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What causes headaches at the base of the skull?

by Harmony Chiropractic | Jul 6, 2026

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A headache that starts at the base of the skull can be frustrating and, in some cases, quite debilitating. Some people describe it as a dull ache that begins where the neck meets the head, while others experience sharp pain that radiates towards the top of the head or behind the eyes.

If you've been dealing with this type of headache, you're probably wondering what's causing it and whether there's anything you can do about it.

At Harmony Chiropractic, we regularly see patients in Den Haag and Leidschendam who experience headaches that appear to originate from the neck. While headaches can have many different causes, problems involving the muscles, joints, and nerves of the neck are a common contributor.

Why does the pain start at the base of the skull?

The upper part of your neck is made up of joints, muscles, ligaments, and nerves that work together to support your head and allow it to move freely.

When one or more of these structures become irritated or don't move as well as they should, pain can sometimes be felt where the neck meets the skull. In some cases, that discomfort may also spread to the back of the head, the temples, or even behind the eyes.

This type of headache is often referred to as a cervicogenic headache, meaning that the pain originates from structures in the neck rather than the head itself.

Common causes of headaches at the base of the skull

There isn't one single cause of this type of headache. Instead, several factors may contribute.

Some of the most common include:

  • Muscle tension in the neck and shoulders
  • Poor posture
  • Long hours working at a computer
  • Reduced mobility in the upper neck
  • Stress
  • Previous neck injuries, such as whiplash
  • Sleeping in an uncomfortable position

Many people notice that their headaches become worse after spending several hours at a desk or looking down at a phone.

How do you know if your neck is involved?

Although every headache is different, there are some signs that suggest the neck may be contributing to your symptoms.

You may notice that:

  • The headache begins in the neck.
  • Turning your head makes the pain worse.
  • Your neck feels stiff.
  • You have reduced range of motion.
  • One side is more painful than the other.
  • The pain improves as your neck loosens up.

These symptoms don't necessarily mean the neck is the only cause, but they may indicate that it's playing a role.

Can stress cause headaches at the base of the skull?

Yes.

Stress often leads to increased muscle tension, particularly around the neck, shoulders, and upper back. Over time, this tension may contribute to headaches that begin near the base of the skull.

Some people also clench their jaw or grind their teeth without realising it, especially during sleep. This can further increase tension in the surrounding muscles.

Managing stress through regular movement, relaxation, and good sleep habits may help reduce muscle-related headaches.

How can a chiropractor help?

If you're experiencing recurring headaches, it's important to determine what may be contributing to them.

At Harmony Chiropractic, we begin with a thorough assessment of your symptoms, medical history, posture, neck mobility, and overall spinal function. The aim is to understand whether the neck could be playing a role in your headaches and whether chiropractic care is appropriate for your situation.

Chiropractic treatments focus on supporting healthy movement of the joints and spine. Depending on your individual needs, your chiropractor may also provide advice on posture, workstation ergonomics, stretching, and exercises to help reduce unnecessary strain on your neck.

Our goal isn't simply to address the symptoms, but to help identify the factors that may be contributing to them.

What can you do yourself?

There are several simple habits that may help reduce tension in the neck.

  • Move regularly

Avoid sitting in the same position for long periods. Short movement breaks throughout the day can help reduce stiffness.

  • Check your workstation

Your screen should be positioned at eye level so you're not constantly looking down.

  • Stay active

Regular exercise helps maintain mobility and supports healthy muscle function.

  • Pay attention to stress

Relaxation techniques, walking, and regular physical activity may help reduce muscle tension.

  • Get recurring headaches assessed

Headaches that frequently return or interfere with your daily life deserve professional evaluation.

When should you seek medical attention?

Although many headaches are not caused by serious conditions, you should seek immediate medical attention if you experience:

  • A sudden, severe headache unlike anything you've had before
  • Headache following a significant head injury
  • Fever, confusion, or difficulty speaking
  • Weakness or numbness
  • Changes in vision
  • Persistent vomiting

These symptoms require prompt medical assessment.

Conclusion

Headaches at the base of the skull are often linked to tension or problems involving the muscles and joints of the neck, although there are many possible causes. Understanding where your pain is coming from is the first step towards finding the most appropriate treatment.

At Harmony Chiropractic, we help patients in Den Haag and Leidschendam assess neck-related headaches and develop personalised care plans that support healthy movement and long-term spinal health.

If you've been experiencing recurring headaches at the base of your skull, we'd be happy to help you better understand your symptoms and discuss whether chiropractic care may be appropriate for you.

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