Pain at the Back of the Head
We can divide the head into the forehead, the back of the head, the side and on top of the skull. Pain at the back of the head is pain that can be felt specifically at the back. Sometimes it radiates to other areas, or comes from the neck. When there is a fall on the back of the head, there is pain on the skull, sometimes a bleeding but also a concussion can occur. Pain can also occur because a nerve is pinched from the neck. Tension headache can also be felt at the back. Stress, stress or strenuous work are the causes of this. In case of persistent complaints, treatment is required. Rarely, headache originates from a brain tumor.
The back of the Head
The back of the head is the back of the head. In the back of the head there is, among other things, the back of the head lobe. This is the part of the cerebral cortex that lies at the back. These are the smallest brain lobes and have the function to process visual information. By visual we mean: seeing, looking. On the outside of the skull we recognize the back of the head because hair growth takes place here.
Falling on the Back of the Head and a Concussion
In case of a fall it can happen that someone falls on his head. This can be on the forehead, on top of the skull but also on the back of the head. Falling backward often results in falling on the back of the head. With a small impact against the back of the head, the consequences are not great. Often there is temporary pain on the skull and sometimes there is an external bleeding, because the skin is torn. The pain disappears after a few minutes to hours. Sometimes it will last longer. We sometimes see a bump or swelling occur. This is caused by fluid accumulation under the skin. This also usually disappears quickly, often within a few days.
In a single case there is a concussion. This occurs when the blow to the back of the head was great. The brains are surrounded by meninges and float in a liquid: the cerebrospinal fluid. This protects the vulnerable brain. In case of a fall, the brain can sometimes be shaken up for a short time, they collide with the wall of the skull. We call this a concussion.
In most cases a concussion arises as a result of a fall, sports (especially equestrian sport is a risk), a car accident or because someone applies physical violence (a kick or a blow to the head). A concussion is not always caused by a fall on the head, but is the most common cause.
We distinguish a light and a heavy concussion. In a mild concussion, symptoms such as headache, nausea, dizziness, concentration disorder, difficulty with orientation and confusion arise. A severe concussion is characterized by the above symptoms, supplemented with double vision, low blood pressure, high heart rate and sometimes a lot of sweating.
A concussion is usually treated with rest and any pain relief. During the first 24 hours, the patient is regularly awakened to check that it is well-conscious. Drowsiness or non-response may indicate a brain contusion or cerebral haemorrhage. After 2 to 4 weeks, most complaints will have disappeared. A heavy concussion sometimes needs longer recovery.
Occipitalis neuralgia: Nerve pain
With occipitalis neuralgia, there is nerve pain. This is caused by the occipital nerve, a nerve that runs from the neck to the back of the skull. The nerve may be irritated because it is trapped. A headache develops that is similar to migraine. There are attacks of pain from the neck, which suddenly shoots to the back of the head. Sometimes this is also compared with tension headache. Tingles are noticeable in some patients, or pain in the hair. It looks like it is being pulled at the hair.
The complaint can be remedied by taking physiotherapy. Often, a wrong posture is the cause of the nerve compression. This pinching can be eliminated by doing exercises (improved posture) and by reducing the muscle tension. Sometimes an injection of corticosteroids is given, a hormone that acts as an anti-inflammatory agent. In case of persistent symptoms, pain control or the nerve is treated, so that the pain is reduced or different. Often use is made of electric impulses, causing the nerve to react differently. Often this will also lead to blockage of the nerve, so that pain is no longer transmitted.
With tension headache, there is pain in the back of the head, the forehead, the sides but also a combination of these three is possible. Even the neck and shoulders often feel painful and tense. In addition to pain, it often seems as if there is a tight band around the head, and one can be sensitive to loud noises. Environmental complaints often aggravate the complaints.
The cause is often found in stress, tension and a high workload. But also people who do a lot of strenuous work with the eyes (screen) often experience tension headaches. This causes the muscles of the neck and shoulders to be unconsciously tightened. The muscle tension is therefore continuously too high. This gives the above complaints.
Treatment often consists of rest, physiotherapy, psychotherapy, painkillers or medication. This depends on the cause. This will therefore first have to be outdated.
A brain tumor can be benign or malicious. We speak of cancer in malignant tumors. With a brain tumor it is not always possible to indicate whether it is good or malignant. That's why we speak of a brain tumor and not of brain cancer. Sometimes headaches in the back of the head are caused by a tumor in the cerebellum. The pain then develops because the tumor provides an increased pressure. Often, complaints also arise such as nausea and vomiting. Sometimes the cerebrospinal fluid can no longer be properly drained, creating a water head.
Depending on the precise location and size of the tumor, but also on the nature of the tumor, treatment will consist of surgery, medication, chemotherapy or radiation. Sometimes no treatment is applied when a small benign tumor does not cause any further complaints. Regular monitoring will then be necessary.
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