How Can Osteopathy Help with Headaches?

How Osteopathy May Help with Headaches | Rugby Osteopathic & Sports Injury Centre

Discover how osteopathy may help headaches linked to neck tension, posture and muscle strain, and learn when a headache needs medical attention.

Headaches are extremely common, but that does not mean you should simply put up with them. They can affect your concentration, sleep, work and enjoyment of everyday life. Some people experience an occasional headache after a stressful day, while others find that the problem returns week after week.

There are many different types and causes of headache. Some may be associated with tension in the muscles and joints of the neck, shoulders or upper back. In these cases, an osteopathic assessment may help identify physical factors that could be contributing to your symptoms.

What can cause a headache?

Headaches can have many possible triggers, including:

  • Stress and fatigue
  • Dehydration or missed meals
  • Eyestrain and prolonged screen use
  • Poor sleep
  • Changes in caffeine intake
  • Migraine
  • Tension in the neck, shoulders or jaw
  • Reduced movement or irritation in the joints of the neck
  • Working in one position for long periods
  • Overuse of pain-relieving medication

Because the causes vary, treatment should never take a one-size-fits-all approach. An osteopath will ask about the pattern of your headaches, your general health and any associated symptoms before deciding whether osteopathic care is appropriate.

What are tension-type and neck-related headaches?

A tension-type headache is often described as a pressing or tightening feeling, sometimes like a band around the head. It commonly affects both sides and may be accompanied by tight or tender muscles around the neck and shoulders.

A neck-related, or cervicogenic, headache is thought to arise from structures in the neck. The discomfort may begin around the upper neck or base of the skull and spread towards the forehead, temple or area behind an eye. Neck stiffness, restricted movement or discomfort after sustained postures may also be present.

These symptoms can overlap with migraine and other headache conditions. This is why a careful assessment is important rather than assuming that every headache comes from muscular tension or posture.

How may osteopathy help?

Osteopathic treatment aims to improve the way the body moves and reduce unnecessary strain. Where appropriate, treatment may focus on the neck, upper back, shoulders and jaw.

Depending on your assessment and preferences, an osteopath may use:

  • Gentle joint mobilisation to improve movement in the neck and upper back
  • Soft-tissue techniques for tense or sensitive muscles
  • Stretching and articulation techniques
  • Advice about desk setup, posture and regular movement breaks
  • Simple exercises to improve mobility, strength and control
  • Guidance on sleep, hydration, stress and other potential headache triggers

Treatment is tailored to the individual. Your osteopath should explain what they have found, discuss the available options and obtain your consent before treatment begins.

Osteopathy cannot treat every cause of headache and should not replace medical care for migraine, cluster headache or an underlying health condition. If your symptoms do not appear suitable for osteopathic treatment, you may be advised to contact your GP, NHS 111 or another healthcare professional.

What happens at your first appointment?

Your osteopath will begin by asking about your headache, including:

  • Where the pain is felt
  • How often it occurs and how long it lasts
  • Whether it is pressing, throbbing or sharp
  • Possible triggers
  • Associated symptoms such as nausea, visual changes, dizziness, numbness or weakness
  • Any recent injury or change in your health
  • Medication you are taking

They may then assess the movement and function of your neck, upper back, shoulders and jaw, as well as considering posture and other relevant areas. If treatment is appropriate, your osteopath will discuss a plan based on your findings and goals.

Keeping a headache diary can be useful before your appointment. Record when each headache starts, how long it lasts, its severity, any other symptoms, possible triggers and any medication taken.

Things you can try at home

Alongside appropriate professional advice, the following may help reduce common headache triggers:

  • Drink regularly throughout the day
  • Avoid skipping meals
  • Take frequent breaks from screens and prolonged sitting
  • Adjust your workstation so that you are comfortable and supported
  • Keep a consistent sleep routine
  • Build regular, comfortable movement into your day
  • Use relaxation or breathing exercises to manage stress
  • Keep a diary to identify recurring patterns

If you use painkillers frequently, speak to a pharmacist or GP. Regular use can sometimes contribute to medication-overuse headaches.

When should you seek medical help?

Most headaches are not serious, but some require medical assessment. Call 999 or go to A&E if a headache is sudden and extremely painful, follows a significant head injury, or occurs with symptoms such as weakness or numbness, difficulty speaking, loss of vision, a seizure, confusion, marked drowsiness, or a very high temperature with a stiff neck or non-fading rash.

Contact NHS 111 or your GP urgently if a severe headache occurs with jaw pain when eating, a sore scalp, blurred or double vision, vomiting, or is triggered or worsened by coughing, sneezing, bending down or exercise. You should also speak to your GP if headaches keep returning, are becoming worse, or are difficult to control.

Could osteopathy be suitable for your headaches?

If your headaches seem to be associated with neck stiffness, muscular tension, stress or prolonged desk work, an osteopathic assessment may help you understand whether there is a musculoskeletal contribution.

At Rugby Osteopathic & Sports Injury Centre, we take time to understand your symptoms, assess the way your body is moving and create an individual treatment and self-management plan where appropriate.

To discuss whether an appointment may be suitable, contact our reception team on 01788 560646 or email [email protected].

Further information

Types of Headaches

Headaches

In this blog post, we will focus on four common headache presentations. We will explore
symptoms, causes and treatments available. We will also touch on symptoms and
characteristics to be cautious of, where urgent medical attention may be required.

Cervicogenic headaches

Cervicogenic headaches typically present as pain on one side of your face. They tend to
manifest as a steady pain that doesn’t throb and can occur when coughing or sneezing. Neck
stiffness may also accompany. Causes include tension within neck musculature, arthritic
conditions, postural problems, whiplash, sports injuries, and falls. Treatments available
include Osteopathy, Sports massage, or other manual therapies, exercise rehabilitation,
non-steroidal anti-inflammatory drugs (NSAIDS), ice/ heat therapy, and avoiding or
modifying activities that may be aggravating your symptoms.

Migraine headaches

Migraine headaches typically present as moderate to severe throbbing, pulsating pain on
one side of the head. Some individuals experience prodromal symptoms (aura) that come
before the headache (tunnel vision, spots, partial loss of vision, etc). Other associated
symptoms can include sensitivity to light and sound, and possible GI disturbance in the form
of nausea/ vomiting. The exact cause is unknown but thought to be due to temporary
changes in chemicals, neural structures, and blood vessels. Approximately half of all patients
who experience migraines have a close relative who also experiences migraines. Some
individuals have been able to identify specific triggers such as stress, tiredness, certain foods
or drinks and menstruation. Treatments available include pain relief such as paracetamol
and NSAIDS, Triptans (these work by reversing the changes in your brain that cause
migraines), and anti – emetics (these work to prevent or treat nausea and/or vomiting).

Cluster headaches

Cluster headaches can be described as a sharp, piercing or burning pain, often felt around
the eye or temple. These start quickly with no warning, and attacks can last between 15
minutes to 3 hours, typically occurring 1 to 8 times a day. The exact cause is unknown but
has been linked to activity in the hypothalamus. Some patients can identify triggers, such as
strong smells (perfume, paint or petrol). Individuals often have other family members that
suffer. Treatment options include Sumatriptan injections, Sumatriptan or Zolmitriptan nasal
spray, oxygen therapy, and avoiding known triggers.

Tension headaches

Tension headaches can be described as a constant dull ache on both sides of the head, often
experienced with pressure behind the eyes and tension behind the neck. Causes can include
stress and anxiety, squinting, occupation, poor posture, tiredness, dehydration and a lack of
physical activity. Treatments available include relaxation techniques (yoga, massages and
exercise), prevention techniques (keeping hydrated and getting enough sleep), pain relief
and ice or heat therapy.

Symptoms/ characteristics to be cautious of
– First, worst, abrupt
– Onset age >50
– In the setting of a major medical illness (cancer, HIV)
– Progressive weakness or paralysis on one side of the body
– Vision or balance disturbance
– Difficulty speaking or understanding speech
– Difficulty using fine motor skills
– Seizure(s)
– Worse in the morning or with valsalva/ sexual intercourse
– Nausea/ vomiting/ drowsiness
– Mental or behavioural changes, such as memory problems or changes in personality
– Spontaneously awakens from sleep
– Progressive headache
– Altered consciousness or confusion
– Neck stiffness accompanied by fever, sensitivity to light and a new onset rash
– Rapid breathing
– Trauma or neurosurgery

In the event of these symptoms, please speak with your doctor first/ seek urgent medical
attention.

For more information or to book an appointment, please call us on 01788 560646 or visit us
at rugbyosteopaths.co.uk.

Thank you.

Reasons you should be having regular Sports Massage

Reduce Tensions, Stiffness, or pain

Deep Tissue Massage helps to combat tension and stiffness by warming and stretching muscle tissues. This increases blood flow and helps the muscles to move more easily and flexibly.

General well-being

Massage has further benefits to general well-being. These include increasing muscle blood flow, lymph flow, and also the removal of toxins from the muscles. Furthermore, massage can promote a positive sense of well-being, relaxation, lowered stress levels, and improves sleep patterns.

Injury Prevention

Blood flow in increased during a sports massage to help increase healing and recovery. An increase in blood flow also provides more oxygen and nutrients for muscles to use in order to maintain their health. Maintaining a muscles health helps to prevent injury as the muscles are less likely to weaken and fatigue.

Pre or Post-event

A pre-event massage can form part of the vitally important warm-up prior to physical exertion. Post-event sports massage is also a type of massage that uses general sports massage techniques but in way, which allows the body to recover from physical activity, which is why it can form part of a successful cooldown.

 

Who can benefit from Sports Massage?

Sports massage isn’t just for athletes. Sports massage techniques are suitable for both sports people and non-athletes alike and can help with injuries, chronic pain, muscle aches and restricted range of motion in all of us! It can help be an effective therapy for releasing muscle tension and restoring balance to the musculoskeletal system, optimizing flexibility and maintaining a healthier physical state.

 

How often should I have Sports Massage?

Receiving sports massage once every week should produce huge benefits. This may not be realistic for some athletes, yet less regular massage (every 4/6 weeks) can still bring about great results. Things to consider when deciding massage schedule should be Training Intensity/frequency, Goals and Budget.

 

Can Sports massage help an injury?

Sports massage is an excellent way to encourage fast recovery and assist in injury prevention. However, if you have sustained an injury that is preventing you from participating in the sport that you love, or you are struggling to perform at your best due to a series of niggles, we would recommend that you book an appointment for a Sports Therapy assessment and treatment which can address problems in more detail.

 

Tinnitus Awareness Week

This week is Tinnitus Awareness Week (7th-13th Feb 2022).

According to the British Tinnitus Association, Tinnitus is the sensation of sound in the absence of an
external source. The sound may be a ringing, whistling, or rushing sound, or it may be more complex
like machinery or the twittering of birds. Although the sound may not be present all the time, when
it is noticeable it tends to be a steady noise with no frequent or regular changes in its loudness.

The experience of tinnitus is different for different people. Most people find that they are able to
continue their normal day-to-day activities. However, a small percentage of people with tinnitus
report it as severely impacting their quality of life.

Tinnitus is very common and is reported in all age groups, even young children. About 30% of people
will experience tinnitus at some point in their lives but the number of people who live with
persistent tinnitus is approximately 13% (over 1 in 8). Tinnitus is more common in people who have
hearing loss or other ear problems, but it can also be found in people with normal hearing.

The first person to talk to is your GP. You may need to be referred to an Ear, Nose and Throat (ENT)
Surgeon or an Audiovestibular Physician, who will investigate any potential underlying medical
factors, assess your hearing and probably give you some information about what tinnitus is and how
best to manage it. Some hospitals have hearing therapists or specially trained audiologists who are
available to offer more support if you need it. If you are referred to a specialist tinnitus clinic, and
your tinnitus is particularly troublesome, you will be introduced to more formal or structured ways
of managing tinnitus. Most centres use a combination of approaches, often including Tinnitus
Retraining Therapy (TRT), Mindfulness and Cognitive Behavioural Therapy (CBT).

Additionally, there is evidence to support manual therapy for tinnitus that may be related to neck or
jaw conditions. A recent clinical trial investigating the effects of cervico-mandibular manual therapy
in patients with temporomandibular pain disorders (TMD)s and associated somatic tinnitus
concluded that application of cervico-mandibular manual therapies in combination with exercise and
education resulted in better outcomes than application of exercise/education alone in individuals
with tinnitus attributed to TMD.

Please also see a review from one of our patients below:

“After years of living with permanent tinnitus, I found Stephanie who has been absolutely fantastic
in treating the condition through neck and shoulder manipulations and exercises. In just a few
treatments, the tinnitus has reduced hugely and I now have many days of blissful silence. Stephanie
has been absolutely remarkable. She understands the condition, spent time researching it and has
managed to turn this around very effectively. The practice is welcoming, very safe and comfortable
and I would highly recommend it to anyone seeking treatment and improved wellbeing.”

For more information or to book appointment, please call us on 01788 560646 or visit us at
rugbyosteopaths.co.uk

Thank you

Working from Home?

Did you know, roughly 80% of people in the UK are at risk of harming their body due to working in a sedentary state for prolonged periods of time?And now with so many people working from home it is important to look after our health and prevent any injuries from arising. The first way to help this is trying to fix our working posture. Here are some useful tips on how to achieve that.