What are the causes of occipital (nape) pain with a burning sensation?

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Differential Diagnosis for Nape Pain that Feels like Fire Burning

  • Single most likely diagnosis
    • Cervical strain or sprain: This is a common condition that can cause pain in the nape area, often described as a burning sensation due to muscle spasms and inflammation.
  • Other Likely diagnoses
    • Tension headache: Tension headaches can cause pain in the neck and nape area, which may feel like a burning sensation due to muscle tension.
    • Cervical spondylosis: This condition involves wear and tear on the cervical spine, leading to pain and stiffness in the nape area, which can be described as a burning sensation.
    • Fibromyalgia: This chronic condition is characterized by widespread muscle pain, including the nape area, which can feel like a burning sensation.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
    • Meningitis: Although rare, meningitis is a life-threatening condition that can cause severe neck pain and stiffness, which may be described as a burning sensation.
    • Cervical spine fracture or dislocation: Traumatic injuries to the cervical spine can cause severe pain and instability, which may be described as a burning sensation.
    • Spinal cord compression: Compression of the spinal cord can cause severe pain, numbness, and weakness, which may be described as a burning sensation in the nape area.
  • Rare diagnoses
    • Occipital neuralgia: This condition involves inflammation of the occipital nerve, which can cause severe pain in the nape area, often described as a burning or shock-like sensation.
    • Multiple sclerosis: This chronic condition can cause a range of symptoms, including pain and numbness in the nape area, which may be described as a burning sensation.
    • Cervical radiculopathy: This condition involves compression or irritation of the cervical nerve roots, which can cause pain, numbness, and weakness in the nape area, which may be described as a burning sensation.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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