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Headache

  • September 6, 2022
  • Kyle Wells

Don't Ignore Headaches and Migraines

Headaches are very common with 90% of people experiencing at least one during their lifetime.

It has been estimated that almost half of the adult population have had a headache at least once within the last year, according to a recent study by the World Health Organisation.

Sometimes it occurs alone or alongside associated neck and/or shoulder pain.

Headaches can be both frustrating and debilitating for the sufferer.

This blog looks to explore and educate you on some of the most common types of headaches.

We will cover how they present and what can be done to alleviate, treat, and manage them.

With over 20+ different types of headaches, physiotherapist’s can play a very important role determining the type of headache, identifying associated dysfunction in the cervical or thoracic spine (neck and trunk) and helping to treat, plan and guide anyone into relieving their headache.

Now let’s explore the most common types of headaches and what causes headache.

1. Cervicogenic Headache

Cervicogenic Headache

Cervicogenic headache is caused by disorders affecting the neck.

Commonly this form of headache is a result of issues within one or more of the upper 3 cervical joints, the surrounding muscles, ligaments and/or nerves.

Most of the time cervicogenic headache is accompanied by neck pain.

This affects the range of neck motion which generally becomes limited and can point to the driver of the headache. However this is not always as clear as you think.

How does cervicogenic headache present?

These headaches often present on one side or unilaterally from the neck over the head to the eyes.

Typical complaints include a nagging dull ache behind the eye and/or neck pain at the base of the skull.

Cervicogenic headaches are commonly triggered or aggravated by neck movements, prolonged neck postures or sustained pressure to the base of the skull.

These headaches can also be associated with shoulder or arm pain & discomfort, dizziness, nausea, light-headedness, an  inability to concentrate and visual disturbances

How is cervicogenic headache treated?

Treating the dysfunction within the neck and upper back can resolve the headache.

Cervicogenic headaches have great outcomes with physiotherapy.

We use a variety of manual therapy techniques to address the joint and soft tissue dysfunctions in the neck.

Additionally, specific exercises will be used to correct any findings in cervical (neck) muscle motor control, strength, range of motion or postural dysfunctions.

2. Tension Headache

Tension-type headache is very common headache in the general population.

The typicall presentation of tension type headache is mild to moderate intensity in nature.

It is felt bilaterally (both sides) of the head and causes a sensation of pressing or tightening across the forehead. 

They typically are not accompanied by nausea or vomiting and are not aggravated by physical activity or head movements. Mood such as stress and anxiety can play a factor in tension headache.

It can last 30 minutes to 7 days while episodic tension headache is categorised when a person experiences headaches between 1 to 14 days of every month.

How does tension headache present?

Tension headache can have a diffuse presentation with pain and muscle tenderness in the head, temples, neck, or shoulders.

This pain is associated with both the intensity and the frequency of tension-type headaches and is typically heightened during the headache duration.

How is tension headache treated?

Management of tension-type headaches often involves use of simple medications and physiotherapy to reduce areas of tightness.

Treatment consists of manual therapy techniques within the neck and shoulders along with stretching techniques and most importantly exercise to improve the strength and endurance of the neck and shoulder musculature.

Regulating mood states is also vital, so education around lifestyle factors leading to tension headache is also important.

General exercise is beneficial for many reasons in managing tension headaches form a physical and mental perspective and must not be ignored. 

3. Migraine

migraine headache

Migraines are arguably the worst type of headache.

They can give you an aura which is often referred to as a warning sign of what is coming.

Migraine affects females more than males and often appears in people first up in the 20’s or 30’s.

This type of headache has more throbbing qualities and can be associated with light sensitivity and sound. It can also be hormonal and related to a Females menstrual cycle.

Migraine can be a complex and varied disorder with a spectrum of severity, types and symptoms.

How does migraine present?

Most commonly a migraine headache is unilateral (one sided) and is often a throbbing type of headache.

It can last anywhere from 4 to 72 hours.

Migraine headaches have associated Nausea, vomiting, light and sound sensitivity.

Other symptoms can include vertigo, light headedness, and dizziness with physical activity often increasing the intensity of the headache.

Migraines are generally classified as being with or without an Aura. This refers to sensations or symptoms a person feels prior to the onset.

It may include visual disturbance commonly reported as flashing lights, zagging lines, a streaky cross hatch of light across or at the sides of vision, and even spots in vision. Or auditory disturbance such as tinnitus or ringing in the ear.

How is migraine treated?

The best migraine management takes a multidisciplinary approach including your physiotherapist, General Practitioner, and even Neurologist.

This incorporates your doctor or specialist prescribing medications to help control the intensity, severity, and duration of the migraine.

While your physiotherapist works with you to address neck dysfunction and lifestyle habits that contribute to the migraine.

How can I help manage my headache?

Headaches are a very individual condition.

They are not life threatening but it can significantly affect your quality of life. 

Headache sufferers need to determine factors that are common to their own individual condition, learn more about their own type of headache, and develop a plan to manage their headaches and triggers.

Important aspects to this are:

  • Keeping a headache diary: this helps determine duration, frequency and intensity.
  • Work with your General Practitioner
  • Identity predisposing factors and triggers to your headache
  • Adopt lifestyle changes such as diet and exercise 
  • Working with your physiotherapist on all of the above

If you do experience headache, our team at Fighting Fit Physiotherapy is excellent in helping you identify the type of headache and developing the right treatment plan in order to reduce, alleviate and get you back to peak health and performance.

Kyle Wells

Kyle Wells is a Physiotherapist at Fighting Fit Physio.

He has a special interest in arthritis, neck pain and tendinopathy. Just to name a few.

Kyle loves cross fit and has an exceptional eye for technique and performing exercise correctly.

He use exercise to improve patient results and get them moving better for the long term.

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At Fighting Fit Physiotherapy, we recognise the impacts that pain and dysfunction can have on one’s personal and professional life. We are committed as primary healthcare professionals to help our clients resume their lifelong pursuit of health and well-being.

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