Headache & Tension Headache

Treatment for headaches caused by the neck: tension headaches and cervicogenic headaches linked to neck complaints

Headache & Tension Headache
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What is it?

Headaches originating from the neck are a common complaint among people who sit a lot, work at a screen, or carry tension in their shoulders and neck. A distinction is made between tension headaches, where muscle tension in the neck and shoulders plays a role, and cervicogenic headaches, where pain is actually referred from the neck vertebrae and surrounding tissue up into the head. Both types often feel like a tight band around the head or a dull, pressing sensation that starts in the neck or back of the head.

The complaint usually develops gradually, through a combination of posture, muscle tension and limited mobility in the upper neck vertebrae. At Physical Studio we therefore always look beyond the head alone: we map out how your neck, shoulders and posture contribute to the headache.

Many people with headaches originating from the neck benefit from a targeted approach to the neck and posture. Exercise therapy and manual therapy can help reduce tension and improve neck mobility, depending on the nature and duration of your complaints.

Common causes

  • Prolonged screen work with a forward-leaning head posture
  • Muscle tension in the neck and shoulders due to stress or work pressure
  • Limited mobility in the upper neck vertebrae (cervicogenic headache)
  • A poorly set up workstation or an unsuitable office chair
  • Sleeping posture or an unsuitable pillow
  • Jaw complaints that radiate to the head and neck
  • Little variation in posture throughout the day
  • A history of previous neck complaints or whiplash

How we diagnose

We start with a thorough intake in which we map out the pattern of your headache: where the pain begins, how it spreads, and which postures or moments of the day trigger the complaints. With a movement analysis of the neck and shoulders we assess the mobility of the neck vertebrae and the tension in the surrounding muscles. Where clinically relevant, we use ultrasound to assess muscle and tissue structure around the neck. Based on this, we identify whether tension, neck mobility, or a combination of both is likely contributing to your headache.

Treatment approach

Treatment for headaches originating from the neck at Physical Studio focuses on reducing muscle tension and improving mobility of the neck and upper back. We combine manual therapy, aimed at releasing tense tissue and mobilising the neck vertebrae, with exercise therapy that improves posture and the load capacity of the neck and shoulders. Breathing and relaxation exercises can help reduce tension, and where relevant we also look at your workstation and daily posture. Once complaints ease, we guide the transition to personal training for lasting strength and posture.

Expected recovery

Recovery from headaches originating from the neck varies from person to person and depends on the nature and duration of your complaints. With headaches that developed recently and are mainly related to tension, many people notice improvement within a few weeks through targeted exercises and posture adjustments. With longer-standing or recurring complaints, the process can take several months, with attention to both the neck and underlying habits such as work posture and stress levels. We always tailor the expected recovery timeline to your specific situation.

When to seek help

Contact your GP (huisarts) if your headache starts suddenly and is very severe, if it is accompanied by fever, a stiff neck, blurred vision, confusion, loss of strength or speech problems, or if the headache started after a fall or accident. It is also wise to consult your GP first if the headache keeps getting worse or is clearly different from your usual pattern. These signals call for prompt medical assessment before physiotherapy is considered.

Frequently asked questions

Can headaches come from my neck?
Yes, this is called cervicogenic headache: pain that is referred from the neck vertebrae and surrounding tissue up into the head. The pain often starts in the neck or back of the head and radiates forward. Limited mobility and tension in the upper neck vertebrae often play a role here.
What is the difference with migraine?
Migraine is a neurological condition that often causes one-sided, throbbing pain, nausea and sensitivity to light or sound. Headaches originating from the neck usually feel like a pressing or band-like sensation and are linked to posture and neck movement. If you're unsure about the nature of your headache, it's wise to consult your GP first.
Does physiotherapy help with tension headaches?
Physiotherapy can help reduce tension headaches by lowering muscle tension in the neck and shoulders and improving neck mobility. Many patients experience less frequent or less intense headaches after targeted treatment. The effect varies per person and depends on the underlying cause.
Which exercises can I do myself against headaches?
Gentle mobilising exercises for the neck, regularly varying your posture during screen work, and consciously relaxing your shoulders can help reduce complaints. Which exercises suit you depends on the cause of your headache. We put together a personal exercise programme for you after the intake.
How long does it take for tension headaches to go away?
This varies a great deal and depends on the nature and duration of your complaints. With recently developed headaches, many people see improvement within a few weeks through a targeted approach. With longer-standing complaints the process can take longer, and we also look at posture and daily habits.
Can my workstation contribute to my headaches?
Yes, a screen positioned too low or an office chair that isn't properly adjusted can contribute to a forward-leaning head posture and tense neck muscles. This can play a role in headaches originating from the neck. Where relevant, we look at this together with you during treatment.
Can I see a physiotherapist without a referral for headaches?
Yes, in the Netherlands you have direct access to physiotherapy, including for headache complaints, so a referral from your GP is not required. If you're unsure about serious warning signs, such as sudden severe headache or neurological symptoms, consult your GP first. For a typical tension headache pattern, direct access to physiotherapy is a common route.
Is treatment for headaches covered by my health insurance?
Physiotherapy is typically covered under supplementary (aanvullende) insurance, and coverage varies by policy and insurer. Always check your own policy, or use the insurance checker on our site to see what applies to you.

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