It is only now that I was able to see the drawing. And basing from this, it can indeed be musculoskeletal in nature. I recommend that a imaging modalities such as x-ray be done and to include also his shoulder to rule out possible link to his previous shoulder trauma. As I have mentioned, like arthritis headaches, muscle strain caused by cervical causes may lead to pressure on nerve roots and can cause headaches, especially at the back of the head. To relax the muscle, aside from medications, ice/warm packs may provide relief. Take care and do keep us posted.
He describes the pain as muscular
According to the National Headache Foundation, neck arthritis and headaches are common health problems. Wear and tear of neck cartilage and joints can press on nerve roots and can cause headaches, especially at the back of the head. Inflammatory diseases like rheumatoid arthritis can also cause spinal disruption which also causes headaches by pinching or pressing on neck and scalp nerves. if his headaches persist, he may need to have this checked before it gets worse. Take care and best regards.
I talked to him again last night and he gave me better idea of where is pain is and where his throbbing happens. The link below takes you to a picture describing what he told me.
He's doing okay. Far as i know there was not any trauma to his head or neck in the past (at least not way back when they started in 7th grade). Since then he played football one year and i know that at least while playing that he did something to one of his shoulders.
He's only 25... i thought arthritis was something that didn't happen to people that young. He takes Motrin when he gets the head/neck aches. That seems to help. I've seen him take Tylenol too though and that does nothing for him.
He doesn't want to get further evaluation because he thinks it'll be a waste of time/money because they'll probably just tell him he needs surgery (something which he doesn't want to do). He can be so stubborn sometimes hehe.
Thanks for your reply Dr. Santos.
How is your boy friend? Was there a previous trauma to his head or neck in the past? Pain at the back of head or neck may also be due to arthritis headaches. It intensifies on movement and is usually caused by inflammation of the blood vessels of the head or bony changes in the structures of the neck. Anti-inflammatory drugs and muscle relaxants may help but I recommend that further evaluation be done for proper management. Neurological examination and diagnostic tests such as CT scan may help determine the underlying cause. Take care and best regards.