
Q I am a man in my 40s working as a night delivery driver. The pain in the back of my head worsens when I am stressed or on cold days. Why is that?
A Stress tenses the muscles of the back of the neck and constricts blood vessels, increasing pressure around the laryngeal nerve. Cold weather is a major trigger that exacerbates nerve compression by constricting muscles and blood vessels. Pain becomes severe in combination, particularly when sleep deprivation, cold, and overwork overlap, such as during night work. Maintaining warmth and managing stress are important for preventing the worsening of symptoms.
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