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What Causes Pain Behind the Back of the Head?

Published in Head Pain 3 mins read

Pain behind the back of the head can arise from various factors, including muscle tension, nerve irritation, poor posture, and underlying medical conditions.

Common Causes of Pain Behind the Head

Several factors can contribute to pain originating at the back of the head (occipital region). Here's a breakdown of some of the most common culprits:

  • Tension Headaches: These are arguably the most frequent cause. Muscle tension in the neck and scalp, often triggered by stress, anxiety, fatigue, or poor posture, can radiate pain to the back of the head.

  • Occipital Neuralgia: This condition involves irritation or injury to the occipital nerves, which run from the top of the spinal cord to the scalp. It often manifests as sharp, shooting, or throbbing pain that starts at the base of the skull and radiates upwards.

  • Cervicogenic Headaches: These headaches originate from problems in the cervical spine (neck). Issues like arthritis, whiplash, or other neck injuries can cause referred pain that is felt at the back of the head.

  • Poor Posture: Prolonged periods spent slouching or looking down at screens can strain the neck muscles and lead to headaches that localize at the back of the head.

  • Muscle Strain: Overexertion or injury to the muscles in the neck and upper back can trigger pain at the base of the skull.

  • Arthritis: Arthritis in the cervical spine (neck) can compress nerves and cause pain that radiates to the back of the head.

Less Common, But Possible Causes

While the above are more frequent, other less common conditions can also lead to pain behind the head:

  • Chiari Malformation: This structural defect involves the cerebellum (part of the brain) protruding into the spinal canal, which can cause headaches, neck pain, and other neurological symptoms.
  • Tumors or Lesions: Although rare, tumors or lesions in the brain or spinal cord can sometimes cause pain in the occipital region.
  • Infections: Certain infections, such as meningitis, can cause headaches and neck stiffness that may include pain at the back of the head.

When to Seek Medical Attention

It is important to consult a healthcare professional if you experience any of the following:

  • Severe or persistent pain.
  • Headaches accompanied by fever, stiff neck, nausea, vomiting, or vision changes.
  • Headaches that worsen over time.
  • Headaches that are triggered by specific activities.
  • Any new or unusual neurological symptoms.

Ignoring these symptoms could lead to delayed diagnosis and treatment of a potentially serious underlying condition.

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