Nummular headache

Nummular headache, also known as coin-shaped headache, is a type of chronic headache that is characterized by pain that is usually confined to a small, round or oval area on the head. It is a relatively uncommon type of headache, and its cause is not fully understood.

Causes

The exact cause of nummular headache is unknown, but it is believed to be related to nerve irritation or damage to the scalp. It has been associated with a variety of conditions, including head trauma, infection, and autoimmune disorders.

Symptoms

The primary symptom of nummular headache is a localized area of pain that is typically described as a burning or throbbing sensation. The area of pain is usually small and round or oval in shape, ranging from the size of a dime to the size of a silver dollar. The pain can be intermittent or constant and can last from minutes to hours. Other symptoms can include tenderness, sensitivity to touch, and itching.

Treatment

Treatment for nummular headache typically involves medication to manage the pain. Over-the-counter pain relievers such as acetaminophen or ibuprofen may be effective in some cases. Prescription medications, such as tricyclic antidepressants or anticonvulsants, may also be used to manage the pain. Nerve blocks or injections of steroids may be recommended for more severe cases.

Complications

Nummular headache is generally not associated with serious complications. However, the chronic nature of the pain can impact quality of life and lead to anxiety and depression. It is important for individuals with nummular headache to work with their healthcare provider to develop a comprehensive treatment plan that addresses both physical and mental health needs. In some cases, the underlying cause of nummular headache may require additional treatment or management.