A 38-year-old female attended physiotherapy seeking assessment and treatment for persistent tension headaches. She described a pattern of pain and tightness starting at the back of her head, often radiating to the top of the head and into the forehead above the eyes. She also reported intermittent neck stiffness.
The headaches were present most days, and she had been relying on regular pain relief for temporary management. However, by the time she booked her appointment, she felt that medication was no longer providing effective relief. Her lifestyle included caring for an 18-month-old child while working full-time in a predominantly desk-based role.
On assessment, there was notable stiffness and sensitivity in the upper cervical spine, just below the base of the skull. Gentle pressure applied to these areas during examination reproduced her familiar headache symptoms, indicating a strong link between neck dysfunction and her headaches.
Treatment focused on addressing these contributing factors. Gentle, targeted vertebral mobilisations were used to improve movement in the upper neck, alongside soft tissue massage to reduce muscle tension. Practical advice was provided on posture, both at work and when lifting and carrying her child. In addition, the client was given a simple exercise programme to support postural strength and alignment.
With treatment and self-management strategies in place, the client experienced a significant reduction in both the frequency and intensity of her headaches.