More than 90% of people experience a headache at some point in their lives. Physiotherapists most commonly treat migraines, tension- type headaches and cervicogenic headaches (caused by problems with the neck). Some headaches may be secondary to an underlying cause and will need further investigations. While many people treat headaches with medication, physiotherapy offers an effective alternative, especially for those experiencing tension headaches, migraines, or headaches caused by neck issues (cervicogenic headaches).
Common treatable causes of headaches are:
- Poor motor (movement) control
- Tightness of cervical/neck muscles
- Reduced muscle size
- Hypomobility (stiffness in upper neck joints)
- Pain when conducting an examination by touching it with the fingers or hands, of the upper neck
- Myofascial trigger points (pain caused by muscular irritation)
At First4Therapy, we offer a range of treatments to help manage and reduce headaches.
Here’s how some of our specialist therapies work:
- Exercise Therapy
Exercise therapy focuses on improving posture, strength, and mobility. Poor motor (movement) control and weak deep neck muscles can contribute to headaches. According to the Chartered Society of Physiotherapy (CSP), regular exercise can alleviate tension in muscles that contribute to headaches, particularly around the neck and shoulders. Strengthening exercises also support long-term prevention by addressing posture and muscle imbalances that often trigger headaches.
- Neurodynamics
Neurodynamics is especially beneficial for individuals whose headaches are linked to nerve sensitivity or entrapment. The Manipulation Association of Chartered Physiotherapists (MACP) highlights the effectiveness of neurodynamic techniques in reducing neural tension, which can often alleviate headache-related symptoms by enhancing nerve mobility and reducing pain.
- Joint Mobilisation
Misalignment or stiffness in the upper cervical spine is a frequent contributor to cervicogenic headaches. Joint mobilisation can help restore proper movement in the joints, reducing headache frequency and intensity. Studies from the National Institute of Health show that manual therapy, including joint mobilisation, is an effective treatment for cervicogenic headaches.
- Soft Tissue Treatment
Soft tissue treatment, such as massage, can help relieve muscle tightness, especially around the upper back, neck, and scalp. Evidence from the Chartered Society of Physiotherapy (CSP) supports the use of manual therapy for tension-type headaches, particularly when used in conjunction with exercise.
- Acupuncture
Acupuncture is another effective tool for managing headaches, particularly chronic tension headaches and migraines. NICE includes acupuncture treatment in its guidelines for the management of chronic tension type headache and migraine. The acupuncture needles relax the muscles locally and also stimulate the production of naturally occurring substances that give pain relief.
How Can First4Therapy Help?
At First4Therapy, we tailor our headache treatments to suit each individual’s needs, ensuring we target the underlying causes of your headaches rather than just the symptoms. Whether it’s through exercise, joint mobilisation, acupuncture, or soft tissue treatment, our team is committed to providing you with lasting relief.
For more information on how we can help you manage your headaches, or to book a consultation or give us a call today.