I've had pain on the top of my head (along with facial pain) for three years. Mostly it's a stabbing feeling, but I had one area that was sore and tender to the touch. The thing I've learned about the top of my head is that it's a kind of no-man's-land between the trigeminal nerve coming from the face and the occipital nerve coming up the back of your head.

Have you talked to a pain management doctor? They might be able to suggest a nerve block. I've tried blocks in the eyebrow area (didn't help me) and the back of my head (helped a lot!).

I still have facial pain to deal with, but at least the top of my head isn't sore anymore, so that's something to be grateful for. I wish you the best of luck in finding a good solution for your pain. Being in pain and not knowing why is no fun.

I hope this helps, Cheryl