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Why does my scalp hurt when touched, even though I don’t have a headache?

May 29, 2021 Source: Cainiu Health
Dr. Gan Liqiang
Introduction
Scalp pain should first prompt exclusion of intracranial disorders, followed by evaluation in dermatology to rule out primary skin conditions. Common examples include furuncles or folliculitis—often caused by bacterial infection—which typically present as red papules, sometimes with visible pustules. Palpation of these lesions usually elicits pain.

In cases of scalp pain, I strongly recommend visiting a hospital for evaluation. Initially, you should consult either the Department of Neurosurgery or the Department of Neurology to rule out any intracranial disorders. Additionally, it is important to consult a dermatologist to exclude potential skin-related conditions.

For example, common infectious conditions—such as furuncles (boils) or folliculitis—often result from bacterial infection. These typically present as localized, red, raised papules, sometimes with a visible pustular head; palpation usually elicits pain.

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If folliculitis or furuncles caused by skin infection are diagnosed, topical antimicrobial ointments—such as Bactroban (mupirocin) ointment—may be applied for symptomatic management.

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