Headache FAQ’s

The most common type of headache is a tension headache caused by neck muscle tightness or tension. Underlying neck problems can create cervicogenic headaches through referred pain or by irritating the nerves to the head — called an occipital neuralgia. Jaw pain and tightness can be an underlying cause of headaches. Headaches can also be caused by a variety of factors, including stress, dehydration, lack of sleep, or poor posture. Environmental triggers like loud noises, bright lights, or strong smells can contribute to migraine symptoms. Additionally, certain foods, hormonal changes (including perimenopause), and even genetic predisposition may play a role in the frequency and intensity of headaches.

Yes. People often suffer from multiple types of headaches. Jaw-related, cervical related, and migraine often have many overlapping triggers and symptoms.

Perimenopause can definitely cause headaches. Hormone fluctuations can create a perfect storm for headache exacerbations. Alterations in hormones affect the elasticity of our collagen. This decreased elasticity can lead to joint stiffness and decreased tolerance for less efficient postures. Changes in hormone levels can also increase systemic inflammation leading to increased pain throughout the body.

Physical therapy can be an effective treatment for headaches, particularly those related to tension, posture, or musculoskeletal issues. Physical therapy helps by addressing the underlying physical causes of headaches, such as tight muscles, joint dysfunction, or misalignment. Techniques like manual therapy, dry needling, trigger point release, myofascial release, muscle energy techniques, and targeted exercises can alleviate muscle tension in the neck, shoulders, and upper back, which are common contributors to headaches. Physical therapy may also focus on improving posture and ergonomics to reduce strain on the neck and spine, while teaching relaxation techniques and providing advice on lifestyle changes to prevent future headaches. For some individuals, specific exercises aimed at strengthening and stabilizing the neck and upper back muscles can help prevent recurring headaches.

Dry needling can cause some discomfort, but it is typically not painful in the same way as an injection or a traditional needle. During dry needling, a thin, solid needle is inserted into trigger points or tight muscles to help release tension and promote healing. The sensation varies from person to person, with some feeling a mild prick or a slight ache when the needle is inserted. Many people report a sensation of "muscle twitching" or a deep ache at the site, which is often considered a sign that the muscle is responding to the treatment. This discomfort is usually brief, and any soreness tends to subside within a few hours to a day. If the procedure is causing significant pain, it is important to communicate with the practitioner so they can adjust the technique.

For your appointment, wear comfortable clothing and footwear. Plan to spend a bit longer in the clinic on the initial visit (usually an hour and fifteen minutes). Prior to manual therapy and dry needling it’s important to drink plenty of water and make sure you’ve eaten at least a light meal that day.

After manual therapy but especially dry needling, expect some muscular soreness. Generally heat, hot showers and gentle stretching will alleviate this.