Several factors can lead to headaches at the upper portion of the skull, including tension, migraines, and occipital neuralgia. Occasionally, it might be necessary to seek medical advice for these issues.
Pain situated at the crown of the head can have several origins. Generally, headaches in this area don’t signal a serious medical condition and tend to dissipate independently.
Nonetheless, if concern arises about pain on the upper head, or if headaches are intense and recurrent, it’s advisable to seek medical guidance for a thorough assessment.
This article explores various reasons behind pain at the top of the head and highlights when it might be crucial to consult with a healthcare provider.
Headaches caused by tension
Tension headaches are some of the most common headaches, affecting up to 78% of people at some point in their lives. They are often referred to as muscle contraction headaches.
The exact cause of tension headaches is not known, but muscle tension, vitamin deficiencies, and genetic factors may play a role.
Tension headaches often feel like a squeezing or heavy sensation on the top of the head. The pain can also extend to the neck and shoulders.
The pain from tension headaches is usually described as dull and non-throbbing. These headaches are typically not severe and can last from 30 minutes to a week, with an average duration of 4-6 hours.
Migraine headaches
Migraines are headaches that affect up to 12% of the population and are more common in women than men.
The pain from migraines can radiate from the top of the head, along one side, or down the back of the neck. The pain is often severe and throbbing and can be accompanied by symptoms such as nausea and sensitivity to light and sound.
Genetic factors may play a role in migraines, but there are also specific triggers that can cause them, including stress, weather changes, sleep problems, and hormonal changes.
Migraines can often be managed through practices such as acupressure, yoga, and lifestyle changes.
Chronic headaches
There are various types of chronic headaches, including tension and migraine headaches.
A doctor may diagnose chronic tension-type headaches if a person experiences them for at least 15 days a month for three months or more.
Chronic migraine headaches also occur at least 15 days a month for three months or more, with migraine symptoms present for at least 8 days each month.
Symptoms vary depending on the type of headache, but some can cause pain near the top of the head. Stress and lack of sleep can contribute to chronic tension headaches.
Cluster headaches
Cluster headaches are characterized by sudden, severe pain on one side of the head, often behind the eye. They are relatively rare, affecting about 1 in 1,000 people.
The exact cause of cluster headaches is unknown, but they may involve changes in the trigeminal nerve, hypothalamus, and blood vessel dilation. Triggers can include watching television, alcohol, hot weather, and stress.
Cluster headaches occur in groups, with each attack lasting from a few weeks to a few months, followed by a period of remission that can last for years.
During an attack, these headaches can occur as frequently as eight times a day, making it difficult to find relief.
Sinus headaches
Sinus headaches are not officially recognized as a type of headache, but sinus infections or inflammation can cause pain on the sides and top of the head.
Treatment for sinus headaches typically involves addressing the underlying issue. A doctor may suggest medications to reduce inflammation, and in some cases, surgery may be necessary for chronic sinus problems.
Headaches caused by sleep deprivation
Sleep deprivation is not officially listed as a type of headache, but poor sleep quality, such as with sleep apnea, can lead to waking up with headaches.
Sleep deprivation can result in lower levels of orexin, a chemical involved in the nervous system, sleep, and arousal, which can lead to tension headaches.
Hypnic headaches
Hypnic headaches cause people to awaken from sleep at the same time each night and usually affect individuals over 50. The cause is unknown but may be related to pain management, REM sleep, or melatonin production.
Occipital neuralgia
Occipital neuralgia involves irritation of the nerves from the spine to the top of the head, leading to pain in the back or top of the head.
Symptoms can include a feeling of a tight band around the head, tingling, jolts of sharp pain, and sensitivity to light.
Potential causes include head trauma, pinched nerves, nerve compression, and inflammation. Tests may be conducted to find an underlying cause, though sometimes none is found.
Medication overuse headaches
Frequent use of over-the-counter or prescription pain relievers can result in overuse or rebound headaches. This is especially common in people with other headache disorders such as persistent migraines.
A doctor may consider a diagnosis of overuse headache if a person has a primary headache condition and experiences headaches on at least 15 days a month.
Brain freeze
Brain freeze, or cold-stimulus headaches, can occur when consuming cold foods or drinks, resulting in pain at the front of the head toward the top.
Scientifically known as sphenopalatine ganglioneuralgia, brain freeze affects the sphenopalatine ganglion and is linked to other headache types, including cluster and migraine headaches.
Exercise headaches
Some individuals experience throbbing headaches during or after intense exercise or sexual activity.
These primary exercise or exertional headaches may be caused by a rise in blood pressure and can be managed by staying hydrated, warming up, and talking to a doctor about possible medication.
If severe headaches occur after exercising or if there are concerns about exercise impacting headaches, medical advice should be sought.
Other causes
High blood pressure can cause headaches, particularly if it is at or above 180/120 mmHg.
Rarely, head injuries, strokes, or brain abscesses can lead to intracranial hypertension, causing throbbing headaches, vision changes, nausea, and other symptoms.
A sudden, severe “thunderclap” headache may indicate reversible cerebral vasoconstriction syndrome (RCVS), which requires immediate medical attention.
However, pain at the top of the head is usually not indicative of a serious health issue and will often resolve on its own. Consultation with a doctor for proper diagnosis and management of headaches and related symptoms is recommended.
Treatment
To alleviate headaches, healthcare providers often suggest over-the-counter analgesics, such as ibuprofen or aspirin.
Additionally, alternative treatment approaches may be encouraged, such as:
nutritional supplements, including feverfew, magnesium, and fish oil
therapeutic massage
mindfulness practices, including yoga or deep breathing exercises
ensuring adequate sleep routines
acupressure
neurofeedback training
Should a healthcare professional determine an underlying condition triggering the headache, they may propose specific interventions to tackle the root issue.
When to see a doctor
It’s important to consult with a healthcare provider if an individual experiences:
- An abrupt, intense headache
- Headaches that consistently resist self-care measures
- Accompanying symptoms including nausea and alterations in vision
A healthcare professional may recommend appropriate medications or conduct diagnostic examinations to determine if a particular condition is driving the symptoms which would necessitate targeted treatment.
Frequently asked questions
How can I alleviate a headache that’s situated at the top of my head?
To ease such headaches, individuals can use OTC medications like acetaminophen. Alternative strategies include applying heat or cold packs, ensuring adequate hydration, and utilizing stress reduction techniques.
What type of headache results in a sensation of pressure at the top of my head?
Different headaches can lead to a sensation of pressure at the crown, including tension headaches, migraines, and sometimes cluster headaches.
How would I describe the feeling of a headache from dehydration?
A headache due to dehydration may vary between individuals but typically involves a broad, pervasive ache that may concentrate at the top or frontal portion of the head.
What are some natural ways to address a headache at the top of my head?
For natural relief, individuals can explore practices such as stretching, hydration, herbal remedies, or even techniques like biofeedback. Nutritional adjustments and acupuncture have also been known to provide relief.
Is it possible for a migraine to cause discomfort at the top of the head?
Absolutely, migraines can prompt pain at the top of the head, potentially extending to the neck’s rear. Migraines can be accompanied by other signs including nausea and an aversion to bright lights or loud noises.
What does a sharp pain at the top of the head indicate?
Sharp pains, reminiscent of an ‘ice pick’ headache, often strike suddenly at the top of the head, typically affecting the frontal or temporal regions. Such sensations, however, might signal other medical issues, so it’s crucial to seek medical guidance for precise identification.
Summary
Numerous factors can prompt headaches targeting the superior portion of the cranium. Tension headaches lead as the predominant cause, tending to yield to self-care remedies.
Conversely, abrupt, intense, or durable headaches may stem from deeper medical issues necessitating professional intervention.
Individuals grappling with bothersome or lasting symptoms should consult healthcare providers. Should one encounter an abrupt, severe “thunderclap” headache, immediate emergency services or an urgent hospital visit is imperative.
