Occipital neuralgia is a type of headache that occurs when the occipital nerves, which run from the top of the spinal cord to the scalp, become irritated or inflamed. This condition often causes sharp, shooting pain in the back of the head and neck, and may also lead to tenderness in the scalp. Symptoms can include pain that radiates to the forehead, behind the eyes, or down the neck. Triggers may include neck tension, injury, or prolonged posture issues. Treatment options often involve medications, physical therapy, or nerve blocks to alleviate discomfort.