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Pain radiates from head towards temples along with neck pain. What causes pain and tenderness at the back of head?

Jan 2013
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Internal Medicine Specialist
Practicing since : 2003
Answered : 1658 Questions
What causes pain and tenderness at the back of my head? Sometimes the pain (but not the tenderness) radiates around the sides of my head up towards my temples. It hurts when I lie down and keeps me awake at night. I also have pain in the upper part of my neck.
Posted Wed, 22 May 2013 in General Health
Answered by Dr. Mayank Bhargava 33 minutes later
Welcome to XXXXXXX forum.

Let me know the associated details along with mentioned.
What is the type of headache?
Do you have any aggravating or relieving factor for this headache?
Do you have associated tears and running nose/ blurred vision?
Do you have past history of injury?
Is headache involving whole head or half head?
Do you have associated joint aches?

There are at least 15-20 types of headache have been defined and diagnosis is made generally on the basis of history defined by patient.
Migraine is the most common type of headache and is a syndrome made up of multiple symptoms.
Migraine is associated with pulsatile type of headache, gets aggravated by lack of sleep, exposure to noise and sun light, excessive tea and coffee.
Tears from eyes and running nose is a feature of tension headache and at times, two sub types of headache may be present in a single patient.
Other possibility could be temporal arteritis, cluster headache and connective tissue disorders (as headache is associated with neck pain).

You should consult with XXXXXXX medicine specialist/ neurologist and should go for thorough neurological check up.
You should also go for complete blood count, erythrocyte sedimentation rate, CT/ MRI scan of head, XXXXXXX and x XXXXXXX cervical spine.
Treatment depends on exact diagnosis.
Meanwhile, you should take sumantriptan along with naprosyn, divalproex and propranolol on written prescription from your local doctor.
If naprosyn alone is not able to control headache, then you can also take ergotamine and tolfenemic acid.

Take sound sleep and avoid excessive tea, coffee and chocolates if you are taking.

Hope that helps.
Let me know your other query.
Take care,
Dr. Mayank Bhargava
Above answer was peer-reviewed by
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