Back to blogHealth Guides

Headache Relief in Lichfield: Tension vs. Cervicogenic vs. Migraine

||7 min read
Share
Split-screen illustration of a head with neck muscles highlighted in red and three labeled pain zones on a pale blue background.

Get In Touch

Ready to start your journey to a pain-free life? Whether you have questions about our treatments or need advice on managing discomfort, our team is here to help.

Contact Us

Find the Real Cause of Your Headaches in Lichfield

Headaches can creep into everyday life until they feel normal, but they are not something you just have to put up with. When your head is pounding or your neck feels tight, work, sleep and family time all become harder. The key is to work out why the headache is there in the first place.

As summer rolls on, some people in Lichfield notice their headaches getting worse. Warmer days can mean mild dehydration, busier diaries, school holidays, longer drives and more time on phones or laptops. All of this can add stress to the neck, shoulders and nervous system. But not all headaches are the same, and they do not all respond to the same care.

Tension headaches, cervicogenic headaches that come from the neck, and migraine have different patterns and triggers. That is why guessing can lead to frustration. A structured chiropractic assessment helps sort these types apart, guides safe headache treatment in Lichfield, and shows when it is safer to see a GP or go straight to A&E.

In this article, we will walk through how this kind of assessment works, what we look for with each headache type, simple patterns you might recognise, and the key warning signs that always need medical attention instead of hands-on care.

Tension Headaches: When Stress Tightens Your Muscles

Tension-type headaches are very common. People often describe them as a dull, tight or pressure feeling, like a band around both sides of the head. Common patterns include:

  • Build slowly through the day
  • Feel worse after long periods at a desk or driving
  • Come with tightness in the neck, shoulders or jaw
  • Flare up around busy or stressful times

During a chiropractic assessment for tension headaches, we look at more than just the head. We consider how your day-to-day habits and physical strain might be overloading the muscles and joints that can contribute to tension-type symptoms. A typical assessment will include:

  • Checking posture when sitting, driving and using phones
  • Feeling for tender or overworked muscles in the neck, shoulders and jaw
  • Looking at how the ribs and upper back move with breathing
  • Asking about stress, sleep, hydration and caffeine habits

This helps us see whether your muscles are doing too much and which joints might be stiff.

Care for tension headaches often includes gentle work on the spine and ribs, along with soft tissue techniques for tight muscles and massage where needed. We also like to give simple home strategies so you can reduce strain between appointments. These may include:

  • Easy stretches for the neck and upper back
  • Tips to set up your desk or car seat more comfortably
  • Short movement breaks to break up screen time
  • Basic stress management ideas such as breathing drills or pacing busy days

Tension headaches are often blamed on stress, but they should still be taken seriously. We will always be more cautious if:

  • Your headache pattern is new or changing quickly
  • Headaches start to wake you from sleep
  • You notice visual changes, weakness, numbness or other neurological symptoms

In those cases, we would pause treatment and suggest medical checks.

Cervicogenic Headaches: When Your Neck Is the Culprit

Cervicogenic headaches start in the neck. The pain is often on one side, beginning at the base of the skull and then spreading to the temple, forehead or eye on the same side. They often feel worse after specific activities or positions, such as:

  • Long periods looking down at a laptop or phone
  • Gardening or DIY with the head held in one position
  • Long summer drives with poor seat or mirror setup

In a chiropractic examination we pay close attention to your neck and upper back, because cervicogenic headaches are typically linked to how these areas move and share load. We will usually:

  • Test neck movement in all directions to see where pain appears
  • Gently feel how each joint in the upper neck is moving
  • Check muscle balance around the shoulders and shoulder blades
  • Ask about older injuries, such as whiplash or sports strains
  • Talk about sleep posture and your pillow height

Care for cervicogenic headache often focuses on improving how the neck and upper back move and work together. That may include:

  • Specific chiropractic adjustments or mobilisations to stiff joints
  • Targeted exercises to build strength and control around the neck and shoulders
  • Advice on posture, laptop setup and driving position
  • Suggestions around pillow height and sleep position

Safety is always at the front of our minds. Some serious conditions, including certain vascular problems, can mimic neck-related headaches. This is why we use neurological checks, blood pressure readings and other screening tests. If anything does not fit the pattern of a straightforward cervicogenic headache, we refer back to your GP or, if needed, recommend urgent medical review instead of starting treatment.

Migraine and Aura: When Headaches Are More Complex

Migraine is different again. The pain is often throbbing or pulsing, usually on one side of the head, and can come with:

  • Nausea or even being sick
  • Sensitivity to light, sound or smells
  • Blurred vision or zig-zag lines
  • Tingling, numbness or trouble finding words in some people

Migraine can be linked with hormones, disrupted sleep, dehydration, missed meals and certain foods or drinks. Warmer, brighter months can sometimes unmask these triggers.

As chiropractors, our role is not to replace medical care for migraine but to support it. During your history, we will ask about:

  • Typical migraine pattern and how long you have had it
  • Known triggers, including hormonal changes and sleep shifts
  • Medication use and how well it works
  • Family history of migraine or other headaches
  • Neck stiffness, jaw tension and posture that might add extra strain

Where it is suitable, gentle manual therapy for the neck and upper back may help reduce mechanical load that could be feeding into your migraine pattern. We can also discuss lifestyle changes that may help you manage triggers more consistently, including:

  • Regular sleep and wake times
  • Consistent hydration across the day
  • Planned screen breaks, especially in strong sunlight
  • Gradual, comfortable movement to keep the body active without overload

There are clear times when migraine-like symptoms must be checked by a doctor urgently. We encourage medical assessment for:

  • A first-ever severe headache
  • A sudden, explosive onset headache
  • New migraine-type symptoms during pregnancy
  • New weakness, confusion, speech or vision changes
  • Headaches that stop responding to your usual medication

How Chiropractors Decide When to Treat or Refer

At The Chiropractic Studio we follow a clear process before deciding if hands-on care is right for you. This usually includes:

  • A full case history covering your headaches, general health and medication
  • A physical and neurological examination
  • Postural and movement tests that relate to your daily life
  • When needed, communication with your GP or other healthcare providers

There are some red flag features that point away from chiropractic treatment and towards urgent medical input instead. These can include:

  • Sudden, very severe headache out of the blue
  • Headache after a head injury, even if it seemed minor at the time
  • Headache with fever, neck stiffness, rash or feeling very unwell
  • Headaches that keep getting worse over several weeks
  • Changes in personality, memory or behaviour
  • New headaches in someone with cancer or on blood-thinning medication

Our goal is not to treat every headache but to help you get the right care. If your pattern does not look suitable for conservative treatment, we will explain why and guide you towards the most appropriate medical route.

Choosing Safe, Personalised Headache Care in Lichfield

When you understand whether your headaches are mainly tension-type, cervicogenic or migraine, everything becomes clearer. You can have more realistic expectations, more targeted hands-on care and exercises that actually match your triggers, rather than a one-size-fits-all approach.

At The Chiropractic Studio in Lichfield, our chiropractors are registered with the General Chiropractic Council and take a whole-person view. We bring together structured assessment, clear explanations and a blend of chiropractic techniques, massage and rehabilitation exercises to support suitable cases of headache treatment in Lichfield in an informed and sensible way.

If you decide to seek help, it can be useful to prepare by:

  • Keeping a simple headache diary for a few weeks
  • Writing down any medication you use, including how often
  • Bringing copies of any recent scans or test results, if you have them
  • Noting any patterns you have already spotted, such as food, sleep or stress links

You do not have to guess at the cause of your headaches. A careful chiropractic assessment can help make sense of your symptoms, show when you need medical care, and give you a structured plan to work towards calmer, more manageable days as the seasons change.

Relieve Your Headaches And Start Feeling Like Yourself Again

If recurring headaches are impacting your daily life, we are here at The Chiropractic Studio to help you find effective relief. Explore our tailored approach to headache treatment in Lichfield and discover how gentle, focused care can ease tension and discomfort. To discuss your symptoms and arrange an appointment, please contact us today.

Frequently Asked Questions

What is the difference between a tension headache, a cervicogenic headache, and a migraine?

Tension headaches usually feel like a tight band or pressure on both sides of the head and often build through the day. Cervicogenic headaches start in the neck, are often one sided, and can spread from the base of the skull to the temple or eye. Migraine is more likely to come with throbbing pain and other symptoms like light sensitivity or nausea, and it may not be mainly driven by neck posture.

How can I tell if my headache is coming from my neck?

A headache linked to the neck often starts at the base of the skull and spreads to the forehead, temple, or eye on the same side. It commonly gets worse after sustained positions such as looking down at a phone or laptop, gardening, or long drives. Neck stiffness or pain with certain neck movements is also a common clue.

What triggers tension headaches and what can I do at home to reduce them?

Tension headaches are often linked to prolonged sitting, driving, screen time, jaw or shoulder tension, stress, poor sleep, dehydration, and high caffeine habits. Helpful steps include taking short movement breaks, doing gentle neck and upper back stretches, improving desk or car setup, and using simple breathing drills to reduce stress. Staying hydrated and pacing busy days can also reduce flare ups.

Can chiropractic care help with headaches, and what does an assessment involve?

A structured assessment helps identify whether your symptoms fit tension type patterns, cervicogenic patterns from the neck, or a type that needs medical review. It commonly includes checking posture, testing neck movement, feeling for tender or overworked muscles, and checking how the upper back and ribs move with breathing. Care may include gentle work to reduce joint stiffness, soft tissue techniques, and a home plan to reduce strain.

When should I see a GP or go to A&E for a headache instead of booking hands on treatment?

Seek medical advice urgently if a headache is new or changing quickly, wakes you from sleep, or comes with neurological symptoms such as visual changes, weakness, or numbness. These signs can indicate a cause that needs medical assessment rather than manual treatment. If you are unsure, it is safer to check with a GP or urgent care first.

Adriana De Freitas Ludlow

Adriana De Freitas Ludlow

Dr Adriana is the heart behind The Chiropractic Studio, bringing a warm, patient-focused approach to every visit. She holds a four-year integrated Master's degree in Chiropractic and continues to expand her expertise with advanced training - including the Webster Technique for pregnancy care. Her goal is simple: help you feel better, move more freely, and live fully.