Pain in the upper cervical spine and on both sides of the back of the head

In general, pain in the upper cervical spine and on both sides of the back of the head may be related to factors such as mental stress, excessive fatigue, trauma, cervical spondylosis, hypertension, and others. Patients should promptly visit a正规 hospital for evaluation to identify the underlying cause and receive appropriate treatment. Specific analyses are as follows:

1. Mental Stress

Long-term mental stress, anxiety, and excessive pressure may lead to muscle tension and poor blood circulation, thereby causing the aforementioned symptoms. This may also be accompanied by insomnia and other symptoms. Usually, no specific treatment is required; symptoms tend to improve once emotional state is adjusted.

2. Excessive Fatigue

Maintaining the same posture for prolonged periods or overusing neck muscles—such as working with a lowered head or using electronic devices for extended durations—may result in neck muscle fatigue and tension, leading to cervical pain that radiates to both sides of the posterior head. Symptoms may also include soreness. Massage, heat application, acupuncture, and similar therapies can help relieve discomfort.

3. Trauma

Injuries to the neck, such as sudden neck sprains, impacts, or falls, may cause soft tissue damage or cervical joint injury, resulting in the above-mentioned pain. Some patients may also experience limited local mobility. For simple soft tissue injuries, cold compresses are recommended in the early stage, while heat therapy may be used in later stages. In cases of fracture, immobilization with plaster or other fixation methods is necessary.

4. Cervical Spondylosis

Cervical spondylosis refers to degenerative changes in cervical structures, including cervical arthritis and intervertebral disc herniation. These conditions may lead to neck muscle spasms and nerve root compression, causing the symptoms described. Some patients may also experience stiffness in the shoulders and back, numbness in the hands, dizziness, and other symptoms. Patients may take medications such as betahistine mesylate tablets, eperisone hydrochloride tablets, or celecoxib capsules under medical guidance. It is important to develop healthy habits, avoid prolonged sitting, and minimize frequent低头 activities or extended use of mobile phones and computers. Engaging in more outdoor activities and receiving treatments such as neck massage, acupuncture, or traction as directed by a physician may also be beneficial.

5. Hypertension

Long-term unbalanced diet, irregular lifestyle, and genetic factors may lead to elevated blood pressure. This can place pressure on neck blood vessels, impairing circulation and causing ischemia in neck muscles, thus triggering the aforementioned symptoms. Some patients may also experience dizziness, arrhythmia, palpitations, tinnitus, and other issues. Under medical supervision, patients may take antihypertensive medications such as nifedipine tablets, amlodipine besylate tablets, or irbesartan tablets for management.

Patients should cultivate healthy daily habits, avoid prolonged sitting, refrain from frequently lowering the head or spending long hours on mobile phones or computers, and engage in more outdoor physical activities.