If the scalp becomes painful when touched gently, the first thing to consider is the following two causes. The first is to see if there is any trauma to the patient’s head. For example, if trauma causes bruising or hematoma in the head, the patient will have pain when the head is touched. The second one is neuropathic headache, which is characterized by pain when touched, such as cone like pain, or needle like pain. This needs to see if the patient has shingles on the head, because herpes often causes neuropathic headaches in patients, but it does not mean that all headaches are caused by shingles. Treatment should first identify the cause, and if the pain persists without relief, it is advisable to seek prompt medical attention at the hospital.