Tender spots on head

[JessicaLand]

My pain on my head seems to be more noticeable at times then others but the pain is constant. I have had what I called "soft spots" for a while and they hurt if you touch them. It has just been recently that they have seemed to go from "only certin sections of my head" to the whole top back of my head. Now when I lay in bed with my head on my pillow my head will hurt (more often then not) because of the pressure touching them I guess. I cant afford insurance. What do you think is wrong with my head? Do you think its serious?

[tam31]

I'm not sure what they are, but I get them too.  One doctor told me that they are related to my sinuses.  I get them all over my head, in different places at different times, and they come and go.  Sometimes I notice they get worse depending on how my hair sits on my head, like how I slept on it, or how it was pulled back-something about the hair follicles being in one direction for a period of time, and then forced into another.  Either way, they hurt.  Hope you find an answer.  

[jessica38]

hahha this isn't going to be helpful at all, but i also get those odd, tender spots on my head. i'm not sure what they are, and if they're anything bad. i've never asked my doctor about them, so i don't know what she would say about them, sorry. i'm not sure if this is related, but i did get a concussion less than a year ago, and have only noticed these tender spots in the last year or so. however, it was a relatively minor concussion and i don't have any headaches associated with the tender spots, so i doubt that it's actually related to the concussion. well, i hope you find an answer soon, and if you do, let me know what it is.

[Quixotic1]

It sounds like you are describing something called "nummular" headaches.  These are well-circumscribed spots on the head that can be tender and that appear to cause localized headaches.  The headaches can be sharp and stabbing and can build to a constant and fairly severe pain.  They are always in the same spot(s).  

Nummular means "coin-shaped"

I couldn't find out much about them except it is thought that they are caused by an inflammation at the end(s) of a branch of one of the nerves which goes to the scalp like the trigeminal  nerve. As far as I could tell they are benign - meaning do not indicate a serious problem.  

I couldn't find out what to do to relieve them, but I wonder if ice to the area would be helpful since they may arise from sensory nerves deep in the skin and muscles of the head.

There are two other kinds of tender spot headaches that I learned about.  One is where a person has or keeps the hair pulled back tightly called "hair-traction headache".  The other is more common and complicated and called "cervical cephalgia."  It is a complex headache of the back of the head and involves contract/spasm of the back cervical neck muscles, pressure on the sensory nerves at the back of the head and pulling at the point where the muscles attach to the head.

These last two are mechanical problems, not headaches which come from something inside the head.  So they, too are not serious.  This isn't to say that any of these headaches can't severely affect one's quality of life.

Agian, I'm not a neurologist, but these are my thoughts on what you describe.

Quix

[Quixotic1]

I hope you and the others see this.  I found a discussion on the Dr-to-patient Neuro forum on this very topic.

The headaches are also called "epicrania fascia" headaches meaning arising from pain from the outside of the head and the conective tissue.

If that's what they are they can be treated often successfully with Botox injections locally.  Great news!

here is the link to the Neuro's answer:

http://www.medhelp.org/forums/neuro/messages/34390.html

Quix

[ghwarburton]

I get these also, Im concerned because I have noticed the back of my head hurting in the same spot (only if I touch it or lay down) Over the last week it has been with dizziness and I vomited on Monday then again on Friday------Im not sure if that is from the flu or something related to the head thing.  It feels like my hair has been pulled back in a pony tail too tight or like I hit my head and there is a bruise which I have not had either happen.  If you have any insight I would greatly appreciate it.  
Heather
Or PLEASE email me at ***@****

[nanmacs]

Hi,
Occipital Nerve Compression Headaches, TMJ/TMD and some migraine headaches are all known to cause tender spots on the scalp. Occipital nerve compression headaches can be caused by cervical disc problems but that is not the only cause.  
These headaches are not typical headaches.  The best way I can describe them is to say that your head fills up with pressure, so intense sometimes, it can make you really think that your eyeballs are being pushed out of your skull.  It is my understanding that TMJ can cause those headaches as well as the tender spots (without necessarily having a headache at all).
I too suffer from constant dizziness. I faint regularly, on a daily basis, and I also have the nausea and vomiting.  It has even caused changes in my apetite.  I cant eat much at any one time now, I dont eat over half the foods I used to eat (used to being since last fall) because they dont taste good to me anymore.. and Ive lost over 25 lbs due to this, since december.  
Mine are caused by disc problems in my neck, but I also have TMJ.. so basically, I won the double whammy lottery. lol  I had the herniated disc removed 9/07 and 1 month later discovered that the disc below it was herniated.  4 months post op, we discovered the 2nd herniated disc was there on my MRI image from 8/07  but everyone missed it. My neurosurgeon even missed it.. on the mri image as well as during surgery.  So I am right back where I started, going through the entire process all over again.
I would have a dentist check your  jaw for TMJ problems and see your family dr to have your neck checked out.  Keep in mind that your dr may try to suggest a neck xray (c-spine) because its cheaper.  BUT.. soft tissue (discs) does not show up on xrays. You need an MRI for that.  If you are not having neck pain, I wouldnt concern myself with that being the cause.  Millions of people however, have TMJ and dont even realize it.  
I hope some of this helps you guys.. Ive been dealing with this stuff for 3 yrs next month.  It was a long hard road to finding the answers, but I got there in the end.
Also, one last note here, for all of you.  If it does turn out for any of you, that its a cervical disc problem, many drs, including the specialists (neuro) do not believe that disc problems can cause those headaches if the problem is below the C3 level. My neurosurgeon did not believe it.  But luckily for me, the neurologist he sent me to, to care for my new herniated disc until when/if I required surgery to fix this one... does know that problems below the C3 level can and do in fact cause these headaches.  So dont let that discourage you.  If any of you end up dealing with this as the cause, find a good neuro that does believe or you are wasting your time.
Good luck and blessings to all of you.