What causes a distending pain in the temples?

Jun 05, 2025 Source: Cainiu Health
Dr. Yang Ziqi
Introduction
In general, temple pain or pressure may be caused by environmental stimuli and fatigue, emotional stress, temporal arteritis, migraine, glaucoma, or other factors. Symptomatic management usually involves general treatment and medication. It is recommended to lie down and rest in a quiet, comfortable place, close your eyes, relax your body and mind, and allow your brain to fully relax in order to alleviate the symptoms of temple pain or pressure.

    In general, temple pain may be caused by environmental stimuli and fatigue, emotional stress, temporal arteritis, migraine, glaucoma, and other factors. Symptomatic treatment through general care or medication may be needed. If discomfort occurs, seek medical attention promptly. Specific explanations are as follows:

   

    1. Environmental Stimulation and Fatigue

    Prolonged exposure to cold environments or excessive fatigue may cause temple pain. Cold environments can stimulate the scalp and subcutaneous nerves, leading to vasoconstriction and spasms. Since major arteries are located in the temples, vasoconstriction may be more pronounced, causing a sensation of distension and pain, possibly accompanied by physical fatigue and low spirits. It is recommended to avoid cold environments, take proper warming measures, and ensure adequate rest.

    2. Emotions and Stress

    Intense emotional fluctuations, anxiety, tension, and other emotional factors may also lead to temple pain. These emotional changes can accelerate heart rate and respiration, increase blood circulation, and cause pulsation in areas with prominent blood vessels, such as the temples, resulting in pain. It is recommended to take deep breaths, go to an open area to calm down, and avoid excessive tension and anxiety.

    3. Temporal Arteritis

    Temporal arteritis is an inflammatory disease affecting arteries in the head, especially the temporal arteries near the temples, which can cause severe temple pain. Symptoms may include fever, weight loss, night sweats, general malaise, and jaw pain. It is recommended to take medications such as prednisone tablets, methylprednisolone tablets, and cyclophosphamide compound tablets under a doctor's guidance.

    4. Migraine

    Migraines may be related to abnormal neural pathways in the brain, vasodilation, and inflammatory responses. Abnormal vasodilation and inflammation in the temple area can cause a sensation of distension and pain. During an episode, symptoms such as visual aura, nausea, and vomiting may also occur. It is recommended to take medications such as indomethacin tablets, nimodipine tablets, and propranolol compound caffeine tablets as directed by a physician to relieve symptoms.

    5. Glaucoma

    Glaucoma is a group of diseases affecting the optic nerve. Increased intraocular pressure caused by glaucoma can compress the optic nerve, leading to headaches. Glaucoma may also be accompanied by symptoms such as vision loss, visual field defects, and eye redness and swelling. It is recommended to take medications such as mannitol injection, prednisolone acetate eye drops, and betaxolol hydrochloride eye drops under a doctor's guidance.

    It is recommended to lie down and rest in a quiet, comfortable place, close your eyes, relax your body and mind, allowing the brain to relax fully and alleviate the symptoms of temple distension and pain.