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Abnormal sensation due to nerve problems - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I have a "hot spot" that has been gradually getting worse over the past 3 days on the back left side of my head. It's not anymore tender to touch than not, but if hurts quite a bit and feels like a burning, tingly, nervy type hurt. Ideas?
Doctor :   Hi
Doctor :   May I know your age, gender & occupation?
User :   45, M, I am a XXX
Doctor :   Could you explain to me what exactly is the Hot spot?
Doctor :   Is the temperature over a particular
Doctor :   area more?
User :   Well.. it's very odd. It feels a bit like a nerve kinda pain, it feels like the epicenter is on the top, left side of the back of my head.
Doctor :   So basically you have a headache?
User :   but it radiates all around that part of my head and even down to the top of my shoulder and collar bone are preickly feeling, but the pain on my head itself is rather intense
User :   No... not like a headache at all
User :   It's like it's very much on the exterior or surface
User :   not like a normal headache in the slighest
Doctor :   How big an area is this sensation?
User :   90% of the pain would be focused on a 3 inch diameter area
Doctor :   Is there an swelling in that area?
User :   I have a history of small pimple type bumps appearing on my scalp... this pain is a bit like that pain that would be around one pimple, only there is not palpable pimple and the area is much larger...
User :   no noticeable swelling
Doctor :   Was it tender?
User :   It is only slightly more tender to touch... liek there is not a "spot" you can find that hurts worse
Doctor :   How is the hair growth over this area?
User :   Good. same as all over scalp. this just started gradually about 3 days ago and just has been progressing over that time. Neck muscles and neck joints as much tighter than normal. I'm not sure which is causing the other
User :   I have a history of small pimple type bumps appearing on my scalp... this pain is a bit like that multipled 100 times
Doctor :   Ok
User :   I had shingles about 28 years ago... I don't remember the pain specifically, but it's kind of a nerve type pain like that I think.. but on the back of my head....
Doctor :   The symptoms that you are complaining of
Doctor :   is indeed due to abnormal
Doctor :   sensation caused by neurological problems-nerve problems
Doctor :   Did you have shingles or chicken pox 28yrs back?
User :   Shingles
User :   I had Chicken Pox as a child
Doctor :   OK
Doctor :   Its hard to tell the exact diagnosis, but
Doctor :   one can come to a few possibilities
Doctor :   Origin of a sebaceous cyst- pimple, in which case the pain radiating could be due to same nerve supply of these regions
Doctor :   A swelling elsewhere in the neck, that is compressing the nerve that supplies these regions
Doctor :   Recurrence of shingles, more chances of this in case you are having any other diseases
Doctor :   Injury or disease to the spine- neck region
Doctor :   You must meet a Physician first, he will direct you either to a dermatologist or neurologist
Doctor :   Did you follow what I said?
User :   I followed, yes.
User :   You're of the opinion that it's not anything that woudl be considered "serious"?
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
Doctor :   yes
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Diseases and Conditions
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