Bumps on the Back of Your Head: Causes and Concerns - Orthopedics

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When it comes to bumps on the back of your head, there are several potential causes that can range from benign to more serious conditions. The presence of multiple bumps, especially if they are not painful when pressed, could indicate a variety of issues, including cysts, lipomas, or even benign bone growths. However, the sudden sharp pain you are experiencing is a symptom that warrants further investigation.


Possible Causes of Bumps on the Back of the Head
1. Sebaceous Cysts: These are common, non-cancerous lumps that can form under the skin. They are usually filled with a fatty substance and can appear anywhere on the body, including the scalp. They are generally harmless and may not require treatment unless they become infected or bothersome.

2. Lipomas: These are soft, fatty lumps that grow under the skin. They are also benign and typically painless. Lipomas can vary in size and may be more noticeable in certain areas, including the scalp.

3. Bone Growths: Sometimes, the skull can develop benign growths, such as exostoses or osteomas. These are usually asymptomatic and do not require treatment unless they cause discomfort or other issues.

4. Folliculitis: This is an inflammation of the hair follicles that can lead to small, painful bumps. It can occur due to bacterial or fungal infections and may require treatment if it becomes severe.

5. Trauma: If you have experienced any recent trauma to the head, it could lead to swelling or bumps as part of the healing process. However, if the bumps are new and you have not had any recent injuries, this is less likely to be the cause.


Concerns with Sudden Sharp Pain
The sudden sharp pain you describe could be related to several factors:
- Nerve Irritation: If there is any irritation or compression of the nerves in the area, it could lead to sharp, shooting pains. This could be due to muscle tension, posture, or even a previous injury.

- Tension Headaches: If you are experiencing stress or tension, it could manifest as headaches or sharp pains in the head. This is often accompanied by muscle tightness in the neck and shoulders.

- Migraines: While you mentioned that the pain is not like a typical migraine, it is worth noting that migraines can sometimes present with unusual symptoms, including localized pain.

- Infection: Although less likely given the description of the bumps, any infection in the scalp or surrounding areas could lead to pain. This would typically be accompanied by other symptoms such as redness, swelling, or warmth in the area.


When to Seek Medical Attention
Given the presence of multiple bumps and the new onset of sharp pain, it is advisable to consult a healthcare provider, preferably a dermatologist or a neurologist. They can perform a thorough examination, possibly including imaging studies like an ultrasound or MRI, to determine the exact nature of the bumps and the cause of the pain.


Conclusion
In summary, while the bumps on the back of your head may not be a cause for immediate concern, the sudden sharp pain is a symptom that should be evaluated. It is essential to monitor any changes in the bumps, such as growth, pain, or changes in color, and to seek medical advice if these occur. Early intervention can help address any underlying issues and provide peace of mind.