The Surprising Connection Between Neck Pain and Headaches

Discover Drug-Free Pain Relief with Physical Therapy

Have you ever dealt with neck pain that seems to creep up from your shoulders and into your head? It’s not your imagination! Neck pain and headaches often go hand in hand.

We do have some good news, though: the team at Total Motion Physical Therapy can help you tackle both issues using an all-natural approach that doesn’t require pain medication. It all works by addressing the underlying dysfunction in your cervical spine that’s contributing to both your neck pain and your headaches.

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Try This

Edge of Bed Twist

  • Position: Lie on your side near the edge of the bed.
  • Setup: Extend your bottom leg long and bend your top across and off the bed slightly.
  • Twist: Hold your knee in place with your bottom arm and use your top arm to pull your chest and shoulders back towards the bed.
  • Hold: Maintain the position for 10-20 seconds to stretch the lower back/hips.

Exploring The Link Between Neck Pain and Headaches

Headaches are one of the most common medical complaints in the world, in large part because there are over a hundred different types of headache, each with its own causes and symptoms. The type of headaches that begin in your neck and radiate upward are known as cervicogenic headaches.

The upper cervical spine shares nerve pathways with areas of the head and face. When the joints, muscles, or nerves in the neck become irritated, they can send pain signals to the head, resulting in cervicogenic headache pain. For this reason, cervicogenic headaches usually have a clear mechanical cause, unlike other common types of headaches, such as migraines.

Some of the contributing factors we often see include:

  • Stiff or restricted neck joints
  • Poor posture, especially prolonged sitting or screen use
  • Muscle tightness in the neck, shoulders, or upper back
  • Previous neck injuries, such as whiplash
  • Repetitive strain from work or daily habits

How Can I Tell if My Headache is Neck-Related?

Cervicogenic headaches often present differently from other headache types. Look for these signs:

  • Pain that starts in the neck and spreads to the head or behind one eye
  • Headaches triggered by neck movement or sustained postures
  • Limited neck range of motion
  • Neck stiffness or soreness before or during the headache
  • Pain on one side of the head or neck

Because these sources are physical, addressing movement, strength, and joint health is key to lasting relief. Medication often only dulls symptoms, but physical therapy can address the underlying factors directly.

How Physical Therapy Helps with Neck Pain and Headaches

When you visit Total Motion Physical Therapy, we’ll start with a thorough assessment of your posture, movement patterns, joint mobility, and muscle function. This allows your physical therapist to create a truly customized care plan that they’ll guide you through from start to finish. We pull from several all-natural techniques to develop these plans, including the following:

  • Hands-on manual therapy techniques to help improve joint movement and reduce muscle tension, decreasing irritation around sensitive nerves and improving neck mechanics
  • Dry needling, a specialized approach that uses thin needles to release tight bands of muscle tissue that refer pain to the head or neck
  • Targeted strength and mobility exercises designed to enhance the deep neck muscles that support posture and head control, reducing strain on joints and soft tissue
  • Posture and ergonomic training to help you identify and correct small habits that can overload the neck
  • Neuromuscular re-education techniques to retrain how muscles coordinate during movement, helping to reduce stress on the neck during daily tasks
  • Personalized guidance on symptom triggers, managing flare-ups, and preventing pain recurrence, allowing you to take a proactive role in your care

What Makes This Approach Effective?

Our team understands that your neck is one part of an entire system. Improving how the spine, shoulders, and muscles work together can help reduce both neck pain and headaches, all without the use of pain medications. Our patients often report fewer headaches, improved neck mobility, and an easier time completing day-to-day tasks. 

Your care is always tailored to your needs, activity level, and goals.

See Real Results!

Thousands in the New River Valley Trust Total Motion with Their Recovery

From marathon runners to busy parents, our patients consistently share one thing: confidence in our care. Our team’s advanced training, personalized plans, and dedication to results have helped countless individuals overcome pain, regain strength, and return to doing what they love — faster than they expected.

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Dr-Halei-Barnes-PT-Total-Motion-Physical-Therapy-Radford-Christianburg-Blacksburg-VA

Dr. Halei Barnes

PT, DPT

Dr. Halei Barnes grew up in a military family so she has lived all over the country but considers herself a midwesterner. She received a Doctorate in Physical Therapy from Shenandoah University in 2023 and a Bachelor’s in Interdisciplinary Health Sciences with a concentration in Health and Aging from University of Illinois in 2018.

Halei especially likes to treat the foot and ankle but is most passionate about helping people return to the activities they love.

When she’s not at work Halei likes to read, hang out with her puppy, spend time with her family, and travel the world. She aspires to become a board-certified orthopedic clinical specialist.

Recipe of the Month: Green Power Pesto Bowl

(St. Paddy’s–Approved, Body-Approved)

Ingredients:

  • 1 cup uncooked quinoa
  • 2 cups water
  • 2 cups broccoli florets
  • 1 medium zucchini, sliced
  • 1 tbsp olive oil
  • ½ tsp salt
  • ¼ tsp black pepper
  • 3 cups fresh spinach
  • 1 cup arugula
  • 1 cup shelled edamame or green peas (cooked)
  • 1 ripe avocado, sliced
  • 1 cup cooked grilled chicken or 1 can (15 oz) chickpeas, drained & rinsed

Creamy Green Pesto Sauce:

  • 1½ cups fresh basil leaves
  • 1 cup fresh spinach
  • 2 tbsp pine nuts or walnuts
  • 1 small garlic clove
  • ¼ cup olive oil
  • 2 tbsp fresh lemon juice
  • ¼ tsp salt
  • 2–4 tbsp water (to thin, as needed)

Instructions:

  1. Rinse quinoa under cold water. Add quinoa and 2 cups water to a saucepan. Bring to a boil, reduce heat to low, cover, and simmer for 15 minutes. Remove from heat and let sit 5 minutes, then fluff with a fork.
  2. Preheat oven to 400°F. Toss broccoli and zucchini with olive oil, salt, and pepper. Spread evenly on a baking sheet. Roast for 15–20 minutes, stirring halfway, until tender and lightly browned.
  3. Add basil, spinach, nuts, garlic, olive oil, lemon juice, and salt to a blender or food processor. Blend until smooth. Add water 1 tablespoon at a time until desired drizzle consistency is reached. Taste and adjust seasoning if needed.
  4. Divide quinoa between bowls. Top with spinach, arugula, roasted veggies, edamame, avocado, and protein of choice. Drizzle generously with green pesto. Sprinkle with hemp seeds or pumpkin seeds if desired.
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