I am suffering from throbbing pain on the back of the head. What to do?

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

There is a pattern in your symptoms. Usually, this sort of symptom is seen in two conditions.

1. The patients with pathology in the smaller skull compartment, posterior fossa.

2. A basilar migraine, abnormalities of autonomic regulation of blood vessels in the smaller compartment of the skull.

I would suggest you get a magnetic resonance imaging (MRI) brain done with a detailed study of the posterior fossa and craniovertebral junction. This study can show us if there is a condition such as:

1. If the scan is normal, then it is fine otherwise, we are dealing with the condition and it can be treated well with medicines. So we can discuss further with your MRI reports. Meanwhile, to reduce your headache, I would suggest you the following. Consult your specialist doctor, discuss with him or her, and take treatment with consent:

1. Tablet Flunarizine 10 milligrams at bedtime daily for ten days.

2. Tablet Topiramate 50 milligrams in the morning and evening after food for ten days.

Thank you.

I appreciate your trust in icliniq.com and for giving me the chance to serve you.

Our goal is to prioritize your health and help you according to your preferences and needs.

Hi,

Welcome back to icliniq.com.

I do understand your concern.

Thanks for asking again.

Good to hear that you are feeling better. In my opinion, this whole episode of headache could be a migraine. See, the fundamental problem in migraine is not structural. It is a functional problem. It is an abnormal influence of the autonomic nervous system on the blood vessels around the brain. It gives rise to migraine symptoms. It is episodic, especially early in the course of the disease. Had it been a growing problem in the posterior fossa, as we discussed before, it would not subside like this. Very few pathologies in the posterior fossa can have this sort of waxing and waning course. Currently, you can hold magnetic resonance imaging (MRI) also and medicines as well. But instead, I would suggest you start meditation 20 minutes twice a day and daily physical exercises 45 minutes per day, five days a week. That will bring balance to your autonomic nervous system, and your symptoms will not return. Please note I mentioned that there are a few conditions of the brain which can have a waxing and waning course, so if you are developing that sort of symptoms profile, please get the scan done as I suggested.

Regards.

Once more, thank you for allowing us to be of service to you.

We value the high level of confidence you have in us!

Hi,

Welcome back to icliniq.com.

I do understand your concern.

Thanks for asking again.

Please get a magnetic resonance imaging (MRI) brain done in that case. MRI brain with a detailed study of posterior fossa and craniovertebral junction. Headache (though it's low in intensity) with numbness in the leg carries a lot of significance and can be a brain issue, as explained in the first answer. Please do not get irritated or confused by my changing opinions. As you can understand, the opinions are based on your symptoms: if your symptoms change, very logically. The suggestion has to change. I hope you know that.

Regards.

Once more, thank you for allowing us to be of service to you.

We value the high level of confidence you have in us!

Hi,

Welcome back to icliniq.com.

I do understand your concern.

Thanks for asking again.

What it could be: when you have a headache at the back of the head with numbness in part of a limb, it could be part of a smaller brain herniating down through the opening at the base of the skull (foramen magnum). The condition is known as Chiari malformation in medical language. It can be treated with surgery called Chiari decompression (where we make space for herniating part of the brain). But I would like to inform you that we need to have magnetic resonance imaging (MRI), as I mentioned, to know in detail what kind of problem you have.

Regards.

Once more, thank you for allowing us to be of service to you.

We value the high level of confidence you have in us!