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AnnlynnRN, Nurse (RN)
Category: Health
Satisfied Customers: 583
Experience:  RN - 16 years in ICU & Critical Care (Cardiac, Neurology, Trauma, & Medical/Surgical ICU.)
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what causes the crown of your head to be tender to touch

Resolved Question:

at times it feels like a slight burning sensation     at the top of my head and just touching my hair in that area hurts
Submitted: 10 years ago.
Category: Health
Expert:  Vicky B replied 10 years ago.


May I ask you a few questions?

I see you've tried Scalpicin. Does this mean you feel it is a scalp/skin problem? The burning sensation is an external one?

Is your scalp red and/or itchy.

Have you switched shampoos recently? Have you tried any new hair products recently?

Do you ever have an accompanying headache?

Do you have any other health problems or symptoms?

Customer: replied 10 years ago.
Reply to Vicky B's Post: no redness or itching using selsun blue shampoohave used for a while have hypertension not positive its external
Expert:  Vicky B replied 10 years ago.

Are you experiencing any hair loss?

Do you suffer from migraine headaches?

The medical term for what you are experiencing is Trichodynia. Unfortunately, just because it has a name doesn't mean its well understood.

I'm going to keep doing some research and also post your question to the other experts and see what they can come up with.

Vicky B, Nurse (RN)
Category: Health
Satisfied Customers: 231
Experience: Registered Nurse (pediatrics, home health), Internet Researcher, Caregiver, Mom for 21 years
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Expert:  AnnlynnRN replied 10 years ago.


Usually this type of symptom is a result of an external cause such as irritation from shampoo, permanent, or hair coloring. Some patients who are receiving chemotherapy also experience scalp tenderness and burning.

You mentioned to Vicky that you were not experiencing hair loss, but I found a study that showed these symptoms to be a precursor to hair loss. An allergy could also cause these symptoms.

You mentioned hypertension, but you did not mention if you were taking anti-hypertensive medication. Adverse reactions of this nature to anti-hypertensive is rare but possible.

You may just have very sensitive nerves to the scalp. The pain you feel is very real. You should begin your search for a diagnosis with a dermatologist; you may then be referred to neurologist.

Burning discomfort may be related to the trigeminal nerve. This involvement occasionally precedes the appearance of herpes vesicles; Herpes zoster, in the early stages can be mistaken for temporal arteritis. Temporal arteritis is also known as Giant Cell Arteritis.

I wanted to check some online resources to cover as many possibilities as I could. I did not find any significant information, however I did find the following in an exerpt on Giant Cell Arteritis (Temporal Arteritis) from "THE MERCK MANUAL".......

"A condition called giant cell arteritis in older patients who present with headaches, or scalp tenderness. Giant cell arteritis is also known as temporal arteritis and cranial arteritis is a disorder that results in swelling of arteries in the head (most often the temporal arteries, which are located on the temples on each side of the head), neck, and arms. This swelling causes the arteries to narrow, reducing blood flow."

AnnlynnRN, Nurse (RN)
Category: Health
Satisfied Customers: 583
Experience: RN - 16 years in ICU & Critical Care (Cardiac, Neurology, Trauma, & Medical/Surgical ICU.)
AnnlynnRN and 4 other Health Specialists are ready to help you