Migraine Headaches: Causes, Symptoms and Treatment
Physio Northwich – Weaver Physio

Migraines are a recurrent neurological headache condition that can cause severe head pain along with a range of sensory disturbances. These disturbances, often called aura, may include visual changes such as flashing lights, blind spots, zig-zag lines, or sensations like tingling and numbness in the face, hands, or arms.
At Weaver Physiotherapy & Sports Injury Clinic, we regularly help people seeking physio in Northwich who experience migraines linked to neck tension, stress, or musculoskeletal dysfunction.
What Is a Migraine?
A migraine is more than just a headache. It is a complex neurological condition involving interactions between the brain, nerves, and blood vessels.
Migraine attacks can last from a few hours up to two days or longer, and typically present with:
• Moderate to severe head pain
• Pulsating or throbbing sensations
• Pain often affecting one side of the head
• Gradual onset over 15–30 minutes
• Sensitivity to light and sound
• Nausea or vomiting
• Increased pain with normal physical activity
For many people, migraines can be extremely debilitating, making it difficult to concentrate, work, or drive safely.
Migraines affect approximately 1 in 10 people, and they occur significantly more frequently in women than men. Many individuals with migraines also report a family history, suggesting a genetic component.
Although the exact mechanism is not fully understood, migraines are thought to involve neurovascular processes, where abnormal nerve activity in the brain triggers inflammatory chemical release around surrounding blood vessels.
Migraine Aura
Some people experience warning symptoms known as aura, which usually occur up to 60 minutes before the headache begins.
These symptoms are typically temporary and fully reversible.
Common aura symptoms include:
Visual disturbances
• Flashing lights
• Blind spots
• Zig-zag patterns or shimmering lights
Sensory changes
• Tingling
• Pins and needles
• Numbness in the face or hands
Movement or coordination issues
• Dizziness
• Reduced coordination
• Difficulty speaking
Recognising these warning signs can help individuals take early steps to manage a migraine episode.
Diagnosing Migraines
Migraines can sometimes be difficult to diagnose because symptoms may overlap with other types of headaches.
In most cases, diagnosis is made through:
• A detailed medical history
• Symptom pattern analysis
• A clinical examination by a healthcare professional
There is no single scan or test that definitively confirms migraine.
If symptoms are complex or persistent, patients may be referred to a neurologist for further assessment and medication management.
At Weaver Physio, clinicians providing physio in Northwich may also assess whether neck tension, posture, or musculoskeletal factors could be contributing to migraine symptoms.
Common Migraine Triggers
Many people notice that migraines occur after exposure to specific triggers. Identifying these triggers can significantly help reduce the frequency of attacks.
Keeping a daily diary of activities, sleep patterns, stress levels, and food intake can help reveal patterns.
Common triggers include:
• Dehydration
• Skipping meals
• Lack of sleep
• Stress and emotional tension
• Hormonal changes (menstrual cycle, menopause, contraception)
• Weather changes
• Bright or flashing lights
• Strong smells
• Head or neck injuries
• Certain medications
Some foods may also contribute, including:
• Chocolate
• Caffeine
• Artificial sweeteners
• Processed meats
• Foods high in preservatives such as MSG
Genetics also plays a role, with around 60% of migraine sufferers reporting a family history of the condition.
How Physiotherapy Can Help Migraines
Many people assume migraines can only be managed with medication. While medication can play an important role, physiotherapy can also be extremely beneficial, particularly when migraines are associated with neck tension, muscular tightness, or postural strain.
At Weaver Physio – a leading clinic for physio in Northwich, treatment plans are tailored to the individual rather than using a one-size-fits-all approach.
Muscle tension around the neck, shoulders, and upper back can often increase migraine frequency and intensity.
Physiotherapy may help by addressing these underlying issues.
Treatment may include:
Manual Therapy
Hands-on physiotherapy techniques such as:
• Joint mobilisation
• Soft tissue release
• Massage therapy
These approaches can reduce muscle tension, improve neck mobility, and decrease headache intensity.
Massage Therapy
Clinical massage can help reduce muscle spasm and improve circulation around the neck and shoulders.
Research suggests regular massage may help reduce both the severity and frequency of migraines in some individuals.
Exercise Therapy
Structured exercise programmes can play a valuable role in migraine management.
Although intense activity during a migraine attack may worsen symptoms, regular physical activity between episodes can reduce migraine frequency and improve overall health.
At Weaver Physio Northwich, physiotherapists may prescribe:
• Neck strengthening exercises
• Postural correction exercises
• Mobility work
• Gradual cardiovascular exercise programmes
Acupuncture
Medical acupuncture or dry needling can help reduce muscle tension and pain sensitivity. Some studies show acupuncture can reduce migraine intensity and reliance on medication when used regularly.
Cold Therapy
Applying cold packs to the front of the neck or forehead at the start of a migraine may help reduce pain by calming irritated blood vessels and nerves.
Relaxation and Breathing Techniques
Stress is a common migraine trigger.
Physiotherapists at Weaver Physio providing physio in Northwich may teach relaxation strategies such as:
• Deep breathing
• Progressive muscle relaxation
• Mindfulness techniques
These approaches can help reduce the severity of migraine episodes.
Managing Migraines Day to Day
There are several practical steps that can help manage migraines at home.
During a migraine attack it can help to:
• Rest in a quiet, dark room
• Apply a cold compress to the forehead or neck
• Avoid screens such as phones, TVs, or computers
• Avoid strong smells and bright lights
• Limit movement
• Take prescribed medication early
Some people find sleeping during a migraine helps reduce symptoms.
Preventing Future Migraines
Lifestyle adjustments can also help reduce migraine frequency.
Helpful strategies include:
• Maintaining a consistent sleep schedule
• Staying well hydrated
• Managing stress levels
• Limiting screen exposure and glare
• Wearing sunglasses or tinted lenses if light sensitivity is an issue
• Using relaxation techniques such as yoga or meditation
Regular exercise, massage therapy, and physiotherapy treatment can also help improve overall nervous system regulation and reduce migraine triggers.
Migraines can also be associated with mental health conditions such as anxiety, depression, or post-traumatic stress, which highlights the importance of a holistic approach to care.
Physio Northwich | Weaver Physio
Migraines can have a significant impact on daily life, affecting work, concentration, and overall wellbeing.
If your migraines are associated with neck pain, muscle tension, or posture-related strain, physiotherapy may help reduce both the severity and frequency of attacks.
At Weaver Physiotherapy & Sports Injury Clinic, our experienced team provides expert physio in Northwich, offering personalised treatment plans designed to reduce pain, improve movement, and support long-term health.
If you are struggling with recurring headaches, neck tension, or migraine symptoms, professional assessment can help identify contributing factors and guide effective treatment.
📍 Weaver Physiotherapy & Sports Injury Clinic
110 Middlewich Road, Northwich
📞 01606 227484













