If you’ve ever experienced a throbbing headache during or after intense physical activity—be it running, lifting weights, or even vigorous yard work—you might be dealing with an exertion headache.
Hello, my name is Douglas and I’m a senior clinician at Brisbane Headache and Migraine Clinic.
As a physiotherapist trained in the Watson Headache Approach, I often see patients who are puzzled by these sudden, exercise-induced headaches.
Many have tried hydration, rest, or over-the-counter medications with little success. The key often lies in understanding the connection between the neck and the brainstem, which is precisely where the Watson Approach can help.
What Are Exertion Headaches?
Exertion headaches, also known as primary exercise headaches, are brought on by physical activity and are typically benign.
They usually present as a pulsating pain on both sides of the head and can last from five minutes to 48 hours.
While they can be alarming, especially when intense, they are often not indicative of a more serious underlying condition.
Lesser-Known Symptoms of Exertion Headaches
While many are familiar with the common throbbing pain associated with exertion headaches, several other symptoms may go unnoticed:
- Neck Pain or Stiffness: Discomfort in the neck region can accompany or precede the headache.
- Visual Disturbances: Some individuals report experiencing blind spots or other visual anomalies during an episode.
- Nausea and Vomiting: These symptoms can occur, making the headache resemble a migraine.
- Sensitivity to Light (Photophobia): An increased sensitivity to light can be a concurrent symptom.
- Neck Stiffness: A feeling of tightness or reduced mobility in the neck area may be present.
Recognising these symptoms can aid in distinguishing exertion headaches from other types and in seeking appropriate treatment.
The Watson Headache® Approach: A Targeted Solution
Developed by Australian physiotherapist Dean Watson, the Watson Headache® Approach is a method focusing on the upper cervical spine (the top three vertebrae of the neck).
This approach involves a series of gentle, non-manipulative techniques aimed at identifying and treating dysfunctions in the neck that may contribute to headaches.
By addressing these dysfunctions, the Watson Approach aims to reduce the sensitivity of the brainstem, which can be a significant factor in the development of headaches.
This method is particularly beneficial for those whose headaches are linked to neck issues, offering a drug-free and non-invasive treatment option.
When to Seek Professional Help
While exertion headaches are often benign, it’s crucial to consult a healthcare professional if:
- The headache is sudden and severe.
- You experience visual disturbances, nausea, or vomiting.
- There’s a history of headaches worsening over time.
These could be signs of a more serious condition requiring immediate attention.
Final Thoughts
Exertion headaches can be disruptive, but understanding their connection to neck function opens the door to effective treatment options.
The Watson Headache® Approach offers a targeted, non-invasive solution by addressing the underlying cervical issues contributing to these headaches.
If you’re experiencing headaches related to physical activity, consider consulting a physiotherapist trained in this approach to explore potential relief.
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References
Cleveland Clinic. Exertion Headaches (Exercise Headaches): Causes, Symptoms & Treatment. https://my.clevelandclinic.org/health/diseases/21959-exertion-headaches
Mayo Clinic. Exercise headaches – Symptoms & causes. https://www.mayoclinic.org/diseases-conditions/exercise-headaches/symptoms-causes/syc-20372276
Watson Headache®. About Watson Headache Approach. https://watsonheadache.com/about-watson-headache-approach/
Lifestyle Physio. Understanding Headache and Migraine Physiotherapy: The Watson Headache Approach. https://lifestylephysio.com.au/2024/11/understanding-headache-and-migraine-physiotherapy-the-watson-headache-approach/
Melbourne Headache Centre. Watson Headache® Approach. https://melbourneheadachecentre.com.au/watson-headache-approach/
