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Headaches & Migraines: Causes & Effective Treatment Options – goPhysio

What's causing my headaches?

Headaches are incredibly common and can be genuinely debilitating. There are many different types, including tension headaches, migraines, cluster headaches and cervicogenic headaches (those coming from the neck), and often more than one factor is involved. We always start with a full assessment, so we can identify exactly what’s driving your headaches and build the right plan to resolve them. Here are some of the most common causes of headaches we see at goPhysio:

  • Mechanical issues, such as poor posture, neck position or working habits
  • Muscle tension in the neck, jaw and upper back
  • Stress and low mood, which can increase muscle tightness and headache frequency
  • Migraine, which has a range of possible triggers including hormones, sleep and diet
  • Teeth grinding (bruxism)
  • Medication overuse, from very frequent use of painkillers
  • External triggers such as strong smells, bright lights, pressure changes or dehydration

Headaches can feel worrying, especially when they’re frequent or severe, but the great majority are not a sign of anything serious. Part of our role is helping you understand exactly what’s going on, clearly and confidently. See NHS guidance on headaches for further reading. Clinically reviewed by Paul Baker MCSP, Co-founder & Clinical Director at goPhysio

Headache Physio Chandlers Ford

I was able to get an appointment that suite me at reasonably short notice. When I was seen by Paul Baker he was just the combination of friendly and professional to give me confidence that I was in good hands. His examination was focused on asking me how I felt prior to a detailed physical exam. He assessed what he believes the problem to be and proposed a course of action which required an MRI to assess the detailed problem. His referral letter came out very promptly and the scan has been arranged for within 5 working days of my assessment. Very professional outfit.

S Clarke

Can physiotherapy help my headaches?

Yes – many headaches, particularly tension-type and cervicogenic headaches, respond well to physiotherapy. We start with a full assessment to understand whether your neck, posture or muscle tension is contributing, then build a plan around it. Your treatment may include:

  • Soft tissue therapy to ease tension in the neck, shoulders and jaw
  • Acupuncture
  • Traction to relieve pressure on the neck
  • Therapeutic exercises to improve posture and help prevent headaches recurring
  • Advice on triggers, workstation set-up and stress management

The goal throughout: reduce how often and how severely your headaches occur, and help you understand your own triggers.

Not sure what to do next?

Ready to get started? → Book Your Headache Assessment

Think it’s coming from your neck? → Read About Neck Pain

Want to know what treatment actually involves? → See What a Physiotherapy Appointment Looks Like

Frequently Asked Questions

Physiotherapy is most effective for tension-type and cervicogenic headaches (those linked to the neck). If your headaches are migraines, we’ll still assess whether neck tension is contributing and can complement your medical management, but we may also suggest speaking with your GP about migraine-specific treatment.
Cervicogenic headaches often start at the base of the skull and spread to one side of the head, and are usually linked to neck stiffness or a specific neck position. An assessment of your neck movement and posture can usually confirm whether this is the cause.
Not usually. Most headaches are diagnosed through your history and a physical assessment. We’ll refer you for further investigation if your symptoms suggest it’s genuinely needed.
Many people notice a reduction in frequency or severity within a few weeks of starting treatment, especially where posture or neck tension is a factor. More longstanding patterns can take longer to shift.
Yes – stress is one of the most common headache triggers, as it increases muscle tension in the neck, shoulders and jaw. We’ll often combine hands-on treatment with practical advice on managing triggers alongside physical causes.
Seek urgent medical advice for a sudden, severe headache unlike any you’ve had before, or one accompanied by vision changes, confusion, fever or weakness. For recurring tension or neck-related headaches without any of those symptoms, physiotherapy is a good first step.

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