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Tension headache

Find out what is driving your headaches, and what will settle them

That tight band of pressure across your forehead, pain behind your eyes or the ache that creeps up from your neck by mid-afternoon, is not something you have to push through. Headaches are common, they usually have a cause you can act on, and they respond well to treatment.

Medicare, NDIS, DVA and private health funds accepted.

Headache - Treatment - Physio

Understanding Tension headache

A tension headache is felt as steady pressure or tightness on both sides of the head, often with tight, painful muscles through the neck, jaw and shoulders. It builds rather than throbs, and it is usually linked to how your neck and upper back are loaded, along with stress, sleep and screen time.

Not every headache is a tension headache. Your assessment sorts out whether the pain is coming from the neck joints and muscles, whether it fits a migraine pattern, or whether something else needs attention first. That answer shapes what you do next.

Who does it affect?

adults of any age, and it is common in people who work at a desk, drive long hours, study, or carry stress in the neck and shoulders.

How common is it?

tension-type headache is the most common type of headache.

What is the recovery like?

varies. Many people notice a change within a few weeks, while long-standing patterns take longer to shift.

Who should I see for treatment?

physiotherapists at OnePointHealth.

What funding options are available?

Medicare, NDIS, DVA and private health funds accepted.

What causes headaches?

A headache is pain felt in the head, face or upper neck. Most headaches are not caused by anything sinister. They come from the muscles, joints and nerves of the head and neck, or from a change in how the brain processes pain signals, as happens in migraine.

Tension-type headache usually builds slowly. Muscles through the back of the neck, the base of the skull and the top of the shoulders stay loaded for hours at a time, often in one sustained position. The tissue becomes sensitive, and pain refers up over the scalp, across the forehead and behind the eyes. Cervicogenic headache works differently: it starts in the upper neck joints and refers pain into the head, so it often affects one side and moves with your neck.

Common contributing factors include:

  • Sustained postures at a desk, in a car, or over a phone, especially with limited breaks

  • Stress, poor sleep and low activity levels, which raise muscle tension and lower pain tolerance

  • Neck and upper back stiffness, weak deep neck muscles, or an old neck injury

  • Jaw clenching and teeth grinding, which load the muscles around the temples

  • Dehydration, skipped meals, alcohol and caffeine changes

  • Eye strain from screens or an out-of-date prescription

Symptoms of Tension headache

Headaches present in different ways, and how yours behaves matters more than how much it hurts. Common features include:

Your assessment tells us which structures are driving the pain and which triggers are keeping it going. Your plan is built from that, not from a standard headache protocol.

Manual therapy to the neck and upper back

Hands-on mobilisation of stiff upper neck joints reduces the referred pain those joints send into the head.

Soft tissue treatment and dry needling

Targets tight, tender points in the neck, shoulder and jaw muscles to reduce muscle tension and local sensitivity.

Deep neck and shoulder strengthening

Builds endurance in the muscles that hold your head up, so sustained positions stop loading the painful tissue.

Workstation, driving and sleep set-up

Practical changes to screen height, seating and pillow support, which reduce the hours your neck spends under load.

Trigger identification and headache tracking

Mapping frequency, timing and triggers shows what is actually driving your pattern and what is changing with treatment.

What to expect at your first appointment

  

Tell us what is going on

You describe where the pain sits, how it starts, how long it lasts, what makes it better or worse, and what you have already tried.

A full assessment

Your physiotherapist or chiropractor checks neck movement, joint mobility, muscle tenderness, jaw function and strength, and screens for anything that needs medical review.

A clear plan

You leave knowing what type of headache you are dealing with, what is driving it, what treatment involves and what you can do between visits.

Review and adjust

You track your headaches, and your plan changes as the frequency and intensity change.

When to book an appointment

    Book an assessment if:

  • Your headaches have been happening for more than a few weeks

  • They are affecting your work, sleep, driving or training

  • Stretching, heat, hydration or over-the-counter medication is not holding them off

  • You are unsure whether the pain is coming from your neck, your jaw or something else

Looking after yourself at home

These steps support your treatment between appointments.

  • Sustained postures at a desk, in a car, or over a phone, especially with limited breaks

  • Stress, poor sleep and low activity levels, which raise muscle tension and lower pain tolerance

  • Neck and upper back stiffness, weak deep neck muscles, or an old neck injury

  • Jaw clenching and teeth grinding, which load the muscles around the temples

  • Dehydration, skipped meals, alcohol and caffeine changes

  • Eye strain from screens or an out-of-date prescription

Meet the team who treat this

Behind every appointment is a team of practitioners who know each other, trust each other and work together for you. Across seven clinics and nine disciplines, our team shares expertise, coordinates treatment plans and celebrates your progress together.

Meet the full team

Aimee Fuller

Healthcare Support Officer

Available at Blaxland

Alicia Whiticker

Healthcare Support Officer

Available at Blaxland

Amanda Banks

Healthcare Support Officer

Available at Blaxland

Amanda Duggan

Healthcare Support Officer

Available at Blaxland

Amy Meekings

Healthcare Support Officer

Available at Blaxland

Anita Beerapu

Healthcare Support Officer

Available at Blaxland

Benjamin Tucker

Healthcare Support Officer

Available at Blaxland

Blake Cossar

Healthcare Support Officer

Available at Blaxland

Bronte Tupper

Healthcare Support Officer

Available at Blaxland

Chris Farrugia

Healthcare Support Officer

Available at Blaxland

Corrina Aitken

Healthcare Support Officer

Available at Blaxland

David Logue

Healthcare Support Officer

Available at Blaxland

Dean Gresser

Healthcare Support Officer

Available at Blaxland

Emma Nassif

Healthcare Support Officer

Available at Blaxland

Esha Sharma

Healthcare Support Officer

Available at Blaxland

Fatima Hussaini

Healthcare Support Officer

Available at Blaxland

Felicity Spencer-Davey

Healthcare Support Officer

Available at Blaxland

Frankie Raikadroka

Healthcare Support Officer

Available at Blaxland

Hannah Norrie

Healthcare Support Officer

Available at Blaxland

Heather Edwards

Healthcare Support Officer

Available at Blaxland

Isaac Vella

Healthcare Support Officer

Available at Blaxland

Jarrah Nesbitt

Healthcare Support Officer

Available at Blaxland

Jonathan Lopez

Healthcare Support Officer

Available at Blaxland

Justin Hanna

Healthcare Support Officer

Available at Blaxland

Kasey Collins

Healthcare Support Officer

Available at Blaxland

Katrina Gauci

Healthcare Support Officer

Available at Blaxland

Kennedy Touet

Healthcare Support Officer

Available at Blaxland

Kristy Edwards

Healthcare Support Officer

Available at Blaxland

Kyle Perry

Healthcare Support Officer

Available at Blaxland

Lorna Nicastri

Healthcare Support Officer

Available at Blaxland

Maja Bosic

Healthcare Support Officer

Available at Blaxland

Marxy Koronel

Healthcare Support Officer

Available at Blaxland

Matt Barton

Healthcare Support Officer

Available at Blaxland

Michael Todd

Healthcare Support Officer

Available at Blaxland

Mr Jeffery Jenkins FACPS

Healthcare Support Officer

Available at Blaxland

Nathan Cavanagh

Healthcare Support Officer

Available at Blaxland

Patrick Celeban

Healthcare Support Officer

Available at Blaxland

Praise Khin

Healthcare Support Officer

Available at Blaxland

Sarah Bonnici

Healthcare Support Officer

Available at Blaxland

Shannon Smith

Healthcare Support Officer

Available at Blaxland

Siobhan Kelly

Healthcare Support Officer

Available at Blaxland

Taleisha Bozzi

Healthcare Support Officer

Available at Blaxland

Trystan Singh

Healthcare Support Officer

Available at Blaxland

Uty Kotwal

Healthcare Support Officer

Available at Blaxland

Yoni Hochberg

Healthcare Support Officer

Available at Blaxland

Zak Lloyd

Healthcare Support Officer

Available at Blaxland

EPC, DVA, NDIS and WorkCover welcome

Nearly half of our appointments are funded through Medicare, DVA, NDIS or WorkCover. We manage the paperwork so you can focus on your health.

NDIS

We support eligible NDIS participants across podiatry, physiotherapy, exercise physiology, dietetics and psychology, depending on your plan and goals. Eligibility and funding are set by your plan.

Learn more

Medicare

Medicare may rebate podiatry, physiotherapy, exercise physiology and dietetics sessions when your GP refers you under an Enhanced Primary Care (EPC) or Chronic Disease Management (CDM) plan, and psychology sessions under a Mental Health Care Plan. The number of sessions is set by your plan.

Learn more

DVA

Gold and White card holders can access DVA-funded care across our services with a valid referral.

Learn more

WorkCover

If you have been injured at work, we accept WorkCover referrals for physiotherapy, exercise physiology and psychology, and manage the paperwork with your insurer, with a clear return-to-work plan.

Learn more

Seven clinics across three regions

Find a clinic near you. Each location is staffed by local practitioners who know your community.

Penrith

Western Sydney

Our largest centre, with our full range of services under one roof.

510/536 High St, Penrith NSW 2750

Ropes Crossing

Western Sydney

Podiatry, at Ropes Crossing Village.

1B/2 Central Pl, Ropes Crossing NSW 2760

Blaxland

Blue Mountains

Podiatry, physiotherapy, exercise physiology and group classes.

10 Layton Ave, Blaxland NSW 2774

Springwood

Blue Mountains

Podiatry, dietetics and a boutique footwear store.

20 Ferguson Rd, Springwood NSW 2777

Katoomba

Blue Mountains

Podiatry, physiotherapy and dietetics, in a restored 1914 cottage.

69 Megalong St, Katoomba NSW 2780

Ryde

North Shore

Podiatry, physiotherapy, dietetics and exercise physiology, with a footwear store and gait analysis.

819 Victoria Road, Cnr Shepherd Street, Ryde NSW 2112

Lindfield

North Shore

Podiatry, with mobile podiatry across the North Shore and Northern Beaches.

2/324 Pacific Highway, Lindfield NSW 2070
view all locations

Ready to get on top of your headaches?

Book an assessment, find out what is driving the pain, and leave with a plan.

Frequently asked questions

A tension headache is steady pressure on both sides of the head, and you can usually keep functioning through it. A migraine is more often throbbing, on one side, and comes with nausea, or sensitivity to light and sound. Migraine attacks commonly force you to stop and lie down, and some people get visual disturbance beforehand. The two can occur in the same person, which is why the pattern of each episode matters.

Yes. Low fluid intake, a long gap between meals, alcohol and changes in caffeine intake are all recognised headache triggers. Caffeine is the one people miss most often: a sudden drop, such as on a weekend or a day off, can bring on a withdrawal headache by mid-morning. Keeping intake steady, rather than cutting it out abruptly, tends to work better.

It can. Taking pain relief for headaches on most days of the week over several weeks can lead to medication overuse headache, where the medication itself starts driving the pattern. The headaches become more frequent and respond less well. If you are reaching for tablets more than a couple of days a week, raise it with your GP or pharmacist before changing anything, because some medications need a staged reduction.

Yes, and they become more common through the high school years. Screen time, heavy school bags, exam stress, irregular sleep and skipped meals all contribute. A new or changing headache in a child should be reviewed by a GP first. Once medical causes have been excluded, treatment follows the same principles as for adults, with more emphasis on sleep routine, hydration and study set-up.

Eye strain can contribute to headaches, particularly a dull ache behind or above the eyes after long screen work. An out-of-date prescription, an uncorrected astigmatism or new progressive lenses can also cause you to hold your head at an angle, which loads the neck. If your headaches started around a vision change or you are squinting to read screens, an optometrist review is worth booking alongside treatment.

Record the date and time each headache starts, how long it lasts, where the pain sits, its intensity out of ten, and any medication taken. Add sleep hours, meals, caffeine, alcohol, stress and workload. Two to four weeks of entries usually reveals a pattern that is hard to see day to day, and it gives a clear baseline to measure your progress against.