A vascular headache is typically termed a ‘migraine’.  

A history of 5 or more similar headaches is necessary to be diagnosed as a migraine sufferer.

Signs & Symptoms

A migraine headache is one that:

  • has a sudden onset

  • causes inability to carry on with normal activities of daily living

  • will be one sided

  • has a throbbing nature

  • causes nausea

  • causes visual disturbances (loss peripheral vision, flashing) onset 20 min before headache

  • causes vertigo

  • has a duration of hours

  • can be aggravated by climbing stairs

  • can be eased with migraine medication

  • can be eased with vomiting

What Causes It?

  • Triggers such as sensitivity to light, smells, foods, noise

  • Possible family history

  • Medication (endocrine – oral contraceptive, HRT, or vasodilators)

  • Stress

  • Tiredness

How to Self Manage

  • Medication (eg sumatriptan or aspirin)

  • Lie in dark room

  • Identify triggers and avoid them


  • Likely to be an ongoing issue

  • Trigger identification is important

  • Patients generally become good at sensing the onset and manage their condition appropriately (often with medication).

How Physio Helps

  • Joint mobilisation or manipulation

  • Massage

  • Muscle and neural stretches

  • Acupuncture or dry needling

  • Pilates exercises and deep cervical flexor education

  • Ergonomic advice (e.g. - workstation setup; correct pillow height)Joint mobilisation or manipulation

  • Posture awareness and advice

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Email: physiophysio@hotmail.com

Tel: ​020 7435 4910​​​
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Web: sammymargophysiotherapy.com


Disclaimer: Information made available by AskPhysio (Sammy Margo Physiotherapy) is provided for guidance only and should not be considered as medical recommendations or advice.  AskPhysio is not responsible for errors or omissions in the information. Please consider what the best options for your healthcare are, based on the urgency of your condition and nature of your condition. Please consult a GP or Healthcare Specialist to discuss any specific concerns that exist prior to using the information provided.