Persistent headache at the back of the head: what to know

The location can provide clues but does not identify the cause. Long periods at a desk, awkward sleep position, jaw clenching, or tight neck muscles may produce pressure or aching that spreads upward. Migraine can also be felt in the back of the head, sometimes with nausea or sensitivity to light. Irritation of nerves near the scalp can cause brief, sharp, or burning pain. A brain tumour or brain metastases may cause headache alongside neurological changes, but pain at the back of the head is not proof of either condition.

Describe whether the pain is one-sided, tender to touch, linked with neck movement, present on waking, or brought on by coughing or exertion. Record associated symptoms such as vomiting, imbalance, visual change, weakness, or altered alertness.

Use a comfortable pillow, vary your posture, take gentle movement breaks, and reduce activities that clearly trigger the pain. Follow medicine labels and avoid repeatedly increasing doses. Arrange an appointment if the headache is new, persistent, changing, or limiting normal activity. A clinician can examine the neck, scalp, eyes, and nervous system and decide whether further evaluation is needed.

Get emergency help for a sudden explosive headache, weakness, numbness, trouble speaking, confusion, seizure, fainting, repeated vomiting, new vision loss, or difficulty walking. Seek prompt care for fever with a stiff neck, a headache after head injury, or pain that is rapidly intensifying.

Ask whether your neck, jaw, sleep position, or medicines could be contributing, and which examination findings would change the plan. Ask how to record triggers and when imaging or specialist review would be considered.