Tension Headache Massage

A Tension Headache Massage is a hands-on therapy that targets muscle tension and trigger points in the head, neck, and shoulders to relieve the tightness, pain, and stress that cause or exacerbate tension headaches. This approach helps increase relaxation, reduce pain frequency, and improve quality of life.​

Signs & Symptoms

• Steady, dull, aching pain or pressure on both sides of the head (forehead, scalp, or neck)

• Muscle tightness and tenderness in the neck, shoulders, and upper back

• Sensation of a tight band around the head or at the base of the skull

• Headache pain may worsen with fatigue, stress, or prolonged posture

• No associated neurological symptoms (e.g., no visual changes or weakness).​

Contraindications

• Avoid massage if there are signs of severe headache types (migraine with aura, sudden/unusual headache, neurological signs, or fever—seek medical advice)

• Do not use deep pressure if acute injury, inflammation, infection, skin irritation, or recent surgery is present in the treatment area

• Use caution or modify pressure if client is sensitive, has a bleeding disorder, or is on anticoagulants.​

Assessment

• Take a detailed history of headache pattern, frequency, triggers, and contributing posture or stressors

• Palpate for muscle tightness, knots, and trigger points in the neck, shoulders, upper back, jaw, scalp, and temples

• Assess posture, cervical spine range of motion, and the client’s stress level or sleep quality

• Identify any red flags for referral (sudden onset, severe pain, neurological deficits, or systemic symptoms).​

Treatment

• Employ Swedish massage, deep tissue work (as tolerated), and myofascial release on neck, shoulder, upper back, and scalp muscles

• Focus on releasing trigger points in the trapezius, sternocleidomastoid (SCM), suboccipitals, and temporalis muscles​

• Use gentle pressure on pressure points (e.g., base of skull, temples, jaw) for 8–60 seconds at a time

• Scalp massage, gentle kneading of the neck and shoulders, and pinching techniques for the SCM are effective​

• Incorporate gentle stretching and neck mobilizations; finish with relaxation techniques and breathing cues.​

Self Care

• Use self-massage on neck, shoulders, and scalp daily—tennis balls, massage balls, or fingertips can help​

• Apply heat (warm towel or shower) to the neck and shoulders to relax muscles

• Maintain regular stretching, good posture, and ergonomic work setups

• Practice stress reduction and relaxation techniques (deep breathing, mindfulness, yoga)

• Take breaks to move and change position during prolonged desk work or screen use

• Stay hydrated and address sleep quality and overall wellness