Headache, migraine and dizziness resources
Suboccipital and tension-type headaches: understanding pain around the base of the skull
Melbourne Headache Solutions. First published 19 February 2021. Recovered and editorially updated 28 October 2026 from our archived resource. This is general education, not an individual diagnosis.
Quick answer
Pain at the base of the skull can occur with neck-related headache, tension-type headache or migraine. The location and a feeling of tightness do not identify the cause by themselves. Assessment should consider the full headache pattern, neck movement and other symptoms.
What does suboccipital mean?
Suboccipital refers to the area just below the back of the skull. The original MHS article described people attending with squeezing head pain and discomfort around the neck and shoulders. These descriptions help start a conversation, but they are not interchangeable diagnoses.
Tension-type headache commonly feels pressing or tightening. Migraine may include nausea and sensitivity to light or sound. Neck pain can accompany either, so a sore neck does not automatically mean the headache comes from a neck joint.
What can I try without forcing my neck?
Change position regularly during desk work or reading, take comfortable movement breaks and choose a sleeping position that feels supported. There is no single perfect posture to hold all day. Avoid forceful stretching, pressure into a painful spot or attempts to crack your own neck.
If jaw clenching is also present, mention it during assessment. A dentist may be needed for tooth or bite concerns. A pillow should be comfortable for you; a wall test or a product recommendation cannot diagnose your headache.
When is an appointment worthwhile?
Arrange an assessment when headaches recur, interfere with normal activities, or leave you repeatedly relying on short-term relief. Record which movements or positions reproduce familiar pain and which ease it. Include headache days without neck pain as well as those with it.
At MHS, an individual history and physical examination help decide whether neck or jaw care has a role. The aim is a clear explanation and a plan matched to your findings, with medical referral when indicated, rather than assuming all head pain is caused by the upper neck.
Headache and migraine assessment in Melbourne
If recurring symptoms are disrupting your day, you can discuss your history and next steps with Melbourne Headache Solutions. We have clinics in Brunswick, Fitzroy North and Thornbury. Check the current team and appointment options before booking.
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