Possible muscle injury or vagus nerve.Pounding in head ,blood supply is pumping. The left vagus tightens up and extreme pain. It radiates across the base of the skull. Any clues.
Someones' Mom
Now, just out of curiosity, how do you know it is the vagus nerve???
(This is from Gray's):
On the right side, the nerve passes across the subclavian artery between it and the right innominate vein, and descends by the side of the trachea to the back of the root of the lung, where it spreads out in the posterior pulmonary plexus. From the lower part of this plexus two cords descend on the esophagus, and divide to form, with branches from the opposite nerve, the esophageal plexus. Below, these branches are collected into a single cord, which runs along the back of the esophagus enters the abdomen, and is distributed to the postero-inferior surface of the stomach, joining the left side of the celiac plexus, and sending filaments to the lienal plexus.
On the left side, the vagus enters the thorax between the left carotid and subclavian arteries, behind the left innominate vein. It crosses the left side of the arch of the aorta, and descends behind the root of the left lung, forming there the posterior pulmonary plexus. From this it runs along the anterior surface of the esophagus, where it unites with the nerve of the right side in the esophageal plexus, and is continued to the stomach, distributing branches over its anterosuperior surface; some of these extend over the fundus, and others along the lesser curvature. Filaments from these branches enter the lesser omentum, and join the hepatic plexus.
Kathy, I reread your original question, as well as the one you asked a week ago. The vagus nerve does not run down the base of the skull....I suspect it is your cervical spine causing the pain........it would cause throbbing as the vessels constrict. Migraines are often caused by intracranial vasoconstriction and further complicated by elevated blood pressure in response to the pain....
I used to suffer from terrible excruciatingly painful headaches at the base of the skull. Xrays showed mild arthritis and some fusion of the vertebrae. Many shots and pills later, along with manipulations by an osteopath, I tried an orthopedic pillow. I know it sounds ludicrous and too simple to consider, but it worked. Our heads should be straight with our bodies during sleep and not elevated. The neck should be straight, so please have a look at your pillow.
Do have your eyes checked to rule out eyes causing the pain. Do neck rotations, especially in the shower while the hot water is hitting the contracted muscles. Stay away from caffeine, which is also a vasoconstricter. Try to keep your neck relaxed. Examine your posture and position at the computer and whenever you are sitting.....do consult with a chiropractor to assess and align your spine as any part of the spine being out of alignment will affect the neck alignment. Have a look at the soles of your shoes for uneven wear which would indicate malalignment, and potentially one leg being longer than the other. Does your neck and back pound in response to your shoes hitting the ground when you are walking?
Good luck, Kathy......and try the flat/orthopedic pillow.....
Orignal From: medical head and neck injury?

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