Headache at the back of the head is an annoying symptom associated with many health problems, as it causes pain and may prevent the sufferer from performing daily tasks normally. This type of headache indicates a health problem that requires treatment. In this report,     Dalili Medical website reviews the most prominent causes, symptoms, and available treatment methods for headache at the back of the head.

**What is a headache at the back of the head?**

 

Headache is considered one of the most prominent health problems that many people suffer from almost daily, and the back headache (Headache at the Back of Head) is one of the most common types of headaches. Individuals can feel a headache at the back of the head at different times of the day, but it increases especially after waking up from sleep. The causes of headache at the back of the head vary, as some cases are temporary and others require medical intervention and treatment.

**Types of primary headaches**

 

Tension headaches are considered one of the most common types of primary headaches, as they are more common among women than men. Statistics indicate that one in 20 people in developing countries suffer from this type of headache. Tension headaches are characterized by pain that extends to all parts of the head, and it is a pressing pain rather than a pulsating one. This type of headache may be accompanied by pain in the neck, forehead, and shoulder muscles, but it does not get worse with daily activities. Although the exact cause of tension headaches is unknown, there are several factors that may contribute to their occurrence, such as changes in the response of the nerves in the head, neck, and shoulders to pain. Changes in how the brain interprets pain signals sent from the muscles in the head and neck may also be a cause. In addition, emotional stress and muscle tension are possible triggers for tension headaches.

Migraines are the second most common type of headache, and affect both adults and children. Migraines are characterized by sharp, burning or stabbing pain, usually around or behind the eye or on one side of the face, and are often accompanied by swelling and redness.

** Sinus headache **
Sinus headaches are caused by sinusitis associated with congestion resulting from infection or allergies. Symptoms appear as a pressing, throbbing pain around the eyes and forehead, and the headache and feeling of pressure increase with movement or straining. This type of headache is often accompanied by thick green mucus from the nose, in addition to a high temperature and increased sensitivity to light and sound.

**Hormonal headache or menstrual headache**
Some women suffer from headaches during or shortly before their menstrual period, and the appearance of migraines is linked to the date of their menstrual period in some of them. This is attributed to the effect of changing estrogen levels on a woman's body.

**Caffeine headache**
Caffeine headaches appear when consuming large amounts of it, as consuming more than 4 cups a day may lead to headaches. Also, suddenly stopping caffeine can cause a set of withdrawal symptoms, which may last up to a week after quitting caffeine, including:

Feeling tired.

Difficulty concentrating.

Mood swings and nausea.

Medication headaches are one of the most common types of headaches, as they are characterized by the excessive use of painkillers due to the presence of headaches. At first, the headache responds to painkillers, but over time, these painkillers begin to give the opposite results; The headache initially subsides and then increases due to excessive use of painkillers.

Pressure headache is the result of severe high blood pressure, and is considered a sign of an emergency. This type of headache is characterized by pain on both sides of the head, and its severity increases with any physical activity. It is necessary to visit the hospital in this case, as headaches associated with high blood pressure indicate a sharp increase in pressure.

As for the treatment of occipital neuralgia, there are several options depending on the severity of the condition, such as the use of antidepressants and following physical therapy sessions. In severe or persistent cases, Botox injections can be used as a treatment option.

Stress headache occurs as a result of doing a lot of physical effort without getting enough rest, in addition to lack of sleep. It may also result from practicing violent sports or excessive physical activity. This type of headache causes throbbing pain on both sides of the head and may extend to the back of the head.

Painkiller headache is a condition that some people suffer from as a result of excessive use of painkillers. This type of headache begins to appear when you stop taking these medications, and is characterized by severe pain in the back of the head that extends to the forehead, and may last for several hours. The severity of the pain varies depending on the amount of painkillers previously taken. In addition, the affected person may experience other symptoms such as neck pain, sharp eye pain, and increased sensitivity to light.
**Causes of Headaches in the Back of the Head**

 

**Tension headache:** This type of headache occurs in the back of the head, is most severe in the morning and lasts until the end of the day. It is caused by tension in the scalp muscles, and is often accompanied by a feeling of nausea without vomiting.

**Cluster headache:** Sometimes known as a headache that appears behind the head after sleeping. This type of headache causes pain in the back of the head or on both sides of the head, and gets worse when lying down. The pain usually starts in the eye area and then spreads to the back of the head, where the pain is centered behind the head and neck.

**Migraine:** Migraines are more common in females. People who have chronic severe migraines often experience pain in the back of the head, accompanied by nausea and vomiting, and extreme sensitivity to light and sounds. The pain is described as throbbing, or as a headache in the back of the head with a pulsating sensation. Pressure or damage to the nerves in the upper spine, neck, and scalp can lead to pain in the back of the head. Examples of these conditions include:The following:

Cervicogenic neuralgia is a type of neuralgia that occurs as a result of irritation of the occipital nerves (second cervical nerve root), which leads to a feeling of pain in the back of the head, neck and eye. This pain may extend to the top of the head or to the eye on the same side, and is similar in nature to electric shocks. The pain can be present on one side (right or left) or on both sides, as these nerves supply the back of the head.

Cervicogenic headache results from problems with the nerves of the neck, and is considered one of the most prominent causes of posterior headaches. It is characterized by recurring and continuous pain that starts from the back of the head and spreads to the face and neck, and may be accompanied by dizziness at first similar to a migraine attack, in addition to symptoms such as nausea, vomiting and other neurological symptoms.

Subarachnoid hemorrhage occurs when an abnormal swelling in a blood vessel in the brain bursts, causing a sudden and severe headache. This bleeding can be caused by trauma, a congenital defect in the cervical vertebrae, neuropathy, muscle inflammation, or erosion of the cervical vertebrae.
Subarachnoid hemorrhage accounts for half of all brain hemorrhages. The most prominent symptom of this type of hemorrhage is a sudden, severe headache in the back of the head, which is usually described as the most severe headache a person can experience. It may be accompanied by neck stiffness, double vision, in addition to spasms and other neurological symptoms related to the area where the hemorrhage occurred.

As for cervical headaches, they result from pain in the neck and spine, or herniated discs. The pain starts at the back of the head, then extends to one side of the head and behind the eyes. Cervical headaches, also known as neck headaches, increase when sleeping or lying down, as some people wake up due to pain that prevents them from sleeping comfortably.

A fracture of the base of the skull, known as a "basilar skull fracture", usually leads to a severe headache in the back of the head. This type of fracture is considered a serious condition that requires hospital monitoring. Other symptoms associated with a skull base fracture include loss of smell or hearing, visual disturbances, and bruising behind the ear or around the eye.

Overuse of painkillers, known as rebound headaches, occurs as a result of taking painkillers more than two or three times a week for long periods. The pain usually lasts throughout the day, and is most severe upon waking up, accompanied by a feeling of nausea, fatigue, lack of energy, and difficulty concentrating.

In cases of inflammation of the ear pinna and external auditory canal, the pain moves to the sides of the head as well as to the back of it, with severe pain in the affected ear.

As for inflammation of the wedge sinuses, it is usually accompanied by pain in the back and middle of the head, in addition to pain around the eyes.

High blood pressure in the brain can cause headaches in the back of the head and eyes as a result of increased blood pressure, and is often accompanied by irregular heartbeats, in addition to a feeling of nausea, vomiting, and difficulty breathing.

Brain tumors cause headaches in the back of the head accompanied by epileptic seizures.

Psychological and physical stress can also cause headaches in the back of the head, which can occur as a result of exercise or sexual activity.

Headaches that appear after exercise: This type of headache occurs after strenuous exercise, such as lifting weights or running, or even after intercourse or straining during defecation, and its duration may range from 5 minutes to two days.

Arthritis headache: This type appears as a result of inflammation of the first, second, or third vertebrae of the spine, and can be caused by several reasons, such as inflammation of the blood vessels in the head or a change in the shape of the bones in the neck area.

Headache from the back of the eye associated with the eye occurs when the eye feels tired and stressed, especially after sitting for long periods in front of the computer. This can lead to neck pain and pain in the back of the head, accompanied by eye pain.

When can a headache in the back of the head indicate a serious health problem?

 

Despite the severity of the pain and other annoying symptoms, the causes are usually not serious and can be controlled and treated by modifying lifestyle and using some medications. However, in some cases, a headache behind the head may be a sign of a brain tumor. There are some signs that, if they appear, may indicate the possibility of a serious problem such as tumors, in which case a doctor should be consulted immediately. These signs include:

- Loss of consciousness or loss of some events or details from recent memory.
- Inability to concentrate significantly.
- Feeling excessively sleepy even with adequate sleep.

Difficulty speaking

Slow speech

Inability to control pain

What is the treatment for a headache behind the head?

 

Tension headaches are treated by giving painkillers if this headache is not recurring. However, if it is recurring, several treatment methods can be followed, such as:

- Head massage.
- Behavioral and cognitive therapy.
- Physical therapy

**Chinese needles**

**Migraine treatment**: Painkillers are used to relieve this type of headache that appears in the back of the head, in addition to the importance of resting in a dark room. If these methods do not achieve the desired results, the doctor may prescribe special medications for migraines, such as Triptan.

**Treatment of medication overuse headaches**: In these cases, the use of painkillers should be stopped completely. Although this may increase the severity of the headache at first, the symptoms will gradually subside after a short period. In more severe cases, it is advisable to consult a doctor, as the patient may need physical therapy or cognitive and cognitive therapy.

**Treatment of occipital neuralgia**: Hot water compresses can be used as a means of treatment, bIn addition to anti-inflammatory medications and head massage. In more severe cases, the doctor may prescribe steroid injections.

Treatment of headaches that occur after exercise can be done using painkillers, which are an effective way to relieve this type of headache that appears in the back of the head.

As for the treatment of arthritis headaches, anti-inflammatory medications, in addition to the use of hot water compresses, contribute to relieving this type of headache.

With regard to the treatment of cluster headaches, the main goals include:

- Reducing the duration of the headache attack.
- Reducing the severity of the pain.
- Preventing the recurrence of headaches.

To achieve these goals, a group of medications are used, such as triptans, which are also used to treat migraines.

**Treatment of analgesic headaches**

The treatment of analgesic headaches depends mainly on gradually stopping taking analgesics, with the possibility of using some sedatives and antidepressants based on the evaluation of the attending physician. In addition, other methods can be followed to relieve pain such as physical therapy through massage and heat, and practicing relaxation techniques.

**Treatment of tension headache**
Treatment of tension headaches involves taking painkillers that help reduce the severity of the pain. However, the actual treatment lies in changing your lifestyle as much as possible, avoiding unhealthy habits, and ensuring that you get enough and high-quality sleep. It is also recommended to practice types of sports that help relieve stress, such as meditation, yoga, and swimming. Cognitive behavioral therapy can also be useful, as it helps develop skills to deal with problems and stress, which contributes to improving the quality of life and getting rid of the causes of headaches.

**Treatment of stress headache**
Treatment of stress headaches focuses on getting enough rest and sleep, with the importance of maintaining hydration. Over-the-counter painkillers can be taken, and drinking warm water can also help relieve pain and achieve a feeling of comfort.

**Treatment of cervical headache** Treatment of this type of headache depends mainly on identifying the main cause behind it, and using medications that help relieve symptoms, such as painkillers and anti-inflammatories. In addition, some exercises can be practiced to help relieve muscle spasms.

**Treatment of occipital neuralgia** There are several treatment options for occipital neuralgia, depending on the severity of the condition. These options include the use of antidepressants, and physical therapy sessions. In severe or persistent cases, Botox injections may be considered.

**Treatment of analgesic headaches** Treatment of analgesic headaches depends mainly on gradually stopping the use of the causative medications, with the use of some sedatives and antidepressants based on the evaluation of the attending physician. Other methods of pain relief can also be followed, such as physical therapy with massage and heat, and practicing relaxation techniques.

**A simple way to treat headaches with massage**

 

**Step 1:** Use your thumb to press firmly on the bridge of the nose below the forehead. Press firmly for 15 seconds while taking deep breaths, and repeat this process 3 to 5 times.

**Step 2:** Next, use your thumb again to press firmly above the bridge of the nose towards the forehead. Press firmly for 15 seconds while taking deep breaths, and repeat this step 3 to 5 times.

**Step 3:** Next, use both hands to gently pinch your eyebrows for 15 seconds, repeating this process 3 to 5 times while breathing deeply.

**Step 4:** Finally, use your fingers to press firmly on your temples in a circular motion for 15 seconds, repeating this process 3 to 5 times while breathing deeply.

**Using massage as a preventative measure against headaches**

Regular massage therapy can boost the body’s production of mood-regulating hormones, such as serotonin and dopamine. These “happy chemicals” released by the brain promote a sense of well-being and relieve pain at the same time. Maintaining a healthy hormonal balance helps manage stress, which can help prevent tension-related headaches before they occur, as well as improve sleep quality.

Proper circulation and hormonal balance through massage therapy, along with a healthy lifestyle, can significantly reduce the frequency and severity of recurring headache symptoms. Although it may be difficult to completely avoid headaches, massage therapy can be an effective way to prevent headaches and relieve their symptoms without the need for medication.

Massage sessions are performed regularly to help the body maintain an ideal level of relaxation and reduce stress, which greatly reduces the likelihood of migraine attacks and tension headaches by relaxing the muscles.

**Treatment of headaches in natural ways**

 

**Use cold or hot compress**: You can place a cold pack or ice cubes wrapped in a towel on your forehead, and continue to compress for 15 minutes, then take a break for 15 minutes. Taking a cold shower can also help relieve pain, making it an effective way to treat headaches naturally. If you suffer from tension headaches, you can place a heating pad on your neck or the back of your head. In the case of sinus headaches, placing a warm cloth on the painful area may be helpful. A warm bath can also help relieve pain.

**Dim the lighting**: Bright light can trigger migraines, so it is preferable to cover the windows with blackout curtains during the day, and wear sunglasses when going out. You can also add anti-glare screens to your computer, which contributes to treating headaches in natural ways.

Avoiding chewing gum can help relieve headaches, as chewing gum, nails, lips or other objects such as pens can trigger headaches. Therefore, it is advisable to avoid these habits. If you suffer fromTeeth grinding while sleeping, it is preferable to consult a doctor.

As for magnesium, it is an essential mineral for body functions and is considered a safe and effective treatment for headaches. It is noted that magnesium deficiency is more common among people who suffer from frequent migraines compared to those who do not suffer from them. Studies have shown that taking 600 milligrams of magnesium citrate orally daily can help reduce the frequency and severity of migraine attacks. However, taking magnesium supplements may cause some gastrointestinal side effects, such as diarrhea, so it is preferable to start with a small dose when treating headache symptoms.

**Caffeine intake**: Drinking some tea, coffee, or any beverage that contains a small amount of caffeine can help relieve headache pain. However, large amounts should be avoided, as caffeine withdrawal can lead to another type of headache. Therefore, this option is considered a natural way to treat headaches.

**Drinking ginger**: Ginger is effective in relieving pain, especially when used with over-the-counter pain relievers, as it has shown effectiveness in reducing pain in people who suffer from migraines. It also helps reduce nausea and vomiting, which are common symptoms associated with severe headaches. Ginger contains many beneficial compounds, including antioxidants and anti-inflammatory substances. It can be taken in capsule form or made into a tea using fresh ginger root.

**Anise**: Anise has long been used to treat a variety of ailments, including fever, swelling, and inflammation. Studies suggest that taking anise supplements in doses ranging from 50 to 150 mg per day may help reduce the frequency of headaches in adults and children. Anise is generally considered safe when taken in recommended doses, but caution should be exercised because it can cause liver damage when taken in excess. Anise is usually prepared by drying the leaves and flowers.

Willow (Salix) is considered an effective herb for treating headaches, as this tree is known for its spread in many countries and its many health benefits. It has been used since ancient times to treat inflammation, fever, headaches, and osteoporosis, by chewing the bark of the tree. Willow bark extract has also been used in the development of aspirin, which is known for its ability to relieve pain, reduce fever, and fight inflammation. Willow contains an anti-inflammatory component known as salicin, an antioxidant.

Ginger has been popular in Indian and Arabic medicine since ancient times, and has been well documented as an anti-inflammatory for viral or bacterial infections. Most people can use fresh or dried ginger root, or take supplements made from it. However, caution should be exercised when taking ginger supplements with blood thinners due to potential interactions.
Lavender oil is one of the effective herbal remedies for headaches, as it has been found that inhaling lavender oil while experiencing a headache can help relieve symptoms quickly. Made from the flowers of the lavender plant, it is famous for its sweet scent and has long been used in hygiene products.

Rosemary has antimicrobial and antispasmodic effects, as it contains antioxidants, and is also known for its ability to reduce headache and migraine pain. Rosemary oil can be diluted and applied topically or inhaled for aromatherapy purposes, or the leaves of the plant can be dried and used in capsules, or prepared as a hot drink.

Mint helps relieve the effects of headaches, as mint produces a long-lasting cooling effect on the skin. It stimulates blood flow in the forehead, soothes muscle spasms, and in combination with ethanol, they reduce the sensitivity of headaches. It is very beneficial for the health of the body in general, as it is full of valuable nutrients, so mint is the best herbal way to treat headaches.

Linden (Tilia), also known as the lemon tree, is used to calm the nerves and relieve anxiety and tension, in addition to treating inflammatory problems. Linden tea is a popular treatment in modern alternative medicine for treating headaches, especially migraines.

As for massage and relaxation, massaging the neck and head area can help relieve tension headaches resulting from stress. Stretching, practicing yoga or meditation, in addition to gradually relaxing the muscles during headache attacks, can also help reduce pain. It is also important to consult a doctor about physical therapy options if you suffer from muscle spasms in the neck, as this can help treat headaches in natural ways.
**Breathing exercises**
Breathing exercises are effective in relieving headaches without the need for medication, as they can be performed in just five minutes. It is preferable for the person with the headache to sit in a dark, quiet room to reduce stress. The exercise begins by taking a very deep breath and then slowly exhaling it, and this process is repeated continuously for five minutes.

**Muscle relaxation exercises**
Muscle relaxation exercises specifically target tension headaches, as they help gently move the muscles of the face, shoulders and neck, which helps relieve tension and muscle spasms and thus reduce the severity of the headache. These exercises can be performed by moving the face slowly in all directions in a circular motion, then moving the shoulders forward and then backward several times.

**Massage between the eyebrows**
Massaging the area between the eyebrows is effective in treating cluster headaches. This is done by pressing on this area using the index finger, while moving in a circular motion for about a minute.

Massaging the inner eyebrow base area, known as the Zan Shu point, which is located above the eyelids, is done gently and in circular motions, which helps relieve headaches and runny nose.

MassagingBelow the jawbone, it is effective in treating sinusitis headaches, headaches resulting from toothaches and gum inflammation, as the person often feels pain in the front of the head. This area can be massaged for one minute to feel better.

As for massaging the back of the head, which is located at the beginning of the spine behind the head, it helps in particular in relieving migraines and nasal congestion.

Massaging above the ear involves pressing on the sides of the head above the ear about 3 cm, which helps in relieving headaches and eye strain, and this can be done for one minute several times a day.

Finally, massaging the area between the thumb and index finger in the back of the hand helps in relieving migraines, back pain and toothaches, and also helps in relieving neck spasms resulting from tension, so it is recommended to try it as one of the methods of treating headaches with massage.