Condition Guide

Tension Headache Physiotherapy

Clinical assessment and management for tension-type headache patterns linked to neck and upper-quarter strain.

Tension headaches are common and can be triggered by stress, prolonged posture, and neck dysfunction. Physiotherapy can help reduce frequency and intensity.

Medically reviewed by Lead Musculoskeletal Physiotherapist

Reviewed: 11 March 2026 - Next review due: 11 March 2027

Common Symptoms

Dull, tightening head pain or pressure

Headache with neck and shoulder tension

Symptoms linked to prolonged screen work

Recurrent headache episodes without migraine features

Seek Prompt Medical Advice If You Have

Sudden thunderclap headache

Headache with speech, balance, or visual disturbance

Persistent headache following head injury

New severe headache with fever or neck stiffness

If you are unsure, call NHS 111 or seek urgent medical care.

Assessment

Detailed clinical history and symptom-pattern review

Functional movement and strength assessment

Screening for related biomechanical or neurological factors

Clear plan with progression and review points

Treatment

Symptom-management strategies in early phases

Progressive rehabilitation exercises matched to tolerance

Load and activity modification advice for day-to-day tasks

Planned return-to-function progression

Self-Management

Keep regular movement within symptom limits

Use prescribed exercises consistently between appointments

Avoid sudden spikes in load or intensity

Track symptom response and adjust progression gradually

Frequently Asked Questions

Is a tension headache the same as migraine?+

No. Symptoms can overlap, but they are different conditions. We assess patterns and advise GP review where needed.

Can posture affect headache frequency?+

Yes. Prolonged static posture can contribute for some people, especially with neck-related symptoms.

What does treatment include?+

Treatment may include neck mobility work, symptom education, and exercise to reduce recurrent strain.

Related Pages

Continue with related condition guidance or return to the treatments directory.