Is your headache a tension headache?

Common symptoms of tension headaches include:
- pain on both sides of your head, face or neck
- feeling like something is pressing on your head or being tightened around it
- the affected area may feel tender and your head may hurt more when touched
Tension headaches are annoying but not as disabling as for example, migraines. When you have a tension headache it is normal that you are able to continue with your daily activities without risking making your headache worse.
Common causes of tension headaches include:
- stress
- sleep problems
- caffeine
- tight muscles in your neck & shoulders
If you feel your sleeping issues are contributing to your tension headaches then changing your sleeping habits may be beneficial. If you feel stress is contributing to your tension headaches then prioritising relaxing activities or yoga may be beneficial.
In my experience some clients who have tight neck & shoulder also suffer from tension headaches. In addition it is common for people to carry their stress in their neck & shoulders which means they become tense which may lead to tension headaches. Feeling stressed or having tight neck & shoulder are issues that frequently lead to clients booking a massage.
Related Posts

Pro’s and Con’s of our Shoulder Joint Design
While sometimes it may not feel like it, your shoulders are the most flexible joint in your body. The joint is formed by the union of the humerus, scapula (or shoulder blade) and the clavicle (or collarbone). While we normally think of it as a single joint, it is actually three joints
- glenohumeral joint
- sternoclavicular joint
- acromioclavicular joint.
- Work all joint articulations - if it moves that way, strengthen it.
- If you do a pushing exercise, counter it with a pulling exercise.
- Always use proper exercise form - control the resistance.

So how does massage reduce pain? – Part 1
I said in a previous post that scientists are interested in finding out how massage works. So if we accept that massage reduces muscle pain, that leaves the question, "How does massage reduce muscle pain?". In 1965, Ronald Melzack and Patrick Wall outlined a scientific theory about psychological influence on pain perception; the ‘gate control theory’. According to the gate control theory, pain signals are not free to reach the brain as soon as they are generated at the injured tissues or sites. They need to encounter certain ‘neurological gates’ at the spinal cord level and these gates determine whether the pain signals should reach the brain or not. In other words, pain is perceived when the gate gives way to the pain signals and it is less intense or not at all perceived when the gate closes for the signals to pass through. Cutaneous mechano-receptors are stimulated by touch (massage) and transmit information within large never fibres to the spinal cord. These impulses block the passage of painful stimuli entering the same spinal segment along small, slowly conducting neurons. This theory gives the explanation for why someone finds relief by rubbing or massaging an injured or a painful area. For example, the pain gate theory explains "how" a child feels better after mum or dad intuitively rub their knee when they have fallen over. In summary massage produces short term pain relief by being a particularly effective trigger for the pain gate process. References Melzack R, & Wall PD (1965). Pain mechanisms: a new theory. Science (New York, N.Y.), 150 (3699), 971-9 Moayedi M, & Davis KD (2013). Theories of pain: from specificity to gate control. Journal of neurophysiology, 109 (1), 5-12 Jacobs M. (1960) Massage for the relief of pain: anatomical and physiological considerations. Physical Therapy Review, 40: 93-8 Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965 Nov 19;150(3699):971–979. Wells PE, Frampton V, Bowsher D. (1988) Pain: Management and Control in Physiotherapy. Heinemann Medical. Chapter 13. Watson J. (1982) Pain mechanisms: a review. 1. Characteristics of the peripheral receptors. Australian Journal of Physiotherapy. 27:135-43


