If you havepain in the back of your head, you’d probably enjoy some relief. To find a long-lasting fix, you need to find the root of the problem. From poor posture to different types ofheadaches, the back of your head may hurt due to one of the following causes.
Tension headache.This is the most common type of headache. It happens when the muscles in your scalp and neck tighten. This causes pain on the sides and back of your head. Usually it’s a dull pain that doesn’t throb.
Poor posture.If you tend to slouch when you sit or stand, that canstrain the muscles in the back of your head, upper back, neck, and jaw. It also can put pressure on the nerves in those areas. As a result, poor posture can cause tension headaches and pain in the back of your head.
Standing or sitting up straight can help relieve headaches from poor posture. Over-the-counter pain relievers may help as well. In some cases, you may need physical therapy.
Arthritis headache.The main symptom of an arthritis headache is pain in the back of your head that gets worse when you move. It may be the result ofarthritis in the first, second, or third vertebra of yourspine. It also could be due to changes in thebone structure of your neck or inflamedblood vessels in your head.
Talk to your doctor about treatments. Usually you can treat these headaches with anti-inflammatorydrugs, muscle relaxers, or both.
Low-pressure headache. Spontaneous intracranialhypotension (SIH) is more commonly known as a low-pressure headache. This happens when there’s a spinal fluid leak in your neck or back. The leak causes the cushion of spinal fluid aroundyour brain to decrease.
Symptoms of SIH include intense pain in the back of your head and neck that gets worse when you stand or sit. Low-pressure headaches usually get better after you lie down for half an hour. Some people with SIH wake up with a mild headache that gets worse through the day.
See your doctor if you think you have SIH. They likely will use a series of tests and imaging studies to diagnose the condition.
Most SIH patients find that typical headache treatments don’t work. Instead, they rely on a combination ofcaffeine,water, and lying down.
An outpatient procedure called an epidural blood patch is a common treatment that often works. For this procedure, your doctor draws blood from your arm and injects it into your lower spine. The headache goes away almost instantly, though you may have somelower back pain for up to a week (or in rare cases, even longer).
Occipital neuralgia.This rare type of headache involves pain in the occipital nerves. These run from your spinal cord up to your scalp. When they’re injured or inflamed, you may feel pain in the back of your head or behind yourears.
People describe the pain as stabbing and severe -- like a shock. It can last for a few seconds to a few minutes. Afterward, you may feel a dull ache.
Doctors aren’t sure what causes occipital neuralgia. The headache may come on when you do normal activities, such as brushing yourhair or adjusting your head on your pillow. People with awhiplash injury or tumor may have it as a side effect.
Treatment generally includes warm compresses and gentlemassage. Anti-inflammatory medications and muscle relaxers may help, too. If you have these headaches often, your doctor may prescribeantidepressants or antiepileptic drugs to lessen the attacks.
Cervicogenic headache.This may feel like a headache with pain in the back of your head, but the issue actually is in the neck. This is called referred pain, when you feel the pain in one part of your body but it’s really coming from somewhere else.
These don’t happen on their own -- they’re asecondary headache, which means they are a sign of another medical issue. This type of headache means there’s a problem with the bones, disks, or soft tissue in the neck such as:
- Tumors
- Broken bones
- An infection
- Rheumatoid arthritis
Symptoms of this type of headache include pain that gets worse with certain neck movements or when you touch your neck. You may find you have a limited range of motion.
To diagnose cervicogenic headaches, your doctor will need to rule out other types of headache. For treatment, they’ll use nerve blocks to numb the nerves in the neck. If this stops the headache, then you’ve found the problem. Other treatments include medication and physical therapy.
