Tension headache at the base of the skull: what to know

The muscles where the neck meets the head can become tense after prolonged sitting, driving, device use, stress, or an unusual sleeping position. This can create a dull, pressing ache at the back of the head, sometimes with tenderness when the area is touched. Neck stiffness may occur alongside it. Pain that shoots down an arm, follows a neck injury, or comes with fever, rash, balance trouble, weakness, or altered alertness deserves a broader assessment rather than a simple tension-headache label.

Change position regularly and support your lower back when sitting. Keep the screen near eye level, let your shoulders drop, and avoid holding the phone between your ear and shoulder. Gentle range-of-motion movements can be useful if they do not worsen the pain; do not force a stiff neck. A warm shower or wrapped heat pack may relax tight muscles. Follow the label for any pain reliever, and record how often you need it. Rest, regular meals, fluids, and a consistent sleep routine can also reduce common triggers.

Get emergency help for a headache that reaches maximum intensity suddenly, or for new weakness, numbness, confusion, difficulty speaking, fainting, seizure, fever with a stiff neck, or severe symptoms after an injury. Arrange prompt care if neck pain is severe or accompanied by arm weakness, loss of coordination, or persistent vomiting. A GP review is sensible when episodes recur, last longer than expected, restrict movement, or are becoming more frequent.

Ask whether the neck examination supports a tension-type pattern, whether posture or jaw clenching may be involved, and what exercises or medicines fit your health history. Bring notes about onset, sitting or driving time, sleep position, and any symptoms in the arms.