Woman holding painful neck caused by tight muscles at base of skull
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Tightness at the base of the skull? Massage these muscles

Tightness at the base of the skull? Massage these muscles

You're likely to be sitting at your desk when it strikes: a slow, throbbing neck pain that feels like a kink at the base of your skull. Sometimes, the pain might feel like a sharp electric shock. At this point, you're likely to perform a couple of neck stretches for pain relief.

The pain is likely to radiate up your head, making your temples tender. It may spread to your shoulders and travel down your back, causing tingling and numbness in your arms. 

The pain is caused by tension headaches which result from trigger points, and muscle tension builds up in the muscles surrounding the head and the neck. Simply put: you have tight shoulders and a stiff neck.



Why are my back of the neck muscles so tight? 

Technology is neck pain's primary culprit. Our reliance on technology puts enormous strain on our necks. We usually tend to move our heads out of alignment when using a cellphone or a laptop by rounding forward. 

Keeping your arms in front of you Contracts the muscles in your chest - the pec minor muscles, which round your shoulders forward. Tightening pec pulls your shoulders forward, and the body compensates for this development by pulling your head forward. 

As your head leans forward, your bones are no longer doing the work of keeping you upright: it’s all on your neck muscles. Your new forward head posture throws off your head and spine alignment. Your neck muscles now carry the bulk of the weight of your head. The additional load places undue stress on the suboccipital muscles at the back of neck, resulting in pain and tightness. 

How to Relieve Pain at the Base of the Skull 

There's a group of muscles, the suboccipital muscles at the base of your skull, and muscle knots in these muscles can be responsible for tension headaches. These are four pairs of muscles that facilitate the subtle movements between your head and the neck.

They provide postural support and allow the neck's rotational and extension movements. The muscles are innervated by occipital nerves, a series of nerves running from the spinal cord to your scalp.


Poor posturing such as slouching and forward head posture builds tension in the suboccipital muscles. Sore and tender suboccipital muscles irritate and inflame the occipital nerves, leading to a condition known as occipital neuralgia. The condition manifests as pain at the base of the skull or in the back of the neck. Most people turn to neck stretches for pain relief, with only temporary results.

Direct, prolonged pressure on the suboccipital muscles is the best way to relieve pain at the base of the skull. Press into the muscles and hold for 30 to 90 seconds. 

Deep pressure massage for the neck

Sore suboccipital muscles feel like wearing a painful crown or band wrapping around your head. When tense, these muscles may compress the nerve that exits at the base of your skull, triggering tensional headaches. Prolonged deep pressure, specifically on these spots, helps to relieve muscle tension and the resultant headache. 

Relieving sore and tense suboccipital muscle requires consistent pressure. Rubbing on trigger points in the neck can actually activate them, creating increased pain in the long run. 

Applying mild to moderate pressure on the muscles produces a "hurts so good" sensation. The intensity of this sensation decreases as the muscles soften and relax, taking away your headache and your pain. 

Trigger points in the neck can cause tension headaches

Working on your laptop for a lengthy period may be the norm. But an hour of typing on the computer may cause a tensional headache. Hunching over the computer creates trigger points in the neck leading to tension headaches.

Trigger points are knotted muscles that trigger pain in another part of the body. If you have muscle knots in your neck muscles from hunching or poor posture, they might refer pain to your head, giving you a headache. Pain medication might help relieve the headache (symptom) but does little to solve the actual problem. 

Tight chest muscles and rounded shoulders can cause neck pain

The pectoralis minor (pec minor) is a tiny muscle that connects your shoulder to the rib cage. It helps to stabilize, rotate, and support all your shoulder movements. Poor posture causes the pec muscles to become tight and shortened. 

Tight and short pec muscles pull your shoulders in towards your chest. Besides rounding your shoulders, shortened pec muscles lead to the upper crossed syndrome, a condition characterized by deformed neck, shoulder, and chest muscles. 

By pulling your shoulders into your chest, shortened pec minor may create tension knots in your upper trap muscles. Naturally, most people opt for a shoulder rub to soften and relax the tight muscles. However, pressing and massaging the knots in the shoulder muscle amounts to treating the symptoms. 

Your real problem is the tension in the pec minor and the suboccipital muscles. Remember, the suboccipital muscles are close to the spine and buried underneath the upper traps. Releasing the pec minor (with pressure and not just chest stretches) and the muscles at the base of your skulls is critical to eliminating muscle knots in your traps. 

Massage or Chest Stretches? 

Stretching is a popular way to relieve muscle tension, but it may not help tension tightness. Stretches help to lengthen the muscle, which improves blood circulation, muscle repair, and increases the range of motion. 

However, stretching doesn't work well on knotted muscles. The muscles might elongate just a tiny bit but retain the tension as soon as you stop. Typically, your brain holds muscle tension to protect you from pain and injuries. 

Likewise, rubbing or massaging a muscle produces short-lived effects. Rubbing improves the muscle's pliability and circulation to ease some of the tension. 

After a while, the effects will wear off, and the fibers retract to their original state. It might feel good to rub or stretch a muscle holding tension, but it won't help to release and relax tension longterm.

Neck Massage or Neck Stretches for Pain 

Pressing on muscle is the most effective way to release muscle knots. Applying prolonged pressure, about 30 to 90 seconds, with your fingers or a tool produces the best result. 

Initially, pressing on a muscle elicits some pain, but after 30 seconds, the pain dissipates as the muscles relax. Your brain instructs the muscle fibers to stop contracting and relax, producing long-term results. The effects can last for hours, days, or even months to allow you to lead a pain-free existence. 

Your Rotated Pelvis May Be Causing Neck and Shoulder Pain 

Anterior pelvis rotation refers to a pelvis pulled forward due to tension at the front of the hips. Tight hip flexors pull the pelvic bone forward and throw the tailbone and pelvic bone joint out of alignment. As a result, the joint creates tension, gets irritated, and becomes painful. 

Anterior hip rotation changes the way the ball fits in the hip joint socket to alter the entire trajectory of your leg. More importantly, a twisted hip limits the rotation of the spinal column and affects alignment higher up the spine. It leads to lower back pain and nerve irritation that affects your entire back and shoulders. 

Our bodies have a Primary Core (hips) and Secondary Cores (neck/shoulders). Tension in either of these cores can create pain in other areas of the body. Therefore, it's critical to keep our cores strong, properly aligned, and relaxed to ensure our spines, limbs, and nervous systems work properly.


Hip flexors are a crucial part of our primary core. The primary core comprises the abdominal muscles, back muscles, and hip flexors. If your body is under stress or traumatized, it holds tension in the primary core around your pelvis. Unfortunately, tension and pulling in the primary core irritate the nervous system. 

Your neck and shoulders form the secondary core to support the upper part of the body. If you're stressed, you're likely to have tension in the pec minor, the tiny muscle connecting your shoulders to your chest. 

Tight pec minor pulls you forward, resulting in rounded shoulders. Rounding shoulders pull your head forward and misalign your spine, which twists and irritates your nervous system. The nervous system irritation is more pronounced if you have more tension on one side than the other. 

Misalignment in the head and neck junction creates tension at the base of the skull. Carrying tension at the bottom of the head and in pec minor severely irritates the brain, brain stem, spinal cord. 

As a result, your nervous system is in a constant state of fight or flight mode. Any efforts to release muscle tension won't work when your nervous system is in this state constantly. 

Stress and Neck Pain

There's a direct connection between stress and neck pain. When you're stressed, you're likely to curl up into a fetal position with your head tucked, shoulders forward, and knees tucked into your chest. 

Unfortunately, all these positions produce muscle tension and irritate the nervous system. Stress creates muscle tension at the back of the neck leading to neck pain. Absolutely use additional relaxation efforts such as warm baths, meditation, or a walk in nature to affect your stress level. But don’t forget about also releasing the patterns that have formed in your muscles! 

How to Relax Tight Neck and Shoulder Muscles

Addressing muscle tension in the primary and secondary core is the most effective way to relax tight neck and shoulder muscles. In the primary core, you need to release the iliacus and psoas muscles at the front of the hips with a specialized tool like the Hip Hook. At the back of the hip, you should release the piriformis and deep hip rotators with a massage ball, such as a Hip Flexor Release Ball

In the secondary core, you release tension in the base of the skull and pec minor. While some people try to do this with tennis balls, it is highly recommended to use a specific tool that is anatomically-shaped to access these small but mighty muscles.

Applying direct, prolonged pressure is the most effective way to release muscle tension. Prolonged pressure on a muscle knot causes the muscle to soften and relax, which signals the brain it's safe to release tension in those muscles. You can apply direct, prolonged pressure with your fingers or a dedicated tool. 

Eliminate Tension Headaches Today

Tools designed to apply pressure like hands and fingers work best when releasing muscle tension. It provides the specific angular pressure you need to reach and release the sore spots. The best tension release tools allow you to apply prolonged pressure without sliding or rolling, and are angled to provide precise, targeted pressure. They can handle the pressure, adapt to your body, and isolate the small yet critical muscles.

We recommend the NUCKLE: it's designed by a PT to release, relax, and realign the neck and shoulders. With three widths and six angles, it can adjust to every body and apply clinically effective specific pressure to relax tight muscles and reduce pain.

Commonly asked questions about how to fix forward head posture and tech neck

Why is the back of the neck tight?

The back of the neck is often tight due to shortened and tight pec minor muscles pulling the shoulder forward. That pulls your head forward, creating muscle tension at the base of the skull. 

How do I fix nerd neck?

You can fix nerd neck by releasing muscle tension at the base of your skull and in the pec minor. Applying direct, prolonged pressure with your fingers or a specialized tool t these areas helps to relieve muscle tension and improve posture.

How to correct forward head posture?

You can correct forward head posture by releasing muscle tension in your pec minor and the muscles at the base of the skull. 


By Christine Koth . Tue Nov 09

Author Bio

Uncovering the cause of your pain is my mission. As a bestselling author and holistic physical therapist with decades of experience, I have helped countless people, just like you, recover from long-standing issues. I've discovered a major cause of pain hidden in the hip and this has lead to my "Iliacus Queen" and hip expert status. I'm here to help you discover causes like this. It doesn't have to be complicated to live a pain-free life. We can do this. I look forward to supporting you on your healing journey.