticed a palpable lump in the area where the pain originates is particularly concerning. This could indicate a variety of conditions, such as a cyst, a lipoma (a benign fatty tumor), or even more serious issues like a hematoma or a mass that requires further investigation.

The sensation of pressure or swelling in your head, along with the pain that intensifies with touch, suggests that there may be an underlying issue that needs to be addressed. While alternative treatments, such as those offered at martial arts or traditional medicine clinics, can sometimes provide relief, they should not replace a comprehensive medical evaluation, especially when there are concerning symptoms like yours.

Regarding the suggestion of "bloodletting" or any invasive procedures, it is essential to approach such treatments with caution. Bloodletting is an ancient practice that has largely fallen out of favor in modern medicine due to the risks involved, including infection, excessive bleeding, and other complications. Any treatment involving invasive procedures should be conducted by qualified medical professionals in a controlled environment, such as a hospital or a licensed clinic.

Given your symptoms, I strongly recommend that you seek an appointment with a neurologist or visit a hospital for a thorough examination. This may include imaging studies such as an MRI or CT scan to assess the structures of your brain and identify any abnormalities. Additionally, a physical examination will help determine if the lump you feel is related to your headache or if it is a separate issue altogether.

In summary, while alternative therapies can be beneficial for some conditions, your symptoms indicate a need for a more formal medical evaluation. Do not hesitate to seek care from a qualified healthcare provider who can offer a proper diagnosis and treatment plan tailored to your specific needs. Your health and well-being are paramount, and addressing these symptoms early can lead to better outcomes.

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