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5 Great Stretches and Exercises to Alleviate Tension Headaches

May 14, 2024 · In: Mobility and Restoration, Movement

In the hustle and bustle of daily life, tension headaches have emerged as a frequent unwelcome companion for many. Affecting a significant portion of the population, these headaches manifest as a persistent pressure or ache around the head, particularly at the temples or back of the neck. There’s a growing interest in harnessing the power of simple, actionable techniques like neck stretches for tension relief. And this is a positive sign because incorporating these actionable steps can not only alleviate tension headaches, but they can also help prevent them from happening in the first place! It is possible to tap into a holistic approach to manage and prevent the underlying causes of these headaches. This article will address what a tension headache is, what contributes to tension headaches, and how to help prevent and alleviate the pain naturally.

**This is not medical advice. Please consult your medical provider for more information.

tension headaches

Understanding Tension Headaches

Tension headaches, the most prevalent form of headache, affects nearly 80-90% of us at some point in our lives. These headaches are characterized by a persistent dull ache on both sides of the head and often accompanied by neck tension and shoulder pain. Causes are multifaceted, including stress, sleep deprivation, eye strain, and missing meals.

Not to be confused with other types of headaches, including migraines, cluster headaches, sinus headaches, or cervicogenic headaches, tension headaches usually show these common signs:

  • pain on both sides of the head
  • often described as a tight band around the head (no throbbing)
  • mild to moderate intensity of pain
  • typically don’t cause nausea/vomiting or involve light sensitivity

The repetitive nature of our lives—staring at screens, poor posture, and daily worries—exacerbates these factors, making tension headache prevention not just a matter of physical health but of overall well-being. Addressing tension headaches through OTC medication, physiotherapy, and relaxation techniques is not merely about alleviating pain. It’s about restoring balance to our overloaded sensory systems and finding headache help to improve our quality of life.

The Role of Neck Stretches

Because tension headaches are associated with the muscles on the back of the shoulders and neck, it is important to pay close attention to posture. Poor posture can lead to increased stress in the postural muscles, leading to increased tightness. Pair this with other contributing factors such as lack of sleep and work/life stress and this creates the perfect storm for a tension headache.

The immediate connection to neck tension might not be the first thing that comes to mind when dealing with a tension headache. Yet, it’s this very link that makes neck stretches such an effective method for managing and preventing the recurring discomfort. By incorporating neck stretches and postural exercises into your daily routine, you can directly target and alleviate the stiffness and tension in these areas.

The following exercises serve as a proactive approach to headache prevention. Regularly performing neck stretches, especially those that engage the upper back muscles and promote spinal elongation and relaxation, can enhance your posture, reduce stress, and significantly decrease the chances of headache recurrence. Combining muscle relaxing exercises, relaxation techniques, and postural physical therapy exercises form a holistic approach for tension relief.

Use this as a guide for pain management that taps into the root cause of tension headaches. These are powerful tools not just for immediate relief, but for long-term wellness too.

Stretches for Tension Headaches

Upper Trap Stretch

This stretch can be performed either standing or sitting. To stretch the left side of your neck, place your right hand on the top left side of your head and your left hand either behind you. Gently pull your right ear towards your right shoulder. You should feel a stretch in the left side of your neck.

Repeat this on the right side by placing your left hand on the top right side of your head and gently pulling your left ear towards your left shoulder with your right arm behind your back. Hold this for 30-60 seconds.

Try not to rotate your head when performing this stretch. Keep your eyes facing forward as your gently pull one ear towards the shoulder on the same side. If you rotate your head, you may feel the stretch in a different spot or you won’t feel a stretch at all.

While this exercise is great for everyone, it is particularly useful for desk workers as common complaints tend to be stiffness in the neck because of the amount of time spent sitting throughout the work day.

Levator Scapulae Stretch

To stretch the left side, start sitting and turn your head to the right about 45 degrees. Take your right hand and place it on the back side of your head. Then, gently pull your head down as if you’re looking into your right hand pocket. You should feel a stretch in the back of the left side of your neck. Hold this position for 30-60 seconds and repeat if desired.

Perform this on the right side by turning your head to the left at a 45 degree angle and placing your left hand behind your head. When you gently pull, you should be looking down to your left hand pocket.

Scalenes Stretch

Start in a seated position. To stretch the left side, bring your right ear to your right shoulder. Then, turn and rotate your head to the left as if you are looking up towards the ceiling. You should feel a stretch on the left side where the lower portion of your neck meets your shoulder.

Repeat on the right side by bringing your left ear to your left shoulder and rotating your head to the right to look up towards the ceiling. Hold this position up to 30 seconds and repeat up to 2-3 times.

Chin Tuck

This exercise targets the deep neck flexors, placing the neck in a good position to reduce forward head posture.

To appropriately target the deep neck flexors, sit up tall and think about pushing your chin straight back as if you were creating a double chin. At the same time, imagine a string is pulling the top of your head towards the ceiling. You will feel a slight rotational movement of the head and neck from the combined movements of creating the double chin as well as “lifting” your head/neck towards the ceiling. Think like you are elongating your spine upwards. Make sure to avoid flexing your neck forward and looking down towards the floor when performing your chin tuck.

You may feel a stretching feeling along the back side of your neck.

Shoulder Rolls

Sit up nice and tall. Start to roll your shoulders backwards 5-10 times. Try not to be rigid with your movement. The point is to allow your muscles to relax instead of guarding and holding your shoulders up towards your ear or in a fixed position for too long.

Then switch and roll your shoulders forward 5-10 times. You might notice one direction is easier or you feel one direction is more coordinated than the other.

This will get some blood flow going to the upper back and get this area moving, especially if you’ve been stuck sitting for most of the day. Repeat as many times as feels comfortable to you. You can also do this multiple times throughout the day to help loosen up the muscles in the back of your shoulders and upper back.

Muscle Relaxing Facial Massage

The muscles of the face and jaw can also get tight and contribute to postural changes within the neck, leading to tension headaches. Jaw clenching is a very common problem that can lead to stiffness within the muscles of the face and jaw.

You can easily do this at home either with your own hands or a gua-sha tool. You don’t need lots of pressure. Instead, treat this as a relaxing experience for yourself.

I have had TMJ problems ever since I was a kid and have a bad habit of clenching my jaw. I started to massage the masseter and other surrounding muscles for about 1-2 minutes during my morning and nighttime face routine and LET ME TELL YOU! The relief I felt in my jaw was unmatched! I didn’t even know I had this to be totally honest. But once you start doing it, you realize how much just one minute can really help.

Here is my routine:

  • After I wash my face, I use one of my serums that I normally put on to help my fingers glide across my skin more easily. My go-to is my hyaluronic acid serum because it moisturizes and plumps the skin at the same time.
  • I’ll start with the masseter and massage this for about 30-60 seconds on both sides. Circular motions or going up and down the length of the muscle works too.
  • I’ll then move up towards my temples and in circular motions work on the temporalis muscle. The temporalis muscle extends along the side of your head. I’ll stay around my temples, but you could massage the scalp too along the length of the temporalis muscle. Make sure to keep your jaw relaxed. If you clench, you’ll feel the muscle contract under your fingers over the temples. I’ll typically spend 15-30 seconds here.
  • Finally, I’ll move to the forehead where the frontalis muscle is. Either in circular motions or moving up and down in slow strokes, I’ll gently work the frontalis muscle. I’ll also spend 15-30 seconds here.

And that’s it! Start incorporating this easy facial massage to your morning and nighttime skincare routine and see how much relief you get not only in your face/jaw, but from your headaches too!

Other Related Articles on Health & Wellness

  • Easy Habits for Health & Wellness: A Physical Therapist’s Approach
  • 7 Simple Healthy Habits a Physical Therapist Would Recommend
  • Exercise and Mental Health: Positively Improve All Aspects of Life

When to Seek Professional Help

Recognizing when it’s time to consult a healthcare professional for your tension headaches is crucial. If your headaches are interfering with your daily life and conservative treatment isn’t helping, it’s time to seek a more specialized approach.

Comprehensive pain management strategies can offer new avenues for headache prevention and overall well-being. Remember, exploring these avenues is you taking a proactive step toward uncovering and addressing the root cause of your discomfort. Seeking professional help is a step towards reclaiming your health and ensuring you are supported by expert guidance.

TL;DR

Tension headaches are a common yet overbearing condition. that affects the large majority of the population. Addressing muscle tightness through targeted stretches can offer significant headache relief. Due to the causes of tension headaches, taking a holistic approach to treating the root cause can give you the most benefit for pain relief. This includes stretching, working on posture, getting enough sleep, and not skipping meals.

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Tera Sandona
Tera Sandona

Tera Sandona is a licensed Doctor of Physical Therapy (DPT) and the founder of PT Complete. She helps high-achieving women break out of cycles of chronic pain, stress, and burnout through her Regulate and Rebuild Method, a sequenced approach that addresses the nervous system first and builds strength second. Her work focuses on helping women finally understand their bodies, rebuild strength, and create lasting resilience that fits real life.

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By: Tera Sandona · In: Mobility and Restoration, Movement · Tagged: gentle movement, mobility, neck, pain flares, stress and pain

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I'm a practicing physical therapist based out of sunny SoCal who loves to educate others and share information and knowledge. You can typically find me hard at work trying to manage normal life or cuddled up under a blanket enjoying coffee or desserts I can never seem to get away from!

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I hear this one on repeat. It started in your shou I hear this one on repeat. It started in your shoulder, now it’s crept into your shoulder blade, and maybe down toward your mid back. And the first thought is always the same: something new is wrong now or something else is breaking down.

But that’s not usually what’s happening. Pain that spreads to the region right next door isn’t a new injury announcing itself (unless you legitimately injured yourself again).

When pain spreads without a new injury behind it, it’s been part of the picture for a while, and showed up out of nowhere, it’s usually the same alarm system that’s been running in the background. It’s now been ringing long enough that the areas nearby started picking up the signal too.

Think of it less like a break and more like a smoke detector that won’t stop going off until the whole hallway of detectors starts sounding along with it. Nothing new caught fire. The system’s just been on for a long time.

If you’ve already had this checked and nothing new turned up to explain it, pay attention to that. It’s usually your best clue that this is your nervous system spreading the pain to a new area, not a new injury needing its own workup.

Comment “MINE DID THIS” if pain has crept into the area right next to where it started. I’ll send you my blog post I wrote on this exact topic that goes more in depth on what’s actually going on.
But here’s what’s actually true. You’ve probably But here’s what’s actually true.

You’ve probably been told for years that any movement counts as building strength, and in the very beginning, it kind of does. If you’re coming from little to no activity, walking, Pilates, biking, or yoga will strengthen you…at first. Your body is adapting to a demand it hasn’t had to meet before.

But that adaptation has a ceiling. Once your body reaches its load tolerance for that amount of activity, doing more of the same thing doesn’t build you past it. You’re not getting stronger anymore. You’re just maintaining the level you already reached.

This is where cardiovascular and endurance work split from strength work. Walking and biking stay focused on the cardiovascular system. They’re not increasing the load on your muscles. You’re training your heart and lungs instead.

Pilates and yoga work your muscles through holds, which builds muscular endurance and helps your muscles sustain a position under fatigue. That’s a real adaptation. It’s just not the same one as strength.

Real strength requires loading a specific muscle heavy enough, and consistently enough, that it has a reason to adapt again.

If you keep exposing your body to the exact same stimulus, no further change happens. The muscle already met that demand. It has nothing left to respond to.

Comment “MAXED OUT” if you just realized you’ve been maintaining instead of building for a while now.
Everyone sees you making it through the day just f Everyone sees you making it through the day just fine. They don’t see what it’s costing you to get there or what happens once you finally stop.

You show up. You answer the emails, sit through the meetings, keep your voice even when it needs to be, and nobody watching would ever guess anything is off.

They don’t see how tirelessly you work the second you walk back in the door, taking care of everyone else before you’ve had a single second to take care of yourself. They don’t see whatever you’re quietly carrying right now…the thing nobody’s asked about because you never said it out loud.

But your nervous system has been working the entire time to keep you looking like that. Holding the line through every part of the day you couldn’t afford to fall apart in.

And by evening, when nothing else is asking anything of you, it finally stops pretending. Not a dramatic collapse, just a flatness. It’s in the plans you cancel, the conversation you can’t hold, the two hours you lose staring at nothingwhen there’s nothing left keeping the performance up.

Nobody sees the discipline it takes to hold that together all day. They only see the version of you that’s left once it’s finally safe to stop.

If this is you, let the plans stay cancelled tonight. That’s not falling behind. You’ve already asked enough of yourself today.

Send this to someone who’s fine all day and disappears the second it’s finally safe to stop.
It’s Friday night. The week is finally behind you. It’s Friday night. The week is finally behind you. And you still don’t feel like you got anything back.

You’re not lazy. You’re using the wrong tool for the kind of tired you’re actually experiencing.

I know why you think something’s off. You slept enough. You even took the whole day off. And your mind still felt like it never turned off, replaying the week, running tomorrow’s list, and staying half on alert even while lying still.

The only explanation that makes sense is that you’re bad at resting, or too wound up to relax, or just built wrong.

But here’s the truth: physical stillness only covers one kind of exhaustion. If your eyes, ears, and screen never got a break, that’s sensory depletion still running underneath you. If you spent the day holding everything together for everyone else, that’s emotional depletion still running. If your brain never stopped making decisions, that’s mental depletion still running.

You didn’t fail at resting. You used the right tool on the wrong job…the screwdriver when you needed scissors.

So if you want to try this differently tonight, here’s where to start:

First, name which kind you’re actually short on (sensory, emotional, or mental) instead of defaulting to more sleep.

Second, match the rest to the deficit. Sensory rest means screens off and quiet, no noise. Emotional rest means nothing that requires you to hold anyone else up. Mental rest means no decisions, not even small ones, for one hour.

Third, expect it to feel smaller than you think rest should look like. It still counts and it adds up over time. Small consistencies matter here.

You’re not lazy. You’ve just been resting the wrong thing.

Save this so you know which kind of rest to reach for tonight.
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