Pain at the base of the skull, also known as occipital pain, can be attributed to various causes. Here are four common reasons for pain in this area:

1. Tension Headaches:
   • Tension headaches are a common cause of pain at the base of the skull. They often result from muscle tension in the neck and scalp, which can be triggered by stress, poor posture, or prolonged periods of sitting in a fixed position. The pain is typically described as a dull ache or pressure.
2. Cervicogenic Headaches:
   • Cervicogenic headaches originate from issues in the cervical spine (neck). Dysfunction or irritation of the nerves, joints, or muscles in the neck can lead to pain that radiates to the base of the skull. Common causes include neck injuries, arthritis, or muscle strain.
3. Occipital Neuralgia:
   • Occipital neuralgia is a condition characterized by the inflammation or irritation of the occipital nerves, which run from the spine up through the scalp. This condition can result in sharp, shooting pain at the base of the skull. Causes may include trauma to the head or neck, tight muscles, or compression of the nerves.
4. Cervical Spondylosis:
   • Cervical spondylosis, also known as neck arthritis, is a degenerative condition that affects the cervical spine. Over time, the discs and joints in the neck can wear down, leading to pain and stiffness. The degeneration can cause pain at the base of the skull, especially during movement.

It’s important to note that other conditions, such as migraines, cluster headaches, or even sinusitis, can also cause pain in the same area. Additionally, certain medical conditions, like infections or inflammation, may contribute to skull base pain.

If you’re experiencing persistent or severe pain at the base of your skull, it’s recommended to consult with a healthcare professional for a proper diagnosis and appropriate treatment. They can perform a thorough examination, consider your medical history, and may order imaging studies if necessary to determine the underlying cause of the pain.