Hi. I Often Get Headaches Late In The Day... They

Posted on Sat, 7 Sep 2019

Question: hi. i often get headaches late in the day... they start in the back of my head and are really painful. massaging shoulders and neck radiates the pain up through my ear and to my temples.

once i rest, the headache moves to my temples, around the eye... usually more on one side, but the tension is always worse on one side as well.

does this happen with tension headaches? why does neck pain radiate to the sides of my head? it also seems like they dont go away until i fall asleep.

do you think it could be migraine?

thanks.

Answered by Dr. Sudhir Kumar (1 hour later)

Brief Answer:
Features are consistent with tension headache.

Detailed Answer:
Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and I would try my best to help you.

I have noted your clinical details. Based on this, features are consistent with a diagnosis of tension headache. Muscle and nerve supply of back of head, temples and upper neck muscles are same, that is the reason pain radiates from neck to sides of head.

The classical features of migraine such as nausea/vomiting/increased sensitivity to light and sound are lacking in your case, hence, migraine is less likely.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

Above answer was peer-reviewed by : Dr. Yogesh D