Full Question: My mother in law, 87 years old, never had migraines has developed a symptom that makes me wonder. She says she has an extremely tender spot at the back of her head that burns and is very painful. She has been concerned and hurt enough to get a MRI and CT scan done, which isn't like her at all. I'm wondering if it could be a symptom of a migraine without the headache.
Teri told me there could be symptoms like that without the headache and that popped in my mind as soon as my MIL told me she was suffering terrible with this. I asked her if it felt like someone had pulled her hair really hard for a long time and she said yes. The MRI and CT scan showed absolutely nothing. Sounds like a nerve problem to me but remembering what Teri had said I wanted to ask the Clinician if it could be this. Thank you, Cynthia.
The question is an interesting one as elders sometimes will have head pain without headaches per se. Certainl...
One of the most common problems seen in a primary care medical practice is low back pain. It accounts for more discomfort, lost work and productivity, and frustration for many patients than any other malady. Some think it is the price we, as humans, pay for walking upright. The lower back is a complex structure made of bone, muscles, connective tissue and nerves that, along with our legs, hold us erect, allow us to bend, run, twist, catch a football, or just lay down and rest. However, once a problem arises, the complexity of its structure makes pain in the lower back difficult to diagnose and treat. The lower back consists of a spinal column from the lumbar region of the mid-back down to the tail bone or coccyx. The spinal column consists of 5 lumbar vertebrae which are cylindrical bony structures with a ring like component behind the cylinder also made of bone. In between the vertebrae are disc shaped cushions filled with a gelatinous central core known as the nucleus pulposis
Highlights Overview: Back pain can be acute, subacute, or chronic, and more commonly occurs in the lower area of the back.
Acute back pain develops suddenly and lasts up to several weeks. Acute pain is the most common type of back pain. Subacute back pain is pain that lasts up to three months. Chronic back pain can begin abruptly or gradually, linger, subside and then come back, but it lasts longer than 3 months. With proper self-care, most acute cases resolve within 4 - 6 weeks. Two-thirds of those patients, however, will experience another episode of back pain within 12 months. Diagnosis: A medical history and a brief physical examination is always necessary for both acute and chronic back pain. The main goal of a physical exam is to try and determine the source of the pain and to detect warning symptoms. Imaging techniques such as x-rays or scans are rarely recommended in the first month unless the health care provider suspects a serious problem such as a tumor, fracture, infection, caud...
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