WHAT IS IT? TENSION HEADACHES
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A tension headache is often brought on due to stress and is posturally related.
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It may also be referred to as a cervicogenic hadache.
Signs and symptoms
A headache which:
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Has a gradual onset
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Presents as a dull ache
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Tends to be one sided, but can be both
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Can refer to the shoulder or scapula regions
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Has associated symptoms such as neck pain or reduced neck range of movement
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Is common following a trauma such as whiplash
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If often posturally related (forward head posture, rounded shoulders, upper cervical extension)
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Causes discomfort, but does not prevent daily function like a migraine can.
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​WHAT CAUSES IT?
- Dysfunction or stiffness of the cervical and thoracic joints
- Tight neck muscles
- Poor posture (especially at the computer, or with prolonged sitting)
- Physical and emotional stress
- Nerve compression
- Trigger point referral
- Weak deep cervical flexors
- Inadequate rest
- Anxiety
- Fatigue
HOW TO SELF MANAGE
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Use of a heat bag or hot water bottle
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Stress reduction
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Neck stretches
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Postural awareness
PROGNOSIS
- Conservative management should ease the symptoms of a cervical or tension headache.
- If pain persists GP referral may be necessary to organise investigation for other causes (e.g. spondylosis, osteoarthritis, rheumatoid arthritis etc)
HOW PHYSIO HELPS?
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Joint mobilisation or manipulation
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Massage
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Muscle and neural stretches
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Acupuncture or dry needling
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Pilates exercises and deep cervical flexor education
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Posture awareness and advice
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Ergonomic advice (e.g. - workstation setup; correct pillow height)
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