Pain in the Base of the Head During Exercise

Exercise can cause pain in the base of the head, which may also be accompanied by nausea and other migraine-like symptoms and pain in other areas of the head. Knowing what type of exercise relates to which headache and the headaches' other symptoms helps you identify what might be causing your pain. See your doctor for changes in severity or patterns of exercise-triggered headaches, or if you become drowsy, numb, feverish or develop a stiff neck.

Is This an Emergency?

If you are experiencing serious medical symptoms, seek emergency treatment immediately.

Exertional Headache

Exertional headaches and effort-induced headaches are sometimes lumped in together, but exertional headaches are slightly different. Exercising that involves pushing, pulling and lifting can cause exertional headaches. Sneezing and coughing may, too. Because of the correlation between lifting and exertional headaches, they are sometimes called weightlifting headaches. Pain typically occurs in the occipital area of the neck. The occipital ridge is the bone along the back of the neck and head down to the base of the skull.

Effort-induced Headache

Aerobic exercises such as swimming, hiking and running cause effort-induced headaches. Athletes are particularly vulnerable to effort-induced headaches because of dehydration, overheating and hypoglycemia. Warming up with light aerobic activity may prevent effort-induced headaches.

Sport Device Triggered Headache

Sport device triggered headaches usually are felt in the occipital and temporal areas of the skull. Examples of devices that cause sport device triggered headache are mouthpieces, swimming goggles and helmets. Loosening the straps of goggles might help.

Occipital Neuralgia

Occipital neuralgia is a term for a cycle of alternating pain and muscle spasms that begins in the base of the neck. This pain may move to the sides or front of the head or even behind the eyes, often causing it to be misdiagnosed as an occipital migraine. Although exercise may not be a main trigger of occipital neuralgia, if the activity causes you to tense or strain your neck or causes falls or impact on the neck, there could be a connection.

Cervicogenic Headaches

Your headache pain may also come from having a weak neck or upper back. When engaging in physical activities such as weight training, sports or rock climbing, the neck and upper back are physically stressed. This causes what is referred to as a cervicogenic headache, which starts in the neck and shoulders and then moves up into the head. You might feel pain for weeks if you don't get treatment.


Migraine headaches have many causes, but too much or even too little exercise may bring them on. Although migraine pain is often felt on both sides of the head, this is not an absolute rule. Some people experience migraine pain at that base of the head, only on one side or behind the eyes.