
Cervical (Neck) Tension Headache Management
Neck problems can be a common cause of recurrent frequent headaches. A physical therapist can evaluate your neck to see if your neck is contributing to your headaches.
Causes:
1) Trauma to your neck could be caused by a) fall or slip, b) Motor Vehicle Collision, c) Contact sports collision, d) Minor injuries
2) Non- Traumatic injuries could be caused by a) Awkward sleeping position usually lying on your stomach, b) Ergonomic – prolonged poor posture at work.
Symptoms:
1) Neck stiffness, decreased range of motion
2) Pain, popping in your jaw, fullness in the ear on the same side.
3) Pain in the back of the head at the base of the skull and pain behind and or/ around one eye.
Signs:
1) Reduced neck range of motion-especially in the upper neck
2) Reduced neck and upper body strength
3) Reduced neck and shoulder flexibility
4) Increased Neck Muscle tension
5) Poor Posture- Head forward slumped posture will cause an adaptive muscle imbalance in the neck and upper back.
Treatment by a certified Manipulative Physical Therapist (FCAMT):
Further specific exercise prescription to stretch tight muscles, strengthen weak muscles and improve your posture can be customized to your needs and may help you manage your headaches (See postural home exercise program). You may also benefit from direct treatment of manual therapy, acupuncture, or dry-needling provided by a qualified Physical Therapist.
Additional Tips
- Neck pain without headaches often benefit from heat to the neck for 15 minutes
- Headache pain can be alleviated with ice to the upper neck for 10 minutes
- Headache frequency and intensity can be reduced with improved cardiovascular fitness. A gradual walking program can help manage headaches.
Click here for a list of exercises for Headaches (Cervical Tension)





