Here’s another common headache:
Headache on the top of your head.
This pattern is a spot that hurts on the top of your head. It almost always comes from the splenius capitis muscle. That muscle runs like a little strap from the center of the back of your neck to the base of your head behind the ear. The location of the trigger point is the green asterisk in the illustration. Once again, the trigger point that generates the pain is nowhere near the headache. I get this headache once in a while and find it easy to relieve with just a little attention because I can pinpoint the cause.
Clients come in and touch the top of their head saying, “I have a headache on the top of my head.” They almost always lean forward with their chin up and turned to one side while talking. They will often bend at the waist while sitting to make this more comfortable.
This problem is created by craning the neck forward while twisting the chin up and to one side. The original research talked about it being a problem with bird watchers. I find that it is more common in people watching monitors up high while twisting to one side. I have also seen this from painting the molding. You could get it from watching TV at the sports bar but looking down at the chicken wings and drinking beer breaks up the pattern, so I don’t see many of them.
This muscle is almost always involved in cases of vehicular whiplash.
I was looking for photos for examples and it occurred to me that a lot of models must have this headache. I’m sure that this photo of Madonna made this a popular headache in the 80s. She kind of looks like she’s in pain, don’t you think?
You will also see this spot as a problem in sternocleidomastoid but the rest of the pattern is so dominant that people seldom notice the spot on top. Don’t worry, your neuromuscular therapist is trained to sort this out. This trigger point is sustained by some joint problems in the top of your neck. Your NMT will take care of that too.
By the way, a little ice at the base of your head will help til your NMT can get to this.