Health Blog

Picture this: you're powering through your workday, juggling emails and deadlines, when a familiar tightness creeps around your head like a hat that's too tight. That sensation could indicate chronic tension–type headache (CTTH), and for anyone familiar with this condition, you know it means an uphill battle is ahead. For the 3% of the global population that has CTTH, these events are a nuisance, with disabling headaches occurring more than 15 days each month that dampen one's quality of life in the process. Along with the pain often comes difficulty focusing, sleeping, and carrying out everyday tasks, making most of daily life a struggle.

But you don't have to live like this. Physical therapy can be game changer for CTTH, as it provides a safe and effective route to alleviate your pain and get you back to living your best life. Unlike medications that only mask the pain, physical therapy aims to get to the root of CTTH and approaches it with hands–on techniques, targeted exercises, and other evidence–based interventions that will help you break the cycle of pain without being overly reliant on medication.

That's why we'd like to look into a recently published study that underscores the benefits of physical therapy for CTTH, showing how it can dial down the intensity, frequency, and duration of headaches.

Taking a closer look at chronic tension–type headaches

Tension–type headaches are characterized by mild to moderate pain, often described as a feeling of tightness or pressure around the head. Unlike migraines, they don't usually involve throbbing pain, nausea, or sensitivity to light and sound. When these headaches occur 15 or more days per month for over three months, they are classified as chronic.

The exact cause of CTTH isn't fully understood, but muscle tension in the head, neck, and face is believed to be at least partially responsible. Factors like stress, poor posture, and muscle tightness can play a role. Other findings in the medical literature include the following:

• Many patients with tension–type headaches experience tenderness in the muscles around their head


• Some research has even found that people with these headaches may have reduced thickness in certain neck muscles


• Women, young adults, and individuals with high stress levels are more prone to CTTH, and it's a major reason people miss work or lose sleep

This shows why physical therapy can make a real difference. By addressing muscle imbalances, improving posture, and teaching relaxation techniques, physical therapy offers a comprehensive approach that targets many components of CTTH.

Results are clear cut: physical therapy–based interventions reduce headache burden

A recent study published in the Journal of Oral & Facial Pain and Headache study aimed to take a closer look at how effective physical therapy is for people with CTTH. While it's already known that physical therapy is helpful, this study systematically reviewed and analyzed existing research to provide a clearer picture of its benefits. Here's how the study was conducted:

• Researchers performed a comprehensive search of several medical journals for studies on patients with CTTH who received physical therapy interventions (e.g., hands–on therapy, muscle relaxation techniques, and neck exercises)


• They identified 9 randomized controlled trials—the gold standard for individual studies—that compared these physical therapy interventions to other treatments in hundreds of patients with CTTH


• These studies were analyzed to determine how effective these interventions were for headache intensity, frequency, duration, and impact on daily life


• Researchers also evaluated the quality of these studies and compiled their results to draw overall conclusions

Results showed that several treatments often used in physical therapy led to significant improvements in patients with CTTH. In particular:

• Neck and shoulder strengthening exercises reduced headache intensity, frequency, and duration


• Muscle relaxation techniques also helped to decrease headache intensity and frequency


• A passive intervention called electrical stimulation was effective for reducing headache intensity and duration

This research confirms what many researchers already know: physical therapy is a powerful tool against CTTH. By addressing the underlying muscle tension and associated factors, physical therapy offers a safe, non–invasive, and effective path to lasting relief. In fact, for many patients with CTTH, physical therapy may be the best treatment option available.

Contact us today to take the first step on your recovery

If you're tired of living with the burden of CTTH, it may be time to act. Contact our clinic today to learn how our experienced physical therapists can help you find a path to a life with less pain.

For those of you interested in learning more about the study discussed in this article, you can find additional details here.