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A persistent headache for one year, along with a palpable swelling at the back of the head (occipital region) that is tender to touch and triggers head pain, should not be ignored. In most cases, this turns out to be a benign local cause, such as: • Occipital neuralgia (irritation of occipital nerve) • Sebaceous cyst / lipoma under the scalp • Enlarged lymph node due to past infection • Muscle knot or chronic soft-tissue inflammation The fact that touching the swelling reproduces pain strongly suggests a local scalp/nerve or soft tissue cause, rather than a brain problem. However, since it has been present for a year, it does require proper evaluation.

Painful swelling in the scalp should be seen by a general surgeon in your area to determine the cause of the swelling

Kindly consult surgeon for the same

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Please consult a physician physically.

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Better ,if you attach photos of area where swelling occurs.please connect me on practo for better management and evaluation.

Plz provide a clear picture of swelling ,so I will guide you .

Need further evaluation

Need a few more details please consult for further evaluation and treatment

Hello Thanks for query Kindly visit your doctor for physical examination and further work up

Need some more details kindly consult