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Tension Headaches: The Real Causes and How to Conquering Them

Tension Headaches: The Real Causes and How to Conquering Them

A dull pressure that wraps around your head like a hat that’s too tight, usually on both sides and often after a long day at work: this is how most people describe tension headaches. They are the most common type of headache of all, and in many cases, they have a highly treatable root cause in the muscles of the neck, shoulders, and jaw. Here, you’ll find out how to recognize tension headaches, what you can do yourself, and how we treat them at BodyLab in Zurich Altstetten.

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How to Recognize Tension Headaches

A typical sign is a pressing, tight pain on both sides of the head, mild to moderate, without nausea and without the pulsating quality of a migraine. You feel limited, but are rarely put out of action; daily life and work usually continue, just with more effort. Often, the neck and shoulder muscles are tense at the same time, and pressure on certain muscle points feels uncomfortably familiar. If the pain is more one-sided and changes with head movements, it is worth taking a look at our page on headaches originating from the neck.

Causes: Muscles, Posture, and Stress

Behind tension headaches is often a permanently elevated baseline tension in the muscles. Hours of screen work with your head tilted forward, a monitor set too high, hunched shoulders under deadline pressure: all of this causes the muscles in the upper neck and shoulder area to harden. Myofascial trigger points develop in these muscles—small, overstimulated zones in the muscle that can radiate pain far beyond their actual location, right into the temples, forehead, or behind the eye. Professionally, this effect is called referred pain. In addition: stress and poor sleep amplify pain processing in the nervous system, meaning the exact same muscle state simply hurts more.

What You Can Do Yourself

  • Move your neck regularly. Slowly move your head in all directions several times a day in a small range of motion, especially after prolonged sitting.

  • Schedule screen breaks. Get up briefly every 30 to 60 minutes, consciously let your shoulders drop, and look into the distance.

  • Set up your workspace. Position your monitor at eye level, keep the keyboard close to your body, and rest your forearms. Small adjustments relieve your muscles of hours of strain every single day.

These measures do not replace treatment, but they do reduce daily strain—and they work even better the sooner you start. If your headaches become more frequent, more intense, or occur almost daily, have them medically evaluated.

Treatment at BodyLab: Targeted Release of Tension

Our physiotherapists and osteopaths do not treat the headache as an isolated symptom, but rather the muscular and joint components that trigger it. Following the diagnosis, we combine treatments based on your individual profile: manual therapy and mobilization of the cervical spine, targeted treatment of trigger points—with dry needling if necessary—classic massage to relax the shoulder and neck muscles, and physiotherapeutic strengthening of the deep neck muscles, whose endurance is often reduced in cases of recurring headaches. If the findings support it, our osteopaths complement the treatment: they examine and treat the connections between the cervical spine, jaw, and base of the skull, especially when the headaches return despite relaxed muscles. Research shows that the combination of manual techniques and targeted exercises delivers the best results for tension headaches. You can read more about what the studies say in detail in our article on the current state of research.

Doctor-approved for your peak performance

If your headaches occur almost daily, are getting stronger, or if you find yourself regularly reaching for painkillers, it's time to get a professional medical assessment first—also to rule out medication-overuse headaches. Wherever it makes sense, we will seamlessly coordinate your treatment with your doctor.

Who covers the cost? Let's talk investment in your future.

Physiotherapy is fully covered by your basic health insurance with a doctor's referral, and by accident insurance or your health insurance's accident coverage after an injury.

You can book osteopathy directly without a referral; it is covered through your supplementary insurance for alternative and complementary medicine.

Whether you choose physiotherapy or osteopathy: you are always welcome as a self-paying client, with no compromise on treatment quality or time. To find out what your treatment will cost, visit Rates and Coverage.

Good to know

FAQs

What is the ultimate fast relief for tension headaches?

In the short term, getting active, stepping out for some fresh air, applying warmth to your neck, and consciously releasing your shoulders can work wonders. But for real, lasting relief, you need to target the root cause of that tension. Elevate your approach by treating the tight muscles and their triggers—whether that means trigger point therapy or optimizing your workspace ergonomics.

How do tension headaches differ from migraines?

I deal with headaches almost every day. What are the best steps to take control and solve this?

How long do tension headaches last?

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