Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

139 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Getting pain in the back of head and tenderness on top of head. CT scan normal. Occipital neuralgia?

Answered by
Dr. Sudhir Kumar


Practicing since :1994

Answered : 5697 Questions

Posted on Sat, 9 Feb 2013 in Headache and Migraines
Question: i have pain in the back of my head. tenderness on top of my head. My right pupil is dialated. Over the counter pain medications helps, but does not alievate the discomfort. I had a CT scan that came back normal. are these symptoms caused from Occipital neuralia?
Answered by Dr. Sudhir Kumar 3 hours later
Thank you for posting your query.

First of all, I wish to reassure you that your headache is not due to any serious brain disease as your symptoms do not suggest so and the CT brain is normal.

The most likely cause in your case could be muscle tension headache. You may benefit from dothiepin or amitryptiline tablets.

Occipital neuralgia is unlikely in your case as the pain in this condition is transient lasting for a few seconds to minutes.

I hope it is helpful.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,  

Recent questions on  Occipital neuralgia

doctor1 MD

Yesterday I started my period. White sitting I started having discomfort in my left side (mid-abdomen, toward the front) which gradually became an intense pain. I went home to lie down, intent to visit the ER if the pain got any worse or didn't stop within an hour (it had been about 30 minutes total). When I lay down, the pain dissipated and hasn't returned. However, today I'm having some sharp, stabbing pains in my urethra, enough to wake me. There isn't any burning when I pee, just a stabbing/stinging sensation every so often. I've considered everything from kidney stones to muscle spasms.

I'm 30 yrs old, never pregnant, 260lbs @ 5'5" tall. I suffer from panic attacks and anxiety disorder due to a previous misdiagnosis of intracranial hypertension and a bad reaction to Topamax. Neurologist now thinks I possible occipital neuralgia coupled with migraines and TMJ. I had taken cyclobenzaprine the night prior to the intense side pain under doctor's orders to treat the TMJ.

doctor1 MD

What could cause sharp intermittent pains above and to the rear of my ear? This has been going on since Sunday and the pains have become more intense.

doctor1 MD

I have a headache on and off for 2+ weeks. Dull pain behind left ear like I have been hit. Tender scalp pain worse when laying down

doctor1 MD

Every few minutes my 19 year old son has a sharp pain . The pain last for one half second. It feels like it's between his scalp and his scull. The area is about 2" by 2" and on the right side of his head toward the back of his head. The area feels...

doctor1 MD

sir, i have got occipital neuralgia nerve damage during hair transplant treatment and suffering from a long time over 1 year and got many kinds of primary treatments as injections and physiotherapic treatments and now searching for a surgon. from : INDIA rply early as possible. thaank you.

doctor1 MD

I am a psychology trainee and was required to complete a PPD skin test to start working at my neuropsychology practicum site. I tested positive and I am worried that I will not be able to work at my practicum site. I have had an active respiratory infection, but the symptoms do not seem to be typical of TB from what I have read: (a) runny nose; (b) sneezing; (c) fatigue; (d) headache and other cold like symptoms. I recently had a stent at the hospital for occipital neuralgia and received 1,000 mg of IV steroids and I am worried that my immune system is compromised. I also have a spinal cord injury and CRPS II, so my body is taxed by pain and pharmacotherapies. Should I be worried?

doctor1 MD

I recently started having electrical pulses over my left ear and into on scalp and head is sore...saw chiropractor and ent who think it is occipital neuralgia. Would prednisone help as over the countet pain aids are not working. ?.can stress cause this to come on and can it be a precursor to shingles?