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Intermittent sharp pain on the right side of the top of the head, with tenderness when touching the hair.

Apr 10, 2023 Source: Cainiu Health
Dr. Liu Wan
Introduction
Patients experiencing intermittent stabbing pain on the right side of the scalp, along with tenderness when touching the hair, may be suffering from conditions such as scalp inflammation, scalp infection, neuralgia, cervical spondylosis, or intracranial hemorrhage. As treatments vary depending on the underlying cause, it is essential to first seek evaluation at a正规 hospital. Additionally, intracranial space-occupying lesions may also cause these symptoms; therefore, prompt medical attention is recommended for proper diagnosis and treatment by a physician.

Intermittent stabbing pain on the right side of the top of the head, along with tenderness when touching the hair, may be caused by factors such as scalp inflammation, scalp infection, neuralgia, cervical spondylosis, or intracranial hemorrhage. As treatments vary depending on the underlying cause, it is important to seek medical evaluation at a正规 hospital first. The specific conditions are analyzed as follows:

1. Scalp Inflammation

Localized inflammation of the scalp can lead to symptoms such as pain, itching, and redness on the right side of the top of the head. Under a doctor's guidance, topical medications such as compound polymyxin B ointment, fusidic acid sodium ointment, or cefuroxime axetil granules may be used for treatment.

2. Scalp Infection

Scalp infections may cause scalp pain, fever, redness, and swelling. Patients can follow medical advice to take oral antibiotics such as amoxicillin capsules, cefaclor tablets, or cephalexin tablets for treatment.

3. Neuralgia

Scalp neuralgia is a common type of pain that may manifest as stabbing pain, numbness, or tingling on one side of the top of the head. Pain relievers such as aspirin tablets, ibuprofen sustained-release capsules, or acetaminophen tablets may be taken orally under medical supervision. Additionally, neurotrophic agents such as vitamin B1 tablets, vitamin B12 tablets, or mecobalamin tablets may be used in combination therapy.

4. Cervical Spondylosis

Patients with cervical spondylosis may also experience similar symptoms, primarily due to degenerative changes in the cervical spine or lesions in neck soft tissues stimulating cervical nerves. Patients should visit a正规 hospital for MRI examination to confirm the diagnosis. Under a doctor’s guidance, acupuncture, physical therapy, and massage may help relieve symptoms. If necessary, cervical nerve block surgery may be considered to alleviate pain.

5. Intracranial Hemorrhage

This condition involves rupture of blood vessels within the skull, leading to hematoma formation, possibly caused by trauma, hypertension, or other factors. Increased intracranial pressure results in intermittent stabbing pain on the right side of the top of the head and tenderness when touching the hair. Immediate surgical intervention (craniotomy) at a正规 hospital is required.

In addition, intracranial space-occupying lesions may also cause the above symptoms. It is recommended to seek prompt medical attention for accurate diagnosis and treatment. Maintaining good personal hygiene and avoiding scalp injury and infection can help prevent the occurrence of these conditions.


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