[20F] Experiencing sharp head pain, eye pressure, and neck stiffness

Patient Description

A 20-year-old female is reporting a sharp pain in the back left side of the head that has been present for 2 days. The pain is described as having a tension-like quality with occasional throbbing and is rated 7 out of 10 in severity. It radiates from one specific point. Additionally, the patient is experiencing eye pressure and neck stiffness, which is more pronounced on the left side but also slightly present on the right. The stiffness is exacerbated by getting up, moving around a lot, or orgasm, but does not vary in intensity throughout the day. The patient denies any recent injuries or accidents and the symptoms are not influenced by the time of day. No other symptoms or relevant medical history were provided.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Tension Headache: This is a common type of headache characterized by a dull, aching sensation all over the head. It is often described as a feeling of a tight band or dull ache around the head or behind the eyes. These headaches are often related to stress, depression, anxiety, a head injury, or holding your head and neck in an abnormal position.

    • Treatment typically involves pain relievers, stress management, and physical therapy.
  • Migraine: This is a type of headache characterized by severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can last for hours to days, and the pain can be so severe that it interferes with your daily activities.

    • Treatment typically involves medications to help reduce the frequency and severity of migraines.
  • Cluster Headache: These are severe headaches that occur on one side of the head (often around the eye) and come in clusters, meaning you experience cycles of headache attacks, followed by headache-free periods.

    • Treatment typically involves medications, as well as certain procedures and lifestyle changes.
  • Cervicogenic Headache: This is a secondary headache, meaning it's caused by another illness or physical issue. In the case of cervicogenic headache, the cause is a disorder of the cervical spine and its component bony, disc and/or soft tissue elements.

    • Treatment typically involves treating the underlying cause, as well as pain management.

Please note that these are possibilities based on the symptoms you've described and not a definitive diagnosis.

What you can do

  1. Over-the-counter pain relievers: Nonprescription medications such as acetaminophen (Tylenol, others), aspirin or ibuprofen (Advil, Motrin IB, others) often help relieve occasional headaches.
  2. Rest and relaxation: Try to rest and relax. If possible, rest in a dark, quiet room when you feel a headache coming on.
  3. Hot or cold showers or baths: Some people find that soaking in a hot tub or taking a hot shower can help relieve the pain of a headache.
  4. Regular physical activity: Regular aerobic physical activity can improve your physical and mental well-being and reduce headache pain.
  5. Keep a headache diary: A diary can help you determine what triggers your headaches. Note when your headaches start, what you were doing at the time, how long they last and what, if anything, provides relief.

What you should look out for

Please seek immediate medical attention if your headache:

  • Is sudden and severe
  • Accompanies a fever, stiff neck, confusion, seizure, double vision, weakness, numbness or difficulty speaking
  • Follows a head injury
  • Gets worse despite rest and pain medication
  • Is a new headache and you're older than 50

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


What are the common causes of tension headaches?

Tension headaches are often caused by stress, anxiety, depression, poor posture, or holding the head and neck in an awkward position for a long time. They can also be triggered by fatigue, lack of sleep, or eye strain.


How can I differentiate between a migraine and a tension headache?

Migraines are typically characterized by severe throbbing pain on one side of the head, often accompanied by nausea, vomiting, and sensitivity to light and sound. Tension headaches, on the other hand, usually involve a dull, aching sensation all over the head, often described as a tight band around the head or pressure behind the eyes.


What are some effective home remedies for relieving headache symptoms?

Some effective home remedies for relieving headache symptoms include taking over-the-counter pain relievers like acetaminophen or ibuprofen, resting in a dark and quiet room, applying a cold or hot compress to the head or neck, and practicing relaxation techniques such as deep breathing or meditation.


When should I seek medical attention for a headache?

You should seek medical attention for a headache if it is sudden and severe, accompanied by symptoms like fever, stiff neck, confusion, or difficulty speaking, follows a head injury, worsens despite rest and medication, or if it is a new headache and you are over 50 years old.


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