Feeling a stuffy head and tight temples, with a slightly painful sensation at the back of the head, what could be the reason?

Patient's question:

I've been feeling a headache, tightness in my head, and a bit of pain at the back of my head. When I lie down to sleep, it feels like I'm using a lot of effort to rest my head on the pillow. Both bending my head down and lifting it up feel heavy and uncomfortable. It's been going on for about two months, with some improvement in between, but now it's back to this again. What's going on?

Doctor's answer:

According to your description, recently I feel my head is swollen, tight, and there's a bit of pain at the back of my head, as well as when I lower and raise my head. This may be caused by the following reasons: First, it's necessary to consider cervical spondylosis-induced cerebral ischemia and neck discomfort. Second, it should be considered that abnormal blood pressure may cause cerebral ischemia. In your case, it is recommended to measure blood pressure and have a cervical X-ray examination, and determine the cause and treatment through clinical examination.

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