Occipital neuralgia is a type of headache disorder that occurs when the occipital nerves, which run from the top of the spinal cord up through the scalp, become irritated or compressed. This irritation can cause sharp, stabbing, or electric shock–like pain at the base of the skull, behind the eyes, or along the back of the head. The pain may come in sudden bursts or persist as a throbbing ache, often affecting one side of the head but sometimes both. Because these nerves are closely linked to the muscles in the neck and upper back, tension or injury in those areas can contribute to the condition.
The exact causes of occipital neuralgia vary and may include trauma, pinched nerves, muscle tightness, or underlying conditions such as arthritis in the cervical spine. Along with pain, people may experience scalp tenderness, sensitivity to light, or discomfort when moving the neck. Since its symptoms can resemble those of migraines or other types of headaches, occipital neuralgia can be difficult to diagnose without a thorough medical evaluation. Recognizing the nerve-based origin of the pain is key to understanding and addressing this condition
effectively.
