
Muscle strain and migraine are closely linked. Tension headaches, which are caused by muscle strain, are the most common type of primary headache. They can be caused by stress, depression, head injury, or anxiety, and can lead to nausea, vomiting, and light sensitivity. Migraines, on the other hand, are characterized by throbbing pain usually located on one side of the head and can also be accompanied by neck pain. While the exact cause of tension headaches is still unknown, doctors believe that environment and genetics may play a role. Treatment for muscle-related headaches focuses on preventing recurrence by reducing stress and tension.
| Characteristics | Values |
|---|---|
| Type of Headache | Tension Headache |
| Causes | Stress, Depression, Head Injury, Anxiety, Muscle Strains, Whiplash, Overextension of Neck Muscles, Genetics, Environment |
| Symptoms | Mild or Moderate Intensity, No Nausea or Vomiting, No Light Sensitivity, Constant Pain, Occurs on Both Sides, Muscle Tightness, Sleep Disturbances |
| Treatment | Botox, Address Underlying Cause of Muscle Tension, Massaging Sore Muscles, Adjusting Work Posture, Preventing Recurrence |
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What You'll Learn

Muscle strain and stress
Tension headaches, as the name suggests, are caused by stress and chronically tense muscles. They can be triggered by intense stress, fatigue, noise, or glare, and can occur daily during stressful periods. Unlike migraines, tension headaches do not cause nausea, vomiting, or light sensitivity, and are typically described as a steady and constant pain that occurs on both sides of the head. They are also less intense than migraines, allowing patients to continue their daily routines, unlike migraine patients who often require a quiet, dark room.
The exact cause of tension headaches is still unknown, but doctors believe that genetics and environmental factors may play a role. Overextension of neck muscles during physical activities, whiplash injuries, and pinched nerves in the neck can also trigger tension headaches. Additionally, any activity that requires holding the head in one position for an extended period, such as typing, computer work, or using a microscope, can cause tension headaches. Sleeping in a cold room or with the neck in an abnormal position may also be contributing factors.
To alleviate tension headaches, it is important to address the underlying causes of muscle tension and stress. This may involve adjusting work habits, improving posture, and reducing stress and tension through natural care approaches, such as massage therapy or realignment techniques. In some cases, medical imaging, such as MRI or CT scans, may be recommended to investigate specific symptoms and rule out other potential causes.
While tension headaches are distinct from migraines, they can coexist and have overlapping symptoms. Migraines typically cause throbbing pain, often on one side of the head, and can be accompanied by neck pain. Neck pain was once believed to trigger migraines, but recent studies suggest it may be a symptom of the headache rather than a cause. However, addressing neck pain and improving neck posture through adjustments and realignments can help relieve migraine pain.
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Head and neck injuries
Cervicogenic headaches are secondary headaches that result from an underlying condition, whereas migraines are considered primary headaches. Cervicogenic headaches are caused by issues in the cervical spine or neck, such as injuries, arthritis, or a slipped disk. The pain can radiate from the neck to the head, and certain neck movements can provoke the headache.
Neck pain is commonly associated with migraines, with 89% of people who experience migraines also reporting neck pain. However, it is unclear whether neck pain triggers migraines or if it is a symptom of migraines. Recent research suggests that neck pain is a symptom of migraines rather than a cause.
Several factors can contribute to neck pain, including injuries, strains, and certain medical conditions. For example, a herniated cervical disc can occur when one of the soft discs between the vertebrae in the neck becomes damaged and bulges out, pressing on a nerve and causing pain in the neck and head. A pinched nerve in the neck can also trigger occipital neuralgia, which involves pain shooting through the occipital nerve and can feel like an electric shock.
To relieve headaches caused by neck pain, it is recommended to adjust your posture while working or driving to reduce strain and pressure on the neck. Additionally, physical therapy, medications, and steroid injections can be used to treat cervicogenic headaches by addressing the underlying cause of the pain.
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Muscle contractions
TTH is often linked to stress, poor posture, and muscle tension. Any activity that causes the head to remain in one position for an extended period without movement can lead to TTH. Examples include typing, computer work, fine work with the hands, using a microscope, driving for long periods, and looking down at your phone. Sleeping in a cold room or with the neck in an abnormal position can also trigger TTH.
TTH and migraines may coexist, and some symptoms may overlap. However, TTH does not cause nausea, vomiting, or light sensitivity, which are associated with migraines. TTH typically presents as a steady and constant pain that occurs on both sides of the head, whereas migraines usually cause throbbing pain on one side of the head. Additionally, TTH does not aggravate routine physical activities, and patients can generally continue their daily tasks, unlike migraine patients who often prefer to stay in quiet, dark rooms.
While muscle contractions can lead to TTH, the exact cause of this type of headache is still unknown. Doctors believe that environmental factors or genetics may contribute to the development of TTH. Treatment for muscle strain-related headaches focuses on preventing their recurrence by reducing stress and tension.
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Migraine symptoms
Migraines are described as an ongoing health condition with a complex set of symptoms. They are more than just a headache. Symptoms of a migraine attack include nausea, vomiting, changes in mood, extreme tiredness, and sensitivity to light, noise, and smells. These symptoms can happen all at once during an attack or separately between attacks. Migraine attacks may last from hours to days and can make it difficult to perform everyday activities.
One of the most common symptoms of a migraine attack is moderate to severe throbbing pain that usually occurs on one side of the head. The pain may start gradually and get more intense. It may also happen without warning.
Some people experience migraine attacks at predictable times, such as before their period or on weekends following a stressful week. In addition, certain factors can trigger a migraine attack or increase the likelihood of having one, such as muscle tension in the neck. A doctor from Tufts University suggests that muscle tension in the neck can lead to dilation of the blood vessels, which may cause migraines.
In between migraine attacks, individuals may experience symptoms such as difficulty concentrating, depression, anxiety, tiredness, difficulty sleeping, and body chills. Some people may also experience an aura during a migraine attack, which can include vision changes, trouble speaking, tingling in the hands or face, and confusion.
It is important to note that migraine symptoms are unique to each individual, and understanding your specific symptoms and triggers is crucial for managing migraines effectively.
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Treatment and prevention
For tension headaches, which are often linked to stress, poor posture, and muscle tension, treatments include massaging sore muscles in the scalp, temples, or the bottom of the neck. Relaxation techniques such as the Schultz Autogenic Training, cervical spine kinesiotherapy, and posture correction exercises can also help. Tension headaches can also be prevented by avoiding or changing triggers such as stress, fatigue, noise, or glare.
For mixed tension migraines, which present symptoms of both migraine and tension headaches, medication and avoiding triggers can help manage the condition. Medications for treating mixed tension migraines include triptans, analgesics, ergot derivative drugs, nonsteroidal anti-inflammatory drugs, and anti-nausea drugs. Beta-blockers can also be taken to prevent mixed tension migraines.
For hemiplegic migraines, which are accompanied by one-sided muscle weakness, it is recommended to contact a healthcare provider for diagnosis and treatment. While this type of migraine is not a medical emergency, it can feel similar to a stroke, so it is advised to call emergency services if stroke-like symptoms are observed.
Additionally, some general recommendations for preventing migraines include increasing magnesium and vitamin B2 intake, staying hydrated, getting regular exercise and sufficient sleep, and applying moist heat to the back of the neck. Relaxation techniques such as meditation, massage, physical therapy, cognitive-behavioral therapy (CBT), and biofeedback can also help prevent migraines by reducing stress and controlling responses to stressors.
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Frequently asked questions
Muscle strain does not usually cause migraines, but it can cause tension headaches. Tension headaches are dull and constant, whereas migraines cause throbbing pain, usually on one side of the head.
Tension headaches are caused by stress, poor posture, and muscle tension in the head and neck. They can also be caused by any activity that causes the head to be held in one position for a long time, such as typing, computer work, or using a microscope.
To relieve tension headaches, you can try massaging sore muscles, adjusting your work setup to reduce neck strain, and reducing stress and tension.
The symptoms of tension headaches include dull, pressing, or band-like tightening pain, mild or moderate intensity, and a duration of 30 minutes to 7 days. They usually occur bilaterally and are better in the morning and worse in the evening.











































