Can Physiotherapy Effectively Treat Headaches? Insights from Recent Research

Many individuals seeking relief from headaches may wonder whether physiotherapy can be an effective treatment option. Recent research indicates that physiotherapy can offer significant benefits for certain types of headaches. While some headaches may require medical management, physiotherapy has been shown to help address musculoskeletal factors contributing to headache pain.

One common type is cervicogenic headache, characterized by pain originating from the upper cervical spine. This pain typically manifests on one side, starting beneath the skull and radiating into the back of the head or eyes. Activities that strain the neck, such as maintaining poor posture or repetitive neck movements, can trigger this type of headache. Unlike migraines, cervicogenic headaches usually lack associated symptoms like nausea or light sensitivity. Physiotherapy approaches such as manual therapy, targeted exercises, and patient education focused on improving neck function can provide both immediate relief and long-term benefits.

Migraines are a neurological disorder where the brain struggles with sensory processing, resulting in episodes of intense headache often accompanied by light and noise sensitivity, nausea, and physical exertion intolerance. While many believe neck pain triggers migraines, evidence shows that neck pain can be part of the migraine itself, serving as a warning rather than a cause. For individuals with a musculoskeletal neck disorder, physiotherapy—including manual therapy and specific neck exercises—may reduce the frequency and severity of migraine attacks. Recent studies suggest these interventions can have small but meaningful effects on headache reduction and associated disability.

For tension headaches, characterized by a feeling of tightness or a band around the head, physiotherapy can also be beneficial. These headaches often involve neck pain and may be aggravated by stress or poor posture. A comprehensive assessment by a skilled physiotherapist can determine the best treatment, which may include manual therapy and exercises aimed at relaxation and muscle relief. Education on managing triggers and self-care strategies further enhances treatment outcomes.

In conclusion, physiotherapy presents a promising adjunct or alternative to traditional headache management, especially for cervicogenic and tension-type headaches. It is essential to undergo a thorough evaluation by an experienced physiotherapist to identify the specific headache type and tailor the treatment appropriately. For persistent or unusual headaches, consulting a healthcare professional remains important to rule out other causes and determine the most suitable treatment approach.

Source: https://medicalxpress.com/news/2025-05-headaches-physiotherapy.html