Headaches

By Sydney CBD Osteopath Dr Abbey Davidson

Do you suffer from Headaches?

Headaches are a common condition for many people, with 1 in 4 adults suffering from Headaches daily.

Headaches and head pain are extremely common complaints and can effect each person differently. Tension-type headaches are the most commonly experienced headache with 3 out of every 4 adults having encountered them. They will often feel like pressure, tension or throbbing on one or both sides of the head. While some people will only experience a headache very rarely, up to 1 of every 20 adults suffer a headache every or nearly every day!

Stress, anxiety, emotional upset, fatigue, eye strain, hormonal imbalance and dehydration are some common causes of headaches. They can also often be associated with neck pain and shoulder pain.

What are the common causes of Headaches?

The common causes and types of Headaches include:

  • Classic Migraine (with aura)
  • Common Migraine (without aura)
  • Cervicogenic
  • Cluster
  • Tension-type
  • Temporal Arteritis
  • Sinus
Source: The fit global

What are the common structures which contribute to Headaches?

Headaches can be caused by a variety of structures such as joints, tendons, blood vessels, nerves and hormones.

The common structures which contribute to headaches and migraines include, but are not limited to:

  • Joint
  • Muscle
  • Tendon
  • Nerve
  • Blood Vessel
  • Hormones

What can I do to help myself with my Headaches?

If you are suffering from headaches regularly, keeping a diary may be useful for holding information which could be used by a health practitioner to diagnose your headache type and triggers. This can be used to note how often, how intense, how long and your potential triggers (food, fatigue, medication, stress, poor posture, alcohol, hormones, etc).

You should also attempt to identify and avoid your triggers. If you know a certain type of food/medication/alcohol, a period of stress, lack of sleep or skipping meals are triggers for you, attempt to avoid these factors. Certain lifestyle changes can help to reduce the frequency of our head pain or solve them all together.

It is also important to stay hydrated throughout the day. 2-3 litres of water is the recommended intake for an adult in a day. You may find it helpful to to set reminders on your phone or buy a drink bottle which is convenient to take to all of your daily activities.

A factor which can have a huge impact on headache is stress, and the management of this stress can be useful in the management of your symptoms. This may mean utilising regular exercise, altering your lifestyle and/or practising mindfulness or mediation.

When should I seek professional help for my Headaches?

You should book an appointment with a health professional, such as an Osteopath, Chiropractor or Physiotherapist, if you are experiencing the following symptoms associated with your headaches:

  • Progressively increasing pain levels
  • Impacting daily activity performance
  • Prolonged concentration or mood disturbance
  • Prolonged visual disturbance
  • Prolonged nausea
  • Dizziness

What will a health practitioner do to help with my Headaches?

Health professionals aim to provide more than just symptomatic relief of pain and stiffness with hands-on techniques.

In your first appointment, your health practitioner will ask you a series of questions related to your headaches and general health to try and identify potential causes, triggers and patterns of your symptoms. This will be complimented by an assessment of your neck and back range of motion and associated muscles, as the neck has a strong relationship with the head and headaches.

In some cases, restrictions in the neck and associated muscles can cause head pain. In these instances, hands-on therapy can be very beneficial. Techniques will be applied to improve range of motion in the neck/back, decompress the neck region and to decrease muscle tension in overly tight muscles.

Education will be provided in your appointment on how to best avoid your triggers and how to react when one does come on. Exercises and stretches may be prescribed for you to assist in the minimisation of your symptoms.


Tags:
#headaches #migraines #osteopath #abbeydavidson #osteopathnearme #osteopathsydneyCBD #osteopathwynyard #osteopathcircularquay #quayhealth #chiropractor #remedialmassage #podiatrist #physiotherapist

Nerissa D'Mello​​

Clinical Lead Physiotherapist
Nerissa’s interest in physiotherapy began after experiencing multiple injuries growing up. Being in and out of clinics sparked her curiosity about how the body heals and inspired her to help others return to what they love. Early hands-on experience with a Scottish rugby club during her masters strengthened her passion for musculoskeletal and orthopaedic rehabilitation.
 
Now the Clinical Lead Physiotherapist at Quay Health, she has a strong interest in helping patients recover without surgical intervention when possible. Her treatment style combines hands-on techniques with exercise prescription, grounded in the latest research to promote lasting recovery.
 
Some of the techniques Nerissa uses are dry needling, VALD ForceDecks and Dynamo for data-driven rehab, taping, and shockwave therapy for stubborn tendon injuries.
 
She enjoys treating a broad range of patients, regardless of age, fitness, or background, and is currently expanding her expertise in women’s health.
 
Patients can expect a thorough, personalised approach focused on understanding their goals, hands-on treatment, and education in a supportive environment.
 
Outside work, you can find Nerissa training for her first full marathon, playing tennis, smiling at your dog, and trying to keep up with all her downloaded podcasts.
 
Clinical interests include:
 
  • Shoulder injuries, including rotator cuff and instability
  • Ankle sprains
  • Tennis and racquet sports injuries
  • Neck and upper back pain
  • Rehab from postoperative hip and knee replacements
  • Women’s health 
 
Languages spoken other than English: Conversational Hindi
 
Nerissa is available at Quay Health. Call 1300 782 943 to make an appointment or book online.

Riccardo Erba​

Senior Physiotherapist

Riccardo’s passion for physiotherapy started while working with patients recovering from strokes, multiple sclerosis, and brain injuries. Seeing how vital movement is inspired him to explore the connection between the brain and body. Over seven years, he developed a holistic approach combining manual therapy, education, and sport-focused rehab.

His treatment style is evidence-based and tailored, blending hands-on therapy with corrective exercises and advanced technologies. Riccardo believes every patient deserves a personalised plan that balances pain relief and long-term improvement.

He uses techniques including spinal manipulation, mobilization with movement, dry needling, Class IV lasers, shockwave therapy, and VALD ForceDecks.

Riccardo enjoys helping clients who want to understand their bodies, relieve pain, prevent injury, and improve performance.

Outside work, he loves hiking, climbing, and following ball sports of all kinds.

Clinical interests include:

  • Headaches and neck pain
  • Shoulder and elbow conditions
  • Hip and knee rehab
  • Shockwave and laser therapy

Languages spoken other than English: Italian

Riccardo is available at Quay Health. Call 1300 782 943 to make an appointment or book online.