Medically reviewed by April Dawson, MSN, APRN, FNP-C, board-certified Family Nurse Practitioner at Highland Healthy Living, Cumberland, MD.
Last reviewed and updated: October 1, 2026 · Sources listed at the end of this article
A headache location chart maps where your head hurts to the types of headache most often felt there. Pressure across the forehead or top of the head usually points to a tension-type headache. Throbbing on one side often suggests migraine. Severe pain behind one eye can signal a cluster headache, and pain that starts in the neck may come from the neck itself.
Location is a useful clue, but it does not diagnose a headache on its own. Use the chart and table below to match where it hurts and how it feels, then look at the full pattern: what triggers it, how long it lasts and what comes with it.
Free printable headache location chart (PDF)
Includes the chart, a quick-reference table, red-flag symptoms and a headache diary to bring to your visit.
Headache Location Chart at a Glance
Use this table to match where your head hurts with how it feels. Location narrows the possibilities, but the full pattern of symptoms is what points to a cause.
| Headache location | What it often feels like | Often linked to | Clues to watch for |
|---|---|---|---|
| 1Forehead | Tight band or steady pressure across the front of the head | Tension-type headache, eye strain, sinus congestion | Worse with stress, screens or poor sleep. Congestion and pain when leaning forward point toward sinuses. |
| 2Temples | Pressing or throbbing pain on one or both sides | Tension-type headache, migraine, jaw clenching (TMJ) | Age 50+ with scalp tenderness or jaw pain when chewing needs same-day care (giant cell arteritis). |
| 3Behind one eye | Severe, sharp or boring pain centered on one eye | Cluster headache, migraine | Tearing, red eye or runny nostril on the same side; attacks of 15 to 180 minutes, often at the same time of day. |
| 4Cheeks, nose & brow | Deep pressure or fullness in the face | Sinusitis, allergies, migraine | Thick nasal discharge, fever or reduced smell suggest sinusitis. Many "sinus headaches" turn out to be migraine. |
| 5Top of head | Heavy weight or squeezing on the crown | Tension-type headache, poor sleep, fatigue | Often linked to posture, long screen time and stress. Usually no nausea. |
| 6Back of head & neck | Ache that starts in the neck and climbs upward, or shooting, electric pain | Tension-type, cervicogenic headache, occipital neuralgia | Worse with neck movement or desk posture. Sudden severe pain here needs emergency care. |
| 7One side of head | Throbbing, pulsing pain that may switch sides | Migraine, cluster headache, hemicrania | Nausea, light or sound sensitivity, or visual aura point toward migraine. |
| 8Whole head | Dull, all-over ache or pressure | Tension-type, dehydration, caffeine withdrawal, medication-overuse headache, illness | Check fluids, caffeine changes and how often you take pain relievers (more than 10 to 15 days a month can cause rebound headaches). |
Why Headache Location Matters
Different nerves, muscles, blood vessels and sinus structures can create pain in different parts of the head. That is one reason location can be helpful. Pain behind the eyes may point in one direction. A tight, band-like pressure across the forehead may point in another. Pain that begins in the neck and climbs upward may suggest something else entirely.
That does not mean every headache follows a neat pattern. Headaches often overlap, and one person’s tension headache may not feel exactly like another person’s. Even so, paying attention to location can make the conversation with your provider much more specific.
If you are looking for care for ongoing headaches, our headache treatment page is the best place to start.
Headache Behind the Eyes
Pain behind the eyes is often described as pressure, aching or deep discomfort. Sometimes it feels like the pain is pushing forward from inside the face. Other times it feels like a concentrated headache sitting directly behind one eye.
This kind of pain may be linked to sinus inflammation, eye strain, migraine, cluster headache or tension-type headache. If you also have congestion, facial pressure or worse pain when bending forward, sinus-related causes become more likely. If the pain is intense, one-sided and comes with tearing, a red eye or a runny nostril on the same side, that pattern fits cluster headache and should be evaluated.
Forehead Headache
A forehead headache often feels like pressure or tightness across the front of the head. Many people notice it after long hours at a screen, poor sleep, stress or sinus congestion. Tension-type headache is the most common cause, but sinus headaches can land in the same area.
One clue is whether the pain changes with congestion or leaning forward. Another is whether it feels like a steady pressure rather than a throbbing attack.
Temple Headache
Temple pain can affect one or both sides and is often tied to stress, muscle tension, dehydration, poor sleep or migraine. Many people with temple headaches also carry tightness in the neck, jaw, shoulders or scalp without noticing it at first. Jaw clenching and teeth grinding (TMJ problems) are common hidden contributors.

In adults over 50, new temple pain with scalp tenderness, jaw pain when chewing or vision changes can be a sign of giant cell arteritis, an inflamed artery that needs same-day medical care.
Cheek, Nose and Sinus Headache
Sinus pressure usually sits in the cheeks, between the eyes, around the bridge of the nose and across the lower forehead. It often feels deep and full, and it tends to get worse when you bend forward or lie down.
A true sinus headache usually comes with other signs of sinusitis, such as thick or discolored nasal discharge, congestion, fever or a reduced sense of smell. Many people who think they get frequent sinus headaches actually have migraine, so recurring “sinus headaches” without those symptoms are worth a closer look.
Top of Head Headache
Headaches on the top of the head are often described as pressure, squeezing or a heavy band sitting over the scalp. This pattern is usually linked to tension-type headache, fatigue, stress, poor posture or muscle tightness.
People who spend long hours hunched over screens, or who work through stress without breaks, often recognize this one as soon as they start paying attention to the pattern.
Headache in the Back of the Head and Neck
Pain in the back of the head is often connected to posture and neck tension, but not always. Poor desk setup, long hours sitting, stress and muscle strain can all play a role. Pain that starts in the neck and moves upward may be a cervicogenic headache, which comes from the joints or muscles of the neck.
Sharp, shooting or electric pain that runs from the base of the skull over the scalp can point to occipital neuralgia, an irritated nerve. Blood pressure problems may also need to be considered. If the headache seems to start in the neck, mention that detail at your visit. It helps separate muscular causes from others.
Right-Side or Left-Side Headache
One-sided headaches are common, and they do not always point to one exact answer. Migraine, cluster headache, nerve-related pain and even tension-type headache can all land more on one side than the other.
What matters more is the full pattern. Is it always on the same side? Is it throbbing? Is there nausea, light sensitivity or sound sensitivity? Does it come in cycles? Those details matter more than the side alone. A one-sided headache that never switches sides and keeps getting worse should be checked.
Whole-Head and Pressure Headache
A pressure headache is often described as squeezing, tightening or a heavy sensation rather than sharp or pulsing pain. It may affect the temples, the forehead or the entire head. Stress, anxiety, sinus congestion, fatigue and muscle tension are common triggers.
An all-over, dull ache is also typical of dehydration, caffeine withdrawal (usually 12 to 24 hours after your last caffeine) and medication-overuse headache, which can develop when pain relievers are used on more than 10 to 15 days a month. People often assume pressure means a sinus infection, but tension-type headaches can feel very similar at first.
Common Types of Headaches and Where They Hurt
- Tension-type headache: the most common type. Mild to moderate pressure or a tight band around the forehead, temples, top or back of the head. Usually no nausea.
- Migraine: moderate to severe throbbing, often on one side, lasting 4 to 72 hours, with nausea, or sensitivity to light and sound. Some people see an aura first.
- Cluster headache: severe, stabbing pain behind or around one eye, with tearing or a runny nostril on the same side. Attacks often happen at the same time of day for weeks.
- Sinus headache: pressure in the cheeks, forehead and around the eyes during a sinus infection, often worse when bending forward.
- Cervicogenic headache: one-sided pain that starts in the neck and spreads to the back of the head, often worse with certain neck movements.
- Medication-overuse (rebound) headache: a near-daily, all-over headache in people who take pain relievers very often.
Headache vs. Migraine
Many people use the words headache and migraine as if they mean the same thing. They do not. A regular headache often feels like pressure or aching and stays in the mild to moderate range. A migraine is more likely to bring throbbing pain, nausea, light sensitivity, sound sensitivity and sometimes visual changes.
That difference matters because migraine may need a different treatment plan than routine tension-type headaches.
The 5-4-3-2-1 Rule for Migraine
Clinicians use the international migraine criteria (ICHD-3) to tell migraine apart from other headaches. A simple way to remember them is the 5-4-3-2-1 rule:
If your headaches fit this pattern, a provider can confirm the diagnosis and discuss treatment and prevention options.
What Causes Headaches Most Often
There is no single answer because headaches have many possible triggers. Common ones include stress, dehydration, poor sleep, sinus infections, allergies, eye strain, hormonal changes, caffeine withdrawal, high blood pressure and medication overuse.
The practical takeaway is that tracking your own pattern matters. The same trigger does not affect everyone the same way.
- Notice where the pain starts.
- Pay attention to whether it throbs, presses or feels sharp.
- Write down what tends to happen before it begins.
- Track any nausea, congestion, light sensitivity or vision changes.
To make tracking easier, download our free headache diary. It is page 3 of the printable headache location chart. Two to four weeks of notes gives your provider a much clearer picture.
How to Ease a Headache at Home

For mild, familiar headaches, these simple steps often help:
- Drink water, and eat if you have skipped a meal.
- Rest in a quiet, dark room, especially for migraine.
- Apply a cold pack to the forehead or a warm compress to tight neck muscles.
- Take a break from screens and stretch your neck and shoulders.
- Use over-the-counter pain relievers as directed, and no more than 2 to 3 days a week to avoid rebound headaches.
- Keep regular sleep and caffeine habits.
If headaches keep coming back despite these steps, a provider can help find the cause and build a treatment and prevention plan.
Red-Flag Headache Symptoms: When a Headache Needs Medical Attention
Many headaches are not dangerous, but some deserve prompt evaluation. A sudden “worst headache of your life” is a medical emergency. That is not a wait-and-see situation.
Red-flag headache symptoms: get medical care right away
- Sudden, severe "worst headache of my life" that peaks within a minute (thunderclap)
- Headache with fever, stiff neck, rash or confusion
- New weakness, numbness, trouble speaking, vision loss or loss of balance
- Headache after a head injury or fall
- New headache after age 50, or a new pattern that keeps getting worse
- Headache that wakes you from sleep, or is worse lying down, coughing or straining
- Headache during pregnancy or after giving birth with vision changes or swelling
- Headache in someone with cancer, HIV or a weakened immune system
If you think you are having a medical emergency, call 911.
Headache Location FAQs
What kind of headache do I have based on location?
Location gives clues, not a diagnosis. A tight band across the forehead or top of the head is usually a tension-type headache. Throbbing pain on one side with nausea or light sensitivity often points to migraine. Severe pain behind one eye with tearing suggests cluster headache. Facial pressure with congestion may be sinus-related, and pain that starts in the neck may be cervicogenic. Use the chart above, then track your symptoms and share them with your provider.
What is a red flag headache?
A red flag headache has warning signs that it may come from another condition rather than a typical tension headache or migraine. Red flags include a sudden "thunderclap" headache, headache with fever and stiff neck, new weakness, numbness, confusion or vision loss, headache after a head injury, a new or changing headache after age 50, and headaches that get steadily worse. These need prompt medical evaluation, and a sudden severe headache needs emergency care.
What is the 5-4-3-2-1 rule for migraines?
The 5-4-3-2-1 rule is a memory aid based on the official migraine criteria (ICHD-3). It describes at least 5 attacks, each lasting 4 to 72 hours (up to 3 days) without treatment, with at least 2 of 4 pain features (one-sided, pulsating, moderate to severe, worse with routine activity) and at least 1 associated symptom (nausea or vomiting, or sensitivity to both light and sound). It is a screening guide, not a self-diagnosis tool.
Where are brain tumor headaches usually located?
Brain tumor headaches do not have one typical location. They often affect both sides of the head, but some are felt mostly on the side of the tumor. Location matters less than the pattern: a headache that is new, steadily worsening, worse in the morning or when lying down, coughing or straining, or that comes with vomiting, seizures, vision changes, weakness or personality changes. Brain tumors are a rare cause of headache, but these signs should be checked promptly.
What does a headache on the top of your head mean?
Pain on the top of the head is most often a tension-type headache, linked to stress, poor sleep, eye strain or tight neck and scalp muscles. It usually feels like pressure or a heavy weight rather than throbbing. Less often, migraine or occipital nerve irritation can cause pain here. See a provider if it is severe, frequent or comes with other neurological symptoms.
Where is a dehydration or caffeine withdrawal headache located?
Both usually cause a dull, all-over ache, often felt across the forehead or on both sides of the head, that can worsen when you stand, bend or move. A dehydration headache often eases within a few hours of drinking fluids. A caffeine withdrawal headache usually starts 12 to 24 hours after your last caffeine and can last several days.
Where are sinus headaches located?
Sinus headaches cause pressure in the forehead, cheeks, between the eyes and around the nose, and often worsen when you bend forward. True sinus headaches usually come with a sinus infection: thick or discolored nasal discharge, congestion, fever or reduced sense of smell. Many people who think they have recurring sinus headaches actually have migraine, so frequent "sinus headaches" are worth an evaluation.
When should I see a doctor for a headache?
Book a visit if headaches happen more than a few times a month, interfere with work or sleep, change in pattern, or need pain relievers more than 2 to 3 days a week. Get emergency care right away for a sudden severe headache, headache with fever and stiff neck, or new weakness, numbness, confusion or trouble speaking. Highland Healthy Living offers same-day visits in Cumberland, MD.
When to See a Healthcare Provider in Cumberland, MD

Schedule an evaluation if headaches are frequent, severe, changing, or interfering with work, sleep or daily life. It also makes sense if headaches keep returning despite home care and lifestyle changes.
Recurring patterns are easier to sort out when someone looks at the full picture instead of one isolated headache. Bring your headache diary to your visit. To learn more about ongoing care, visit our headache treatment page.
Ready to be evaluated? Book an appointment, or use our contact page if you have a question for the office first.
This article is for general education and does not replace a medical evaluation.
Sources
- International Headache Society. ICHD-3: 1.1 Migraine without aura
- American Migraine Foundation. Sinus headache vs. migraine
- American Headache Society. Red flags in headache: what if it isn’t migraine?
- Do TP, et al. Red and orange flags for secondary headaches (SNOOP4). Neurology. 2019
- Mayo Clinic. Brain tumor: symptoms and causes
- Cleveland Clinic. Headaches: types, causes and symptoms
- NHS. Headaches
Need to talk to a provider about this?
Highland Healthy Living offers same-day visits in Cumberland, MD. No referral needed.



