Headache in the back of the head: what to know

Pain at the back of the skull that follows desk work, poor sleep position, or tight shoulders may be linked with muscles and neck movement. Migraine can be felt in this area as well as elsewhere and may include nausea or light sensitivity. Brief electric or tender pain can occur when nerves or scalp tissues are irritated. A clinician considers injury, fever, blood pressure, and the full pattern rather than location alone.

Change position, support the neck, and take gentle movement breaks. Apply a warm pack to tight neck muscles or a cool pack to the painful area, whichever feels more comfortable. Drink water, eat regularly, and reduce intense screen or lifting activity while the pain settles. Avoid forceful neck manipulation. Record what brings it on and whether turning the neck changes it.

Seek emergency help for a thunderclap headache, new weakness, numbness, trouble speaking, confusion, fainting, seizure, repeated vomiting, or fever with a stiff neck. Get prompt assessment after a head or neck injury, or for a new headache that is worsening or unlike your usual pattern. Persistent pain with arm weakness or loss of balance also warrants medical review.

Ask whether your neck movement, posture, medicines, blood pressure, or migraine history could be contributing. Describe the exact spot, tenderness, duration, and any arm symptoms, and ask which exercises or pain relief options are suitable for you.