Headache due to neck tension: what to know

Long periods looking down, computer work, driving, stress or an awkward sleeping position can tighten the neck, shoulders and scalp. The pain may feel like pressure, spread from the back of the head, or become worse when the neck moves. Tender muscles support this pattern, but they do not rule out migraine, infection, injury or another cause.

Note when the pain begins, what posture or activity preceded it, how movement affects it, and whether you have numbness, weakness, fever or visual symptoms. A clinician can examine your neck and nervous system if the pattern is unclear.

Change position often, bring screens to eye level and support your lower back. Use a warm pack on tight muscles, and try slow, comfortable neck and shoulder movements without forcing a stretch. Continue ordinary light activity if it does not worsen the pain; prolonged bed rest may increase stiffness. Ask a pharmacist which pain reliever is suitable, particularly if you have other conditions or take regular medicines.

Get urgent help for a sudden severe headache, weakness, numbness, trouble speaking, confusion, fainting, seizure, vision loss or a stiff neck with fever. Seek prompt review after a neck or head injury, or if pain is worsening, persistent, associated with arm symptoms, or unlike your previous headaches.

Ask whether your posture, muscles or joints fit the pattern, which exercises are appropriate, and whether you need assessment for migraine, nerve irritation or another cause.