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What is the pain where the neck meets the skull?

Published in Head and Neck Pain 3 mins read

Pain where the neck meets the skull is often associated with occipital neuralgia, a condition characterized by pain originating at the back of the head and upper neck.

Understanding Occipital Neuralgia

Occipital neuralgia is a specific type of headache that can cause significant discomfort. Here's a detailed breakdown:

Pain Characteristics

  • Location: The pain typically begins at the base of the skull, where the neck and head join. It can spread upwards to one or both sides of the head. Some individuals may initially feel pain behind one eye.
  • Quality: The pain can vary but is often described as:
    • Aching
    • Throbbing
    • Sharp
    • Electric-shock like
  • Triggers: Certain movements can exacerbate the pain, including:
    • Combing your hair
    • Turning your head
    • Lying on a pillow

Common Symptoms:

  • Pain at the back of the head and neck.
  • Pain behind one or both eyes.
  • Sensitivity to touch at the back of the head.
  • Pain that spreads upward from the neck to the head.

Possible Causes:

Occipital neuralgia arises when the occipital nerves, which run from the top of the spinal cord to the scalp, become irritated or compressed. Potential causes include:

  • Tight muscles in the neck
  • Trauma or injury to the head or neck
  • Osteoarthritis of the cervical spine
  • Nerve compression
  • Inflammation

Example Scenario

Imagine a scenario where someone experiences a sharp, shooting pain at the base of their skull while turning their head to check for traffic. This could indicate occipital neuralgia. The pain might radiate upwards, potentially even causing discomfort behind their eye.

Managing the Pain

The management of occipital neuralgia is aimed at alleviating the pain and identifying underlying causes. This could include:

  • Rest and Relaxation: Taking rest and avoiding activities that trigger the pain can help
  • Pain relievers: Over-the-counter or prescription pain medication can help manage the pain
  • Physical Therapy: Physical therapy to stretch and strengthen neck muscles
  • Nerve blocks: Injection of local anesthetic or steroid to block pain signals
  • Lifestyle Modifications: Posture changes and ergonomic modifications


Feature Description
Primary Pain Site Base of the skull, where the neck meets the head
Pain Type Aching, throbbing, sharp, electric-shock like
Pain Spread Upward to the head, potentially behind the eyes
Triggers Head movements, combing hair, lying on a pillow, turning the head


Based on the provided reference, pain at the point where the neck meets the skull is most commonly associated with occipital neuralgia, stemming from the irritation of occipital nerves.

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