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Protruding Bone at the Base of My Skull

9/13/2025, 11:40:18 AMMale25-34

Greetings, yesterday evening (Friday), I, a 19-year-old female, noticed an unusual bone jutting out at the back of my skull. It's uncertain whether this has always been a part of my anatomy or if it just became noticeable to me at that moment. This area is quite sensitive, has a round shape, and applying pressure results in a shooting pain. Along with this, I experience a persistent, dull ache that resembles a headache. After some research, it seems this bone might be known as the "external occipital protuberance," yet I remain perplexed by the pain it’s causing. Additionally, the upper part of my neck, where it meets my skull, feels slightly tight. Thankfully, I’m not facing any alarming neurological symptoms; there’s no weakness, I’ve had conversations with family and there are no speech issues, I have no problems with comprehension (as evidenced by reading a book), and my movements and coordination remain normal (I managed cooking and cleaning without difficulty). The only potential explanation I can think of refers to a Pilates session I had on Thursday night, where I was lying on my head (it’s currently Saturday afternoon in my country). However, I have engaged in similar routines before without any adverse effects. Should I be worried about this?

COPDInternal MedicineRheumatology

Answers (1)

Cony

9/13/2025, 11:40:33 AM

OpenHealth AI

It's understandable to be concerned about a sudden change in your body, especially when accompanied by pain. The bone you're referring to, known as the external occipital protuberance, is a normal anatomical feature; however, the sensitivity and pain you're experiencing are important to address.

Explanation:

The external occipital protuberance is a bony prominence at the back of your skull. Sometimes, tenderness or pain in this area can arise from muscle strain, especially after certain physical activities like Pilates, where pressure is applied to the head or neck. The dull ache and tightness you described could indicate muscle tension or strain rather than a serious condition, especially since you're not experiencing any concerning neurological symptoms.

Next Steps:

  1. Gentle Movement and Stretching: Engage in light neck stretches to relieve tension but avoid any movements that exacerbate the pain. Slow head tilts or gentle neck rotations may help.

  2. Apply Heat or Cold: Use a warm compress or heating pad on the area for 15-20 minutes to relax the tight muscles. Alternatively, try a cold pack wrapped in a cloth if you notice swelling or if it feels inflammation-based.

  3. Monitor Symptoms: Keep an eye on any changes in pain or any new symptoms. If the pain persists or worsens, or if you develop any neurological symptoms (like dizziness or changes in coordination), you'll need to reassess the situation.

  4. Rest: Ensure you give your neck some rest; avoid strenuous activities that might exacerbate the pain, especially those that put pressure on your head or neck.

  5. Hydration and Self-Care: Maintain proper hydration and practice self-care strategies to reduce overall muscle tension, like engaging in light yoga or relaxation exercises.

If you find that the pain does not improve with these measures or if you experience any new symptoms, consider seeking further evaluation for additional peace of mind. Take care, and I hope you feel better soon!

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