[20F] Experiencing sudden cold sensation in head

Patient Description

A 20-year-old female reports a sudden cold sensation on the back right side of her head, described as feeling like someone placed ice under her scalp. The sensation started suddenly and has been ongoing for about a minute. Rubbing the area helps to alleviate the cold feeling, but it returns when she stops rubbing. There are no other associated symptoms such as recent head injuries, changes in vision, numbness, or tingling in the scalp or face. The patient has experienced headaches that gradually intensify but no sudden severe headaches or changes in her ability to speak or move any part of her body. She has no weakness or numbness in her arms or legs, and no difficulty with coordination or balance. The patient's medical history includes spinal stenosis diagnosed two years ago. She has no known allergies and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for the sudden cold sensation in the back right side of your head:

  • Nerve Irritation or Compression: Sometimes, nerves in the scalp can become irritated or compressed, leading to unusual sensations such as coldness. This could be related to your history of spinal stenosis, which can sometimes affect nerve function.

    • Treatment typically involves managing the underlying condition, such as spinal stenosis, and may include physical therapy, medications, or other interventions recommended by your doctor.
  • Migraine or Headache: Migraines and certain types of headaches can cause unusual sensations, including coldness or tingling. Since you mentioned having headaches that gradually intensify, this could be a contributing factor.

    • Treatment for migraines often includes medications to relieve pain and prevent future episodes, as well as lifestyle changes to avoid triggers.
  • Circulatory Issues: Although less common, issues with blood flow to the scalp could potentially cause cold sensations. This would typically be accompanied by other symptoms such as changes in skin color or temperature.

    • Treatment would depend on the underlying cause and may involve medications or lifestyle changes to improve circulation.

What you can do

While it is important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Monitor Your Symptoms: Keep track of when the cold sensation occurs, how long it lasts, and any other symptoms that accompany it. This information will be helpful for your doctor.
  2. Manage Headaches: If you experience headaches, try to identify and avoid potential triggers such as stress, certain foods, or lack of sleep. Over-the-counter pain relievers may help, but consult your doctor for appropriate options.
  3. Gentle Massage: Since rubbing the area helps alleviate the cold sensation, you can continue to do so gently. This may help improve blood flow and reduce nerve irritation.
  4. Stay Hydrated: Ensure you are drinking enough water, as dehydration can sometimes contribute to headaches and unusual sensations.

What you should look out for

Seek medical attention if you experience any of the following:

  • Sudden, severe headache that is different from your usual headaches
  • Weakness, numbness, or tingling in your arms or legs
  • Difficulty speaking, seeing, or moving any part of your body
  • Persistent or worsening symptoms despite self-care measures

Remember, while this information can help guide you, it is not a substitute for professional medical advice. Please consult a healthcare provider for a thorough evaluation and appropriate treatment.

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8 mo ago

Top picked over-the-counter products for Tingling or Cold Sensations at the Back of Your Head

People Also Ask


What could cause a sudden cold sensation on the scalp?

A sudden cold sensation on the scalp could be due to nerve irritation or compression, migraines, or less commonly, circulatory issues affecting blood flow to the scalp.


Can spinal stenosis affect sensations in the head?

Yes, spinal stenosis can affect nerve function, potentially leading to unusual sensations such as coldness in the head if nerves in the neck or upper spine are involved.


How are migraines related to unusual sensations like coldness in the head?

Migraines can cause a variety of unusual sensations, including coldness or tingling, due to changes in nerve activity and blood flow during an episode.


What should I do if I experience a sudden severe headache?

If you experience a sudden severe headache that is different from your usual headaches, it is important to seek medical attention immediately, as it could be a sign of a more serious condition.


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13 Comments


Anonymous#4896

5 mo ago

Interesting that this could be related to spinal stenosis.

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Anonymous#4896

4 mo ago

I think I've been having subtle versions of this...what's the typical length of the sensation and when should you be worried about it not stopping?

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Arora (Bot)#28060

4 mo ago

It's understandable to be concerned about such sensations. The duration can vary from person to person, with some experiencing it for just a few minutes, while others might notice it persisting longer. Generally, it's a good idea to monitor the sensation and see if it follows any patterns or if anything seems to trigger it. If it continues for an extended period, becomes more frequent, or is accompanied by other symptoms like severe headaches, weakness, or changes in vision, it's important to reach out to a healthcare professional. They can help pinpoint the cause and recommend the appropriate course of action. Take care, and don't hesitate to seek help if you're worried!

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Anonymous#4896

2 mo ago

What are some Over-the-counter pain reliever options?

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Anonymous#25337

2 mo ago

Hello! When it comes to over-the-counter pain relievers, there are a few common options you might consider:

  1. Acetaminophen (Tylenol) - Often used for pain relief and can be gentle on the stomach.
  2. Ibuprofen (Advil, Motrin) - A nonsteroidal anti-inflammatory drug (NSAID) that can help with pain and inflammation.
  3. Aspirin - Another NSAID that can relieve pain and reduce inflammation, but it may not be suitable for everyone, especially those with certain medical conditions or those taking blood thinners.
  4. Naproxen (Aleve) - Also an NSAID, which can be effective for longer-lasting relief.

It's important to follow the recommended dosage on the packaging and to consult with a healthcare professional if you have any pre-existing conditions or are currently taking other medications to ensure there are no potential interactions. 😊 Stay well!

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Leo#3962

2 mo ago

Sounds like nerve irritation. I had something similar a few months ago that started as the cold sensation at a particular spot on my scalp then led to annoying pulsating pain. I had to hit or rub the area to make it temporarily stop. Didn't think it was worth it to see a doctor (I'm a medical student and was pretty sure they would say just watch and wait) and it went away after a few days.

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Anonymous#25337

2 mo ago

Hello Leo#3962! Thank you for sharing your experience—it sounds like you went through quite an uncomfortable situation. It's great to hear that the sensation eventually subsided for you. While some symptoms can resolve on their own, it's always good to keep an eye on any changes or developments, especially since you're well-versed in medical knowledge as a student. If you or anyone else experiences persistent or worsening symptoms, it's always wise to consult a healthcare professional. Take care! 😊

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Leo#3962

2 mo ago

Yeah I wonder whether the symptoms resolved for the person who posted this as well

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Anonymous#25337

2 mo ago

That's a great question, Leo#3962! I hope the original poster found some relief and that their symptoms improved. It’s always reassuring to see when symptoms subside naturally, but it's important to remember that everyone's situation is unique. If the cold sensation or other symptoms persist for anyone, seeking medical advice is always a safe and proactive step. 😊

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Leo#3962

1 mo ago

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Anonymous#4896

1 mo ago

Woah, this is pretty helpful, there's a ton of these https://mdme.ai/over-the-counter/page/1

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Anonymous#25337

1 mo ago

I'm so glad you found the information helpful! 😊 It's always reassuring to know you're not alone and there are resources available to guide you. If you have any more questions or need further support, feel free to ask. Take care!

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Anonymous#25337

1 mo ago

Hi Leo#3962! Thanks for sharing that link. Scalp paresthesias can indeed be quite unsettling, and having resources to understand them better is always helpful. If you or anyone else is experiencing these sensations, it’s always a good idea to check in with a healthcare provider to get personalized advice. 😊 Stay well!

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