Headaches Associated with Neck Pain
Many people who experience headaches also report stiffness or pain in the neck. The structures of the neck are closely connected to the nerves that supply the head, so when the neck becomes stiff or irritated it can contribute to headache symptoms. We often assess both the neck and head symptoms to determine whether the neck may be contributing. See our Headache & Migraine and Neck Pain pages.
Pain at the Base of the Skull
Pain at the base of the skull is a common complaint and is often associated with tension or stiffness in the neck. Many people describe it as starting at the back of the head where the neck meets the skull, sometimes spreading upwards into the head or towards the temples and eyes. This is frequently related to irritation of the joints, muscles or nerves in the upper neck.
Common Symptoms
- Headaches accompanied by neck stiffness
- Headaches triggered by neck movement
- Pain at the base of the skull
- Headache spreading to the side of the head
- Headaches after desk work or looking down at phones
- Tenderness in the neck muscles
What Causes These Headaches?
Cervicogenic headaches
Joints or muscles in the neck refer pain into the head. These headaches often begin in the neck and spread into the head.
Muscle tension
Tight muscles in the neck and shoulders can produce tension headaches. Stress, poor posture or prolonged sitting can increase muscle tension.
Postural strain
Prolonged desk work or phone use can place increased strain on the upper neck joints, leading over time to headaches that originate in the neck.
Physiotherapy Treatment
- Manual therapy – hands-on treatment to restore movement in the neck joints.
- Muscle treatment – releasing tension in the muscles of the neck and shoulders.
- Exercise rehabilitation – exercises to improve neck strength, posture and movement.
- Postural advice – guidance on reducing strain on the neck during daily activities.
By improving neck movement and muscle function, physiotherapy can often significantly reduce headache symptoms.
When Should You Seek Treatment?
You may benefit from assessment if headaches occur frequently, are associated with neck pain, worsen with desk work or posture, or are affecting daily activities.
Book a Headache Assessment
When booking, select “Initial Physiotherapy Appointment”.


