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A very discomforting tight head..
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A very discomforting tight head..

I am 24yrs old. A few days earlier i suffered from a hot flush on my face & my face was all red & dry & painful. I used a moisturiser & my face was normal again, but then my sinus problems increased (i've always had sinus problems) & now i am suffering from post nasal drip & a burning sensation in my cheeks (basically the cheek bones). My symptoms are like this-

1. I feel my head is really tight. Like i have something very tight wrapped around my head. it starts from my forehead area & goes to the back of my head. Its also present at the ends of my lower jaw, below the ear. if i raise my head to look up or move it sideways, i can feel a sort of stretching, like something is trying to hold me back.my actual skin is normal though, i can stretch & release it just fine.

2. The tightness problem increases & almost becomes unbearable if i wash my face with cold water. if i don't wet my face at all, the problems are reduced significantly.

3. The burning sensation in my cheeks also start after i've washed my face, if i my face is dry, i don't feel any discomfort.

4. I don't really have any headache. but sometimes the back & the upper part of my head hurt a bit..its not very painful & i can keep working as usual though.

Is this all caused by my sinus troubles or is there a chance of something more serious happening? please suggest what i should do to relieve myself. Thanx a lot.
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Avatar_dr_m_tn
Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with a doctor.

Without the ability to examine and obtain a history, I can not tell you what the exact cause of the symptoms is. However I will try to provide you with some useful information.

Do you have a history of headaches? It sounds like you may have a headache (i.e., the tight band around your head that seems to be coming from your neck). Causes of neck pain associated with headache are cervicogenic headache and occipital neuralgia.

Cervicogenic headache is a headache that is "referred" to the head from bony structures, muscles, and other soft tissue in the neck and shoulders. Symptoms are usually one-sided and include: precipitation of head pain by neck movement or awkward neck positions, head pain when external pressure is applied to the neck or occipital region, restricted range of motion of the neck, and neck, shoulder and arm pain. Treatment for cervicogenic headache includes physical therapy, medications, behavioral therapy, and other modalities.

Occipital neuralgia is caused by irritation or injury to two nerves that run from the upper neck to the back of the head. The irritation could be due to  neck trauma, pinching of the nerves (by muscles or arthritis), and other causes. Symptoms include a piercing sharp pain that travels from the upper neck to the back of the head and behind the ears. It is usually a one sided pain but can be on both sides of the head. Treatment includes physical therapy, medications, and in some cases injections, "nerve blocks", during which a physician injects the irritated nerves with an anesthetic.

In some instances when the pain continues, you will develop pain to non-painful stimuli (e.g., the washing of your face).

I suggest you discuss your symptoms with your primary physician to determine if you do have a headache. If it is a headache, you may benefit from medication and/or physical therapy.

Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.

7 Comments
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Avatar_n_tn
Thank you for replying. surprisingly, i don't have any prolonged or severe headache or pain anywhere. But the tightness is a severe discomfort.
I also have a mild dizziness & imbalance problem. like when i'm walking, i feel i am not walking straight. its not severe but there's certainly a problem. today the area of tightness seems to have shifted. it now ranges from my forehead, top of my head & back of my head. its still present in the lower jaw region under my ears but the tightness seems more on the left side of my face than on my right side. i've also noticed that the tightness increases during the evening when the weather's cooler. it also increases if i am sitting in an A.C room.The burning sensation has not gone away completely but its not as painful as earlier. anyway, i am going for a checkup tomorrow.lets see. i am hoping its just sinus problems & nothing severe.
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Avatar_n_tn
UPDATE : I went to an E.N.T doctor & told him of my conditions...he suggested me allegra (fexofenadine hydrochloride tablets) for my sinus allergies & myospaz forte (chlorzoxazone 500 mg, diclophenac potassium 50 mg, paracetamol 500 mg) for the tightness problem, its supposed to be some sort of muscle relaxant...i am supposed to take these for three days & the second day has nearly passed. ( i went to him on 16th of this month), i don't feel that relieved though..the area of tightness keeps on shifting...its more prominent around my ear region, below the ears in & around the lower jaws, its also present near my upper head region all the way above the ear..

by the way, i forgot to mention this- i had been suffering from mild pain in my shoulder & neck regions since a few months, (much like spondylitis pain) ,the pain was more strong during the mornings & i could crack my neck (i don't know how to explain this, its like cracking your knuckles), i could do this by holding my head between my hands & twisting it in opposite directions. i'd always hear a cracking or popping sound when i did this...but ever since this tightness problem started, the pain in my shoulder & back of the neck has nearly gone away & i cannot crack my neck, no matter how i try, which has led me to believe that the problem is not related to my sinus troubles but rather something else..i have no idea what to do now.. please suggest.
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Avatar_n_tn
UPDATE 5/ 12/ 2011 : The tightness problem seems to have lessened a lot. Its only present around the top of my head to the back of my head now, behind my ears. But if i am in a cold environment (like sitting in an AC room), i can feel the tightness more prominently, i think it intensifies with lower temps. the region of tightness is however only the back of the head. my face, forehead & region below the ear etc don't feel tight anymore. I can also wash my face with cold water without any problems now. I think i am getting better, although i am not sure when i'll be completely well.
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Avatar_n_tn
ADD TO PREVIOUS POST :

I sometimes feel a tight pressure on the bridge of my nose, in & around the region of my eyes. its basically at the inner corners of my eyes & on the bridge of my nose. it feels like something is pressing down on my nose or gripping that area very tightly...whenever this happens, i can feel the tightening behind my head increase...which leads me to think, its all because of my sinusitis.
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Avatar_n_tn
More INFO : I have noticed that the tightening can be most felt during the morning, after i wake up...it tends to stay this way for a couple of hours, then it starts to lessen, but it doesn't go away completely. its there every hour of the day but during the day, its not so strong. Another weird thing i noticed is that if i plug in my earphones ( the in- ear, ear bud types ) & listen to music or watch a movie, i don't feel the tightening so much, it almost seems to go away...its like the tightening increases if i think about it too much..i think i should go see a neurologist about all this...
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Avatar_n_tn
Got a CT scan done (PNS, limited). here's the results-

0.6 mm coronal sections were obtained and were later reconstructed using a sharp algorithm.

Mild patchy polypoidal mucosal thickening is seen involving bilateral mucosal sinuses with minimal inflammatory soft tissue and retained secretions on the right side. bilateral hallar cells and mucosal thickening are causing obliteration of left ostiomeatal unit and narrowing of right ostiomeatal unit.

Bilateral ethmoid, frontal and sphenoid sinuses are normal.

Bony sinus & orbital walls are intact.

No soft tissue mass or bone erosion is seen.

Nasal septum exhibits deviation to left side with bony nasal spur.

Right septal concha is seen with partial paradoxical curvature of right middle turbinate. Mild right turbinate hypertrophy is seen.
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