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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain On The Top Of Head

My husband has Parkinson s and has had it for 15 years. Now he is having pain on the top of his head. It seems to come when his meds are low, but it feels like a tight cap on his scalp. It really bothers him. He mentioned it to his neurologist but I don t think the doctor understood how awful it makes him feel. He is a 76 year old white male, retired physicist (PhD) and he keeps himself in great shape, given this disease. Is there something I could do? I suggested maybe I could massage his scalp but he would not let me touch it.
Wed, 18 May 2016
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Physical Therapist or Physiotherapist 's  Response
hi,

thank you for providing the brief history of your husband.

A thorough clinical Neurological examination is advised.

As he is having Parkinson's and it's already been 15 Years , a an MRI of the Brian will help understand the possible brain tissue status.

Usually, such pain in the top of the forehead and scalp can be due to headache or abnormal neural activity leading to Tightness of the mentioned area.

As, to understand that most Parkinson's case have restricted neck mobility this pain might be due to muscle tightness as well.

But to understand in deep we need an MRI of the brain to understand things better. May be a neurological examination as well should provdie some inputs.

Regards
Jay Indravadan Patel
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Suggest Treatment For Pain On The Top Of Head

hi, thank you for providing the brief history of your husband. A thorough clinical Neurological examination is advised. As he is having Parkinson s and it s already been 15 Years , a an MRI of the Brian will help understand the possible brain tissue status. Usually, such pain in the top of the forehead and scalp can be due to headache or abnormal neural activity leading to Tightness of the mentioned area. As, to understand that most Parkinson s case have restricted neck mobility this pain might be due to muscle tightness as well. But to understand in deep we need an MRI of the brain to understand things better. May be a neurological examination as well should provdie some inputs. Regards Jay Indravadan Patel