Conditions we treat
Headaches & Migraines
Reviewed by Andrew Macdonald, Senior Physiotherapist — AHPRA registered, APA member

Can Physiotherapy Treat Headaches?
Nearly everyone suffers from occasional headaches. However, before looking to drugs for reducing the pain associated with headaches, why not find out and resolve the cause of the headache to prevent it from re-occurring or at least reduce the frequency and severity.
Headaches are commonly caused my restrictions within the spine often due to poor posture or work stresses. When there are restrictions within the spine, the nerves and blood vessels that are associated with structures in the head often become irritated and cause tight and painful muscles surrounding the neck causing headaches.
There are many types of headaches, the most common being tension headaches, cervicogenic headaches and migraines.
Most people will experience tension headaches describing a squeezing pressure around the head. Migraines are more severe and are usually described as a throbbing pain.
Migraines can also cause other symptoms such as nausea, loss of appetite and visual changes.
The cervicogenic headache is related to the spine and causes most tension-type headaches. Not all headaches are caused by spinal restrictions, however, you should consult Andrew before beginning any treatments. During the consultation, a thorough physical, orthopaedic and neurological examination and sometimes x-rays will be conducted to reach a diagnosis.
At our clinic we frequently treat headaches and have seen a noticeable increase in the incident as stress and sedentary lifestyles become more prevalent.
Some patients will experience almost immediate relief from their headache with our approach, while others will notice a gradual reduction in intensity and frequency depending on the nature and chronicity of the problem.
Can Physiotherapy Treat Migraine Sufferers?
Migraines affect many people. The trigger for migraines are not yet fully understood however, changes in the function of the blood or nervous system in certain areas of the brain and changes in chemical balances within the body are blamed for causing migraine attacks. There are two main categories of migraines including the ‘common’ and ‘classic’ migraine.
The pain is generally located on just one side of the head, however, it can cover both. Symptoms usually include severe headaches with throbbing, pulsing or stabbing pains. Migraines can also cause nausea, loss of appetite, increased sensitivity to light and altered bodily perception.
Many people who suffer from migraines will experience an ‘aura’ this may include visual changes, sense of smell or other sensory alterations signalling the onset of a migraine. There are many potential triggers for migraines including stress, certain foods, some medications, changes in sleep patterns, hormonal changes (such as menstruation) and tension in the neck.
It is important to have your migraine checked, as physiotherapy has been shown to help reduce the severity and frequency of migraine attacks. Andrew will conduct an extensive history, physical and neurological examination to help determine the trigger of your migraines and rule out more severe causes.
Our Treatment Method
True migraine sufferers often have a combination of a bad neck and hypoglycemia. The neck can be treated with manual therapy, dry needling and soft tissue massage, while hypoglycaemia is addressed with dietary modifications and lifestyle advice.
How we treat it
Treatments used for headaches & migraines
Manual TherapyManual therapy uses hands-on techniques — soft tissue work, trigger point therapy, joint mobilisation and fascia distortion release — to ease pain, restore movement and speed recovery.
Dry NeedlingDry needling uses thin, sterile needles to release tight, overactive trigger points in muscle — a Western, evidence-based technique distinct from traditional acupuncture.Frequently asked questions
Can physiotherapy help migraines?
Yes, particularly when the neck is contributing. Physiotherapy has been shown to help reduce the frequency and severity of migraine attacks by addressing restrictions in the neck and upper spine that can trigger or worsen them, alongside advice on other contributing factors.
What's the difference between a tension headache and a migraine?
Tension headaches typically feel like a squeezing pressure around the head and are the most common type. Migraines are usually more severe, often described as throbbing or pulsing pain on one side of the head, and can come with nausea, sensitivity to light, or visual changes that tension headaches don't usually cause.
Can neck problems really cause headaches?
Yes — this is known as a cervicogenic headache, and it's one of the most common causes of headaches Andrew sees. Restrictions in the neck joints irritate nearby nerves and blood vessels, referring pain up into the head. Not every headache is neck-related, which is why a proper assessment matters.
When should I see someone about my headaches?
If headaches are frequent, worsening, or not responding to simple measures, it's worth having them assessed rather than just managing them with medication. Andrew conducts a thorough physical, orthopaedic and neurological examination to identify the cause and rule out anything that needs a different kind of care.
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