Neck Pain and Headaches

Have you ever experienced a headache that seems to start in your neck and gradually creep up the back of your head, settling into a dull, relentless ache? If so, you’re not alone. Many people don’t realise that tension in the neck muscles can be a major contributor to headaches. These types of headaches, often referred to as tension headaches are common and can significantly affect your daily life. Let’s explore the connection between neck tension and headaches and discuss how physiotherapy and Pilates can help you find the relief you need.

How Does Neck Tension Cause Headaches?

Neck tension and headaches are closely linked due to the intricate anatomy and connections between the muscles and joints in the upper back, neck, and head. Here’s how it works:

  1. Muscle Tightness

    Poor posture, stress, and repetitive movements can cause muscles in the neck and upper back such as the upper trapezius, levator scapulae, and suboccipital muscles to become tight and overworked. This tightness can lead to the development of painful points in the muscles and that pain can radiate into the head, creating tension headaches. 

  2. Joint Dysfunction

    The small joints in the neck (known as facet joints) can become stiff or misaligned. This dysfunction can contribute to headaches by causing pain that radiates from the neck to the head.

  3. Poor Posture

    A forward head posture, where the head juts forward in relation to the shoulders, is particularly problematic. It places additional strain on the neck muscles and joints, creating an imbalance that can trigger headaches. This posture is common among those who spend a lot of time at desks or on electronic devices.


What Can Be Done to Relieve Neck Tension and Headaches?

If neck tension is causing your headaches, there are several effective strategies you can use to find relief. The key is to address both the symptoms and the underlying causes of the tension.

  1. Physiotherapy is highly effective in treating headaches caused by neck tension. A skilled physiotherapist will assess your posture, movement patterns, and muscle imbalances to identify the root cause of your discomfort.

    Treatment may include:

  • Manual therapy: Hands-on techniques to release tight muscles and improve joint mobility.

  • Stretching and Strengthening Exercises: Customized exercises to stretch tight muscles and strengthen weak ones, helping to correct posture and relieve tension.

  • Postural Education: Guidance on how to maintain proper alignment during daily activities to prevent tension from building up in the neck muscles.


2. Pilates is another powerful tool for managing neck tension and preventing headaches. Pilates exercises focus on strengthening the core muscles, improving posture, and increasing body awareness—all of which are crucial for reducing neck tension. Here’s how Pilates can help:

  • Core Strengthening: A strong core supports the spine and neck, reducing the strain on neck muscles and promoting better posture.

  • Improved Flexibility: Pilates exercises help stretch tight muscles in the neck and shoulders relieving tension. 

  • Shoulder Strengthening: It's important to address why the neck muscles are tight and it is usually due to weakness. Pilates can help strengthen the musculature supporting the neck and shoulder girdle. 


3. Since stress is a significant contributor to neck tension, learning relaxation techniques can be very helpful. Deep breathing exercises, mindfulness and gentle stretching can all help reduce muscle tension and lower your overall stress levels.


Neck tension headaches don’t have to be a constant presence in your life. By understanding the connection between neck tension and headaches and taking proactive steps to address the underlying causes, you can significantly reduce your pain and improve your quality of life. At Platinum Pilates, our team of Chartered Physiotherapists and Pilates instructors are here to support you on your journey to better health.

Book a session with us today to learn more about how our tailored treatments and exercises can help you find relief from neck tension and headaches.

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