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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Pricking Sensation On The Frontal Scalp Area?

I ve been having a pin like pain at the top of my head for more than 8 weeks. It s like a pin prick. It is not painful, but I can feel it is there. Nothing appears on the skin like a pimple, but it feels like it is at the top of the head and not inside like a headache.
Fri, 12 Aug 2016
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General & Family Physician,  's  Response
This type of pain is mostly caused by nerve damage. Nerve damage is almost always permanent as nerve tissue does not grow back easily. One can only prevent further damage by identifying its cause and taking treatment. There are many causes of nerve damage such as diabetes, chronic renal failure, leprosy, vertebral compression, vasculitis, shingles , hypothyroidism and idiopathic such as trigeminal neuralgia etc. There is a role of methylcobalamine in treatment of peripheral nerve damage caused by metabolic disorders.
Advice
1.     Tablet methylcobalamin 500 mcg once daily per oral for 3 months
2.     Gabapentin 300 mg (Capsule Neuronti 300 mg) thrice daily per oral for one month
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What Causes Persistent Pricking Sensation On The Frontal Scalp Area?

This type of pain is mostly caused by nerve damage. Nerve damage is almost always permanent as nerve tissue does not grow back easily. One can only prevent further damage by identifying its cause and taking treatment. There are many causes of nerve damage such as diabetes, chronic renal failure, leprosy, vertebral compression, vasculitis, shingles , hypothyroidism and idiopathic such as trigeminal neuralgia etc. There is a role of methylcobalamine in treatment of peripheral nerve damage caused by metabolic disorders. Advice 1. Tablet methylcobalamin 500 mcg once daily per oral for 3 months 2. Gabapentin 300 mg (Capsule Neuronti 300 mg) thrice daily per oral for one month Thanks