Bóle głowy wywołane wysiłkiem fizycznym
Leczenie

Bóle głowy wywołane wysiłkiem fizycznym wymagają przede wszystkim wykluczenia poważnych przyczyn wtórnych, takich jak guzy, wady naczyniowe czy choroba wieńcowa, co wymaga diagnostyki obrazowej i konsultacji neurologicznej. W przypadku bólów wtórnych kluczowe jest leczenie choroby podstawowej, zwłaszcza kardiologicznej (cephalgia cardiaca), gdzie stosowanie tryptanów jest przeciwwskazane. Pierwotne bóle głowy wysiłkowe profilaktycznie leczymy indometacyną w dawkach 25-150 mg/dobę, podawaną profilaktycznie (30-60 minut przed wysiłkiem) lub regularnie, z równoczesnym stosowaniem inhibitorów pompy protonowej (np. omeprazolu) w celu ochrony przewodu pokarmowego. Alternatywnie stosuje się beta-blokery (propranolol 40-80 mg/d, nadolol, atenolol 50 mg/d), a w razie nieskuteczności lub nietolerancji – NLPZ (naproxen), fenelzynę, dihydroergotaminę lub tryptany (z wyłączeniem pacjentów z chorobą wieńcową). Suplementacja koenzymem Q10, magnezem, ryboflawiną czy boswellią może wspomagać profilaktykę.

Leczenie poważnych przyczyn bólów głowy wywołanych wysiłkiem fizycznym

Jeśli ból głowy wywołany wysiłkiem fizycznym jest wynikiem poważnej choroby podstawowej, w pierwszej kolejności należy leczyć tę chorobę. Bóle głowy wtórne do chorób organicznych, takich jak guzy, wady naczyniowe czy choroba wieńcowa, ustępują po wdrożeniu odpowiedniego leczenia przyczyny podstawowej. Jest to kluczowe, aby wykluczyć poważne przyczyny, dlatego przy pierwszym epizodzie bólu głowy związanego z wysiłkiem fizycznym konieczna jest diagnostyka obrazowa i konsultacja neurologiczna.12

Szczególnie ważne jest rozpoznanie kardiologicznej przyczyny bólu głowy (tzw. cephalgia cardiaca), aby można było zastosować odpowiednie leczenie choroby serca i uniknąć stosowania tryptanów, które są przeciwwskazane w chorobie wieńcowej.1

Farmakoterapia profilaktyczna bólów głowy wywołanych wysiłkiem fizycznym

Indometacyna – lek pierwszego wyboru

W przypadku pierwotnych bólów głowy wywołanych wysiłkiem fizycznym, gdy nie stwierdzono poważnych przyczyn organicznych, indometacyna jest lekiem pierwszego wyboru w profilaktyce tych bólów.12 Indometacyna może być stosowana na dwa sposoby:

  • Profilaktycznie, 30-60 minut przed planowanym wysiłkiem fizycznym, gdy bóle są przewidywalne (np. przed meczem tenisowym czy wspinaczką na dużej wysokości)12
  • Regularnie, codziennie, gdy bóle są częste lub nieprzewidywalne12

Dawkowanie indometacyny waha się od 25 do 150 mg dziennie, z częstotliwością zależną od nasilenia i częstości bólów głowy.12 Ze względu na możliwe działania niepożądane ze strony przewodu pokarmowego, często przepisuje się równocześnie inhibitor pompy protonowej (np. omeprazol) w celu zapobiegania owrzodzeniom żołądka.1

Mechanizm działania indometacyny w bólach głowy związanych z wysiłkiem opiera się na jej zdolności do zmniejszania przepływu krwi mózgowej i obniżania ciśnienia wewnątrzczaszkowego, co może przeciwdziałać patomechanizmom odpowiedzialnym za powstawanie tych bólów.1

Beta-blokery – alternatywa pierwszego rzutu

W przypadku przeciwwskazań do stosowania indometacyny lub jej nietolerancji, beta-blokery stanowią rozsądną alternatywę w profilaktyce bólów głowy wywołanych wysiłkiem fizycznym.1 Najczęściej stosowane beta-blokery to:

  • Propranolol (Inderal, Innopran XL) w dawce 40-80 mg dziennie123
  • Nadolol1
  • Atenolol w dawce 50 mg dziennie1

Beta-blokery mogą być stosowane zarówno doraźnie przed wysiłkiem, jak i w leczeniu przewlekłym, szczególnie gdy potrzebna jest codzienne zapobieganie bólom głowy.12

Inne leki profilaktyczne

W przypadku nieskuteczności lub nietolerancji indometacyny i beta-blokerów, istnieje kilka alternatywnych opcji farmakoterapii:

  • Naproxen (Naprosyn) – niesteroidowy lek przeciwzapalny podawany przed wysiłkiem12
  • Fenelzyna (Nardil) – inhibitor monoaminooksydazy12
  • Dihydroergotamina (Migranal, Trudhesa) – pochodna ergotaminy1
  • Tryptany – stosowane szczególnie w przypadkach, gdy znany jest czynnik wywołujący wysiłkowy ból głowy, którego nie można uniknąć, lub gdy pacjent nie toleruje indometacyny12

Należy jednak podkreślić, że w przypadku wtórnych bólów głowy związanych z patologią sercowo-naczyniową, tryptany są przeciwwskazane.1

Suplementy w terapii bólów głowy wywołanych wysiłkiem fizycznym

Niektóre badania sugerują, że określone suplementy mogą być pomocne w zapobieganiu bólom głowy związanym z wysiłkiem fizycznym:

  • Koenzym Q101
  • Goryczka (Feverfew)1
  • Magnez – szczególnie polecany w prewencji migrena-wysilkowa/” title=”migrena wysiłkowa” class=”to-tag” data-termid=”91189″>migren wysiłkowych12
  • Ryboflawina (witamina B2)12
  • Boswellia – naturalny środek przeciwzapalny, alternatywa gdy indometacyna nie jest dobrze tolerowana1

Farmakoterapia doraźna bólów głowy wywołanych wysiłkiem fizycznym

W przypadku już rozwiniętego bólu głowy po wysiłku, można zastosować następujące leki:

  • Niesteroidowe leki przeciwzapalne (NLPZ): ibuprofen, naproxen12
  • Paracetamol (acetaminofen)12
  • Aspiryna12
  • Tryptany – w przypadku migren wysiłkowych, pod nadzorem lekarza12

Ważne jest, aby leki doraźne były łatwo dostępne dla pacjenta podczas ćwiczeń, na wypadek gdy środki zapobiegawcze zawiodą.1

Niefarmakologiczne metody leczenia i zapobiegania

Modyfikacja aktywności fizycznej

Dostosowanie sposobu wykonywania ćwiczeń może pomóc w zapobieganiu bólom głowy wywołanym wysiłkiem fizycznym:

  • Stopniowe i dokładne rozgrzewanie się przed intensywnym wysiłkiem – jest to kluczowe w zapobieganiu bólom głowy12
  • Stopniowe zwiększanie intensywności ćwiczeń w czasie12
  • Zmniejszenie intensywności treningu, jeśli bóle głowy występują regularnie12
  • Unikanie ćwiczeń w gorącym i wilgotnym środowisku lub na dużych wysokościach12
  • W przypadku uprawiania sportu na dużych wysokościach, odpowiednie przygotowanie organizmu1
  • W przypadku bólów głowy związanych z aktywnością seksualną, mniej intensywny i częstszy seks może pomóc1

W niektórych przypadkach, szczególnie gdy bóle głowy trwają tylko przez określony okres (zwykle 3-6 miesięcy), może być konieczne czasowe unikanie intensywnych ćwiczeń i zastąpienie ich łagodniejszymi formami aktywności, takimi jak spacery.12

Odpowiednie nawodnienie i odżywianie

Prawidłowe nawodnienie i odżywianie odgrywają istotną rolę w zapobieganiu bólom głowy wywołanym wysiłkiem:

  • Zwiększenie spożycia płynów przed, w trakcie i po ćwiczeniach12
  • Spożywanie owoców, warzyw, koktajli i zup, które stanowią dodatkowe źródło płynów1
  • Uzupełnianie elektrolitów, szczególnie po intensywnym poceniu się, poprzez doustne roztwory nawadniające lub napoje sportowe12
  • Spożycie małego posiłku przed wysiłkiem (około 90 minut wcześniej), aby zapobiec spadkom poziomu cukru we krwi1
  • Przy objawach niskiego poziomu cukru we krwi, szybkie spożycie około 15 gramów węglowodanów (np. szklanka soku owocowego)1
  • W przypadku zwiększonej utraty soli podczas pocenia się, zaleca się napój elektrolitowy lub wodę wraz ze słoną przekąską przed treningiem1

Metody relaksacyjne i redukcja napięcia mięśniowego

Techniki relaksacyjne mogą pomóc w zmniejszeniu napięcia mięśniowego i związanych z nim bólów głowy:

  • Ćwiczenia rozciągające, szczególnie skierowane na mięśnie szyi i ramion12
  • Techniki relaksacyjne, takie jak medytacja, głębokie oddychanie12
  • Ciepła kąpiel, która pomaga rozluźnić mięśnie1
  • Stosowanie ciepłego kompresu na szyję i ramiona1
  • Masaż skroni i podpotylicy przy użyciu piłeczki tenisowej lub do racquetballa1

Fizjoterapia i ćwiczenia terapeutyczne w leczeniu bólów głowy

Skuteczność fizjoterapii w leczeniu bólów głowy

Metody fizjoterapeutyczne mogą być skuteczne w leczeniu bólów głowy wywołanych wysiłkiem fizycznym, szczególnie tych, które są związane z dysfunkcją odcinka szyjnego kręgosłupa:12

  • Terapia manualna ukierunkowana na kręgosłup szyjny może znacznie poprawić objawy bólów głowy12
  • Ćwiczenia siłowe i rozciągające dla mięśni szyi i górnej części pleców mogą zmniejszyć objawy bólów głowy nawet o 69%12
  • Połączenie mobilizacji stawów i ćwiczeń może znacząco zmniejszyć bóle głowy spowodowane dysfunkcją stawów i mięśni szyi1

Warto podkreślić, że u pacjentów cierpiących na migrenę fizjoterapia w połączeniu z farmakoterapią wykazuje 18% poprawę w częstości występowania migren w porównaniu do samej farmakoterapii.1

Ćwiczenia terapeutyczne dla pacjentów z bólami głowy

Istnieje kilka typów ćwiczeń, które mogą być szczególnie pomocne w łagodzeniu bólów głowy:

  • Podciągnięcia brody (chin tucks) – proste ćwiczenie na rozciągnięcie mięśni szyi i poprawę postawy12
  • Rotacje głowy na wałku – ćwiczenie działające na górne kręgi szyjne1
  • Ściągnięcie łopatek (scapular squeeze) – wzmacniające górną część pleców i przeciwdziałające napięciu w klatce piersiowej12
  • Rozciąganie mięśni piersiowych (pec stretch) – poprawiające postawę i zmniejszające ryzyko bólów głowy1
  • Wałkowanie odcinka piersiowego kręgosłupa – rozluźniające górną część pleców, skąd również mogą pochodzić bóle głowy1
  • Ćwiczenia równoważne, takie jak „martwy robak” (dead bug) – wzmacniające core i poprawiające stabilność1
  • Umiarkowane ćwiczenia aerobowe, takie jak szybki marsz, mogą poprawić objawy związane z szyją1

Inne metody fizjoterapeutyczne w leczeniu bólów głowy

Oprócz ćwiczeń, fizjoterapeuci stosują także inne techniki w leczeniu bólów głowy:

  • Mobilizacja i manipulacja kręgosłupa szyjnego12
  • Terapeutyczne rozciąganie mięśni szyi12
  • Terapia punktów spustowych w regionie czaszkowo-szyjnym1
  • Uwalnianie mięśniowo-powięziowe w obrębie szyi i głowy1
  • Trening korekcji postawy12
  • Terapia w wodzie (aquatic therapy) – ćwiczenia w podgrzanym basenie, które zmniejszają nacisk na szyję1
  • Dekompresja kręgosłupa – technika pomagająca w repozycjonowaniu kręgosłupa1

Specjalistyczne terapie w leczeniu bólów głowy wywołanych wysiłkiem

Akupunktura

Akupunktura może być skuteczną metodą leczenia różnych form bólów głowy, w tym tych wywoływanych przez wysiłek fizyczny. Specjalistyczne podejście skoncentrowane na neurobiologicznych przyczynach bólu głowy, relaksacji mięśni i pomocy organizmowi w uwalnianiu endorfin i innych korzystnych neurochemicznych substancji może przynieść znaczącą ulgę.1 W niektórych przypadkach, pacjentom z częstymi bólami głowy można zaproponować kurs akupunktury.1

Chiropraktyka i terapia manualna

Według Amerykańskiego Stowarzyszenia Chiropraktyków, manipulacje kręgosłupa stanowią skuteczną opcję leczenia bólów głowy, w tym migren, bólów napięciowych i bólów głowy związanych z wysiłkiem fizycznym. Przy użyciu ukierunkowanych technik, chiropraktyka przywraca naturalne ustawienie ciała, poprawiając funkcję i łagodząc stres układu nerwowego. Pozwala to organizmowi działać na optymalnym poziomie, zmniejszając napięcie mięśni i związany z nim ból.1

Terapia specjalistyczna dla dysfunkcji stawu skroniowo-żuchwowego

Dysfunkcja stawu skroniowo-żuchwowego (TMD/TMJ) może być istotnym czynnikiem w powstawaniu bólów głowy napięciowych i wysiłkowych. Specjalistyczne protokoły terapeutyczne, takie jak MSR Ten-Point TMJ Protocol, celują w tkanki miękkie zaangażowane w TMD, dążąc do złagodzenia podstawowych przyczyn tych problemów. Poprzez rozwiązanie dysfunkcji szczęki i napięcia mięśniowego, protokół ten pomaga zmniejszyć częstotliwość i intensywność bólów głowy napięciowych, które często są powiązane z TMD.12

W niektórych przypadkach, gdy pacjent cierpi na bóle głowy i obecne leczenie nie przynosi oczekiwanych rezultatów, warto rozważyć możliwość, że przyczyną jest właśnie TMJ. W takich przypadkach specjalista stomatolog może ocenić stan układu żuchwowego, aby określić, czy TMJ może powodować bóle głowy wysiłkowe.1

Profilaktyka i samokontrola bólów głowy wywołanych wysiłkiem

Edukacja pacjenta

Edukacja pacjenta jest ważnym elementem leczenia bólów głowy wysiłkowych. Fizjoterapeuci i inni specjaliści powinni nauczyć pacjentów:

  • Rozpoznawania wczesnych oznak nadchodzącego bólu głowy1
  • Identyfikacji i unikania osobistych czynników wyzwalających12
  • Technik samodzielnego zarządzania bólem1
  • Prawidłowej postawy i ergonomii, zwłaszcza podczas pracy przy komputerze1
  • Znaczenia regularnych przerw w pracy i kontrolowania poziomu stresu12

Edukacja pacjenta powinna również obejmować informacje o charakterze bólów głowy wysiłkowych, ich przebiegu (często samoograniczającym się w czasie 3-6 miesięcy) oraz dostępnych opcjach leczenia.12

Monitorowanie bólów głowy

Prowadzenie dziennika bólów głowy jest istotnym narzędziem w zarządzaniu bólami głowy wysiłkowymi:

  • Zapisywanie okoliczności, w których pojawiają się bóle głowy (typ ćwiczeń, intensywność, czas trwania)12
  • Notowanie czynników środowiskowych (temperatura, wilgotność, wysokość n.p.m.)1
  • Śledzenie spożycia płynów i pokarmów przed i podczas wysiłku1
  • Odnotowywanie skuteczności zastosowanych środków zaradczych1

Takie monitorowanie pomaga zidentyfikować wzorce i czynniki wyzwalające, co umożliwia dostosowanie strategii zapobiegawczych.1

Czas odpoczynku po wystąpieniu bólu głowy

Po doświadczeniu bólu głowy wysiłkowego ważne jest odpowiednie zarządzanie czasem odpoczynku:

  • W przypadku pierwszego epizodu lub ciężkiego bólu głowy zaleca się konsultację lekarską12
  • W niektórych przypadkach może być konieczna przerwa w aktywności fizycznej trwająca 1-2 tygodnie12
  • Po ustąpieniu bólu głowy zaleca się stopniowy powrót do aktywności fizycznej, zaczynając od mniejszej intensywności1
  • W przypadku nawrotu bólu głowy mimo 10-minutowego odpoczynku i rozciągania, zaleca się zakończenie treningu na dany dzień1

Korzyści z aktywności fizycznej mimo ryzyka bólów głowy

Mimo ryzyka bólów głowy wywołanych wysiłkiem, regularna aktywność fizyczna przynosi liczne korzyści dla osób cierpiących na różne rodzaje bólów głowy:12

  • Uwalnianie endorfin – naturalnych środków przeciwbólowych organizmu12
  • Poprawa jakości i regularności snu1
  • Redukcja stresu – częstego czynnika wyzwalającego bóle głowy12
  • Zmniejszenie częstości występowania napadów bólów głowy przy regularnym ćwiczeniu12
  • Redukcja lęku i poprawę ogólnego samopoczucia1

Badania naukowe wskazują, że różne formy ćwiczeń mogą być szczególnie korzystne dla osób z bólami głowy:123

  • Aerobik o umiarkowanej intensywności – 3 razy w tygodniu przez co najmniej 8 tygodni1
  • Joga, łącząca asany, techniki oddechowe i medytację – 3 razy w tygodniu przez co najmniej 6 tygodni1
  • Trening siłowy – wykazujący najwyższą skuteczność w zmniejszaniu obciążenia migreną12
  • Interwałowy trening o wysokiej intensywności – 3 sesje tygodniowo przez 8 tygodni1
  • Ćwiczenia aerobowe o niskiej intensywności – 3 sesje tygodniowo przez 6 tygodni1

Warto podkreślić, że trening siłowy/oporowy, rozpoczynany od 2-3 serii po 12-15 powtórzeń przy 45-60% maksymalnego ciężaru, wykonywany 3 razy w tygodniu, może być szczególnie skuteczny w zmniejszaniu objawów bólów głowy.1

Kiedy należy skonsultować się z lekarzem?

Osoby doświadczające bólów głowy związanych z wysiłkiem fizycznym powinny skonsultować się z lekarzem w następujących sytuacjach:123

  • Przy pierwszym epizodzie bólu głowy związanego z wysiłkiem fizycznym12
  • Gdy bóle głowy są uporczywe, nasilone lub nagłe12
  • Gdy bólom głowy towarzyszą inne niepokojące objawy, takie jak omdlenia, dezorientacja, zaburzenia widzenia12
  • Gdy bóle głowy trwają dłużej niż 48 godzin1
  • Gdy bóle głowy zakłócają normalne funkcjonowanie1
  • Gdy występują więcej niż kilka razy1

Konsultacja specjalistyczna jest konieczna, aby wykluczyć poważne przyczyny organiczne, takie jak guzy, wady naczyniowe czy krwawienie wewnątrzczaszkowe.12 Lekarz może zlecić badania obrazowe, takie jak tomografia komputerowa lub rezonans magnetyczny głowy, aby upewnić się, że bóle głowy nie są spowodowane poważnym schorzeniem.1

Kompleksowe podejście do leczenia bólów głowy wywołanych wysiłkiem fizycznym

Leczenie bólów głowy wywołanych wysiłkiem fizycznym wymaga indywidualnego podejścia, które może łączyć różne metody terapeutyczne:1

  • W przypadku wtórnych bólów głowy – leczenie choroby podstawowej12
  • W przypadku pierwotnych bólów głowy – farmakoterapia profilaktyczna (indometacyna, beta-blokery)12
  • W razie potrzeby – doraźne leczenie przeciwbólowe (NLPZ, paracetamol)12
  • Modyfikacja aktywności fizycznej i odpowiednia rozgrzewka12
  • Prawidłowe nawodnienie i odżywianie12
  • Techniki relaksacyjne i redukcja napięcia mięśniowego12
  • Fizjoterapia i ćwiczenia terapeutyczne12
  • Specjalistyczne terapie, takie jak akupunktura czy chiropraktyka12
  • Edukacja pacjenta i monitorowanie bólów głowy12

Warto podkreślić, że pierwotne bóle głowy wywołane wysiłkiem fizycznym mają zwykle charakter samoograniczający się i w większości przypadków ustępują po kilku miesiącach.12 Dlatego istotne jest okresowe ocenianie objawów, aby ponownie ocenić potrzebę kontynuowania farmakoterapii lub innych interwencji.12

Najlepsze wyniki leczenia osiąga się przy wielodyscyplinarnym podejściu, uwzględniającym zarówno leczenie doraźne, jak i długoterminowe strategie zapobiegawcze, dostosowane do indywidualnych potrzeb i czynników wyzwalających u każdego pacjenta.12

Kolejne rozdziały

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  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Primary Exercise Headache | American Migraine Foundation
    https://americanmigrainefoundation.org/resource-library/primary-exercise-headache/
    Did you know there’s a headache disorder that specifically occurs during or after strenuous exercise? If you’re experiencing this, it could be primary exercise headache. Learn the signs and symptoms, what steps to take if you start having exercise-induced headaches and how to differentiate it from migraine triggered by physical exertion. […] Primary exercise headache, previously known as primary exertional headache or benign exertional headache, is a rare type of headache disorder that is brought on by and occurs only during or after strenuous physical exercise. […] If exercise causes you to have a headache, you should see your doctor to rule out potentially serious underlying issues—especially if these symptoms are new and/or you have never been evaluated for primary exercise headache.
  • #1 Headache associated with exercise – The Migraine TrustVisualV1 – SearchVisualV1 – CrossVisualV1 – Home VisualV1 – CrossVisualV1 – Arrow
    https://migrainetrust.org/understand-migraine/types-of-migraine/other-headache-disorders/headache-associated-with-exercise/
    Two types of headache associated with exercise […] Treatment options for primary exercise headache […] Primary Exercise Headache is not dangerous. However, more serious causes of headache associated with exercise should be excluded. […] Most patients with this headache syndrome find it gets better on its own within months or years. […] These headaches can be managed without medications by either extending the warm-up before exercising or reducing the intensity of exercise. […] If medications are required, you may be prescribed daily oral indomethacin, a non-steroidal anti-inflammatory drug (NSAID). In addition, you may also receive a prescription for a medicine to prevent abdominal discomfort and gastric ulcers, known as a proton pump inhibitor (PPI) and includes medicines similar to omeprazole. […] It’s important to identify cardiac cephalalgia so the underlying heart disease can be managed. It also means that migraine specific treatments such as triptans can be avoided. […] Treatment of the underlying heart condition resolves this headache syndrome.
  • #1 Exercise headaches | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/exercise-headaches
    If no underlying structural or vascular problem is causing your exercise headaches, your provider may recommend medications to take regularly to help prevent the headaches. […] Indomethacin, an anti-inflammatory drug, is commonly prescribed. […] Propranolol (Inderal, Innopran XL), a blood pressure medication, also is used to prevent exercise headaches. […] Other therapies, including naproxen (Naprosyn), phenelzine (Nardil) and dihydroergotamine mesylate (Migranal, Trudhesa), have been reported to be effective in some people. […] If your exercise headaches are predictable, you may be able to take a medication an hour or two before a scheduled event, such as a tennis match or a hike at high altitude. If your exercise headaches are frequent or unpredictable, you might need to take the preventive medicine every day.
  • #1 Primary Exercise Headache | American Migraine Foundation
    https://americanmigrainefoundation.org/resource-library/primary-exercise-headache/
    Your doctor may recommend modifying your exercise regimen and trying certain preventive or acute treatments to help manage primary exercise headache. […] Indomethacin may be taken 30-60 minutes before exercise to prevent primary exercise headache. […] Beta-blockers such as nadolol, atenolol and propranolol have also been reported to be effective for preventing primary exercise headache, and are reasonable options for people who cannot take indomethacin. […] Since primary exercise headache is generally self-limiting, symptoms should be assessed periodically to reevaluate the need for any acute or preventive treatments.
  • #1 Primary Exercise Headache
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7160088/
    Primary exercise headache has gone through many descriptors in the past but generally is a headache that is precipitated by strenuous exercise without significant intracranial pathology. […] This review aims to discuss primary exercise headache in the context of epidemiology, presentation, pathophysiology, differential diagnosis, and treatment. […] A lack of randomized clinical trials in the treatment of primary exercise headache remains. Indomethacin and beta-blocker use remain the mainstays of treatment based on case series with several case reports that urge caution when diagnosing said headache. […] Guidance for treatment is based on case series, case reports, and expert opinion statements. In one early study of 15 patients with PEH, successful control of headache with continuous use of indomethacin was noted.
  • #1 Primary Exercise Headache
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7160088/
    The ability of indomethacin to reduce cerebral blood flow and thus reduce intracranial pressure, as suggested by one review on the treatment of increased ICP in traumatic brain injury, lends itself to previous theorized pathophysiologic mechanisms of pain in PEH. […] In terms of management, this study found benefit in a cohort of patients with sexual headache with either propranolol at 40 to 80 mg daily or atenolol 50 mg. […] If headaches were not improved, up-titration of propranolol or the use of indomethacin as needed prior to strenuous activity could be reasonable treatment strategies. […] Patients that fail to respond with beta-blockade or indomethacin should warrant reassessment for secondary causes.
  • #1 Exercise Headaches: Causes, Symptoms, and Treatment
    https://www.verywellhealth.com/exercise-headaches-5210706
    If you get a headache following exercise, you should see your healthcare provider for a physical to ensure you dont have an underlying medical condition. […] It’s also important to talk to your provider about medications to help manage your headaches. Most exercise-induced headaches are harmless. They typically respond well to OTC medications used for other types of headaches, such as Tylenol (acetaminophen) and NSAIDs. […] Talk to your healthcare provider about medications that may help prevent headaches during exercise, including: Nonsteroidal anti-inflammatory drugs (NSAIDs), which, when taken about 45 minutes before exercise, may prevent primary exercise headache in some cases […] Beta-blockers, which have been reported to prevent exercise-induced headaches and may be an option for people who cannot take NSAIDs. […] Exercise-induced headaches can be frustrating, especially if you regularly exercise. Fortunately there are ways to prevent them, like staying hydrated, warming up before exercise, and eating a small meal before working out. There are also treatment options available.
  • #1 Exercise-Induced Headaches: Prevention, Management, and Treatment
    https://www.uspharmacist.com/article/exerciseinduced-headaches-prevention-management-and-treatment
    Triptans are another treatment option, particularly when there is a known exertional trigger that cannot be avoided or when the patient does not tolerate indomethacin. […] Implementation of proper warm-up and nonpharmacologic measures can help prevent exercise-induced migraines in patients who experience them. […] In patients who need pharmacologic therapy, preventive options such as magnesium, riboflavin, and NSAIDs should be considered. […] Appropriate abortive therapy, such as triptans, should be readily available to the patient during exercise for times when preventive measures fail.
  • #1 Exertion Headaches (Exercise Headaches): Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/21959-exertion-headaches
    Exertional headaches usually can be treated the same way as regular headaches. Some medications that may help include: […] The best way to prevent exercise-induced headaches is to avoid the activity that triggers them. […] Some studies suggest that certain supplements can help prevent exertional headaches, such as: Coenzyme Q10, Feverfew, Magnesium, Riboflavin (vitamin B2), Boswellia (a natural anti-inflammatory if indomethacin is not well-tolerated). […] Medications and other strategies can help you prevent and treat headaches, which usually stop happening after a few months.
  • #1 Headache after exercise: Causes, treatment, and prevention
    https://www.medicalnewstoday.com/articles/326887
    If people have a headache due to fluid loss through exercise, they should rehydrate by drinking water. They may also wish to try the following: […] Increasing fluid intake throughout the day: Eating fruits, vegetables, smoothies, and soups is an excellent way of increasing fluids. […] Replacing electrolytes: This can also help the body to rehydrate. People can take oral rehydration solutions, which provide electrolytes to help replace those lost through sweating. […] Stretching: Gentle exercise, such as yoga, may help to relieve muscle tension and a related headache. […] Relaxation techniques: Meditation, for example, may help to release tension from the body. […] Soaking in a warm bath: This may help to relax muscles, in particular, those around the head. […] Applying a heat pad to the neck and shoulders: This may also help to relax muscles around the head. […] Over-the-counter pain relief medication: These may also help to relieve painful symptoms. […] If a drop in blood sugar levels during exercise is causing the headache, eating a snack or small meal after exercising may help the sugar levels return to normal and treat the headache.
  • #1 Exertion headaches | LloydsPharmacy Online Doctor UK
    https://onlinedoctor.lloydspharmacy.com/uk/lifestyle-advice/exertion-headaches
    Treatment for exertion headaches […] If you’re dealing with regular headaches, several treatment options can help ease the pain or prevent the headaches from happening. You can take these on top of lifestyle changes, such as the ones above, for the best results. […] Over-the-counter pain relief: medications like ibuprofen, paracetamol, or aspirin can be effective in treating exertion headaches […] Prescription medications: in more severe cases, your doctor might prescribe stronger pain relief medicines. […] Beta-blockers: these are sometimes prescribed to prevent exertion headaches or migraines, particularly if you have them frequently […] Triptans: If you have a history of migraines, triptans such as Sumatriptan or Rizatriptan can be effective. They are designed to treat migraine symptoms and might be prescribed if you’re regularly experiencing severe headaches.
  • #1 Exercise-Induced Headaches: Prevention, Management, and Treatment
    https://www.uspharmacist.com/article/exerciseinduced-headaches-prevention-management-and-treatment
    Patients who experience headaches related to strenuous physical activity may find it difficult to exercise at sufficient durations or intensities. […] The adoption of appropriate nonpharmacologic and pharmacologic preventive and treatment measures improves exercise tolerance in patients who experience exercise-induced headaches. […] First-line therapy for exercise headache is the implementation of appropriate prevention strategies. […] Proper intensity and duration of warm-up are crucial in preventing headaches related to exercise. […] Indomethacin is the first-line choice for short-term treatment of exercise-induced headache. […] Indomethacin may be taken either on an as-needed basis prior to a known exertional trigger or as scheduled dosing for headache prophylaxis. […] When long-term or daily headache prophylaxis is needed, beta-blockers are recommended.
  • #1 Exertional Headache: Symptoms, Causes, Diagnosis, and TreatmentHealthline
    https://www.healthline.com/health/exertional-headache
    Medications used to treat exertional headaches include indomethacin, propranolol, naproxen (Naprosyn), ergonovine (ergometrine), and phenelzine (Nardil). If your headaches are predictable, you may only need to take medication before doing activities that you know might trigger a headache. If they aren’t predictable, you may need to take medication regularly to prevent them. […] For some people, gradually warming up before doing any strenuous exercise also helps. If you’re a runner, for example, try dedicating more time to warming up your body and gradually building up your speed. For headaches triggered by sexual activities, having less strenuous sex more often may help. […] Primary exertional headaches are frustrating but usually harmless. However, they can sometimes be a sign of an underlying condition that needs treatment, so it’s important to follow up with your doctor about your symptoms. Once you’ve ruled out any other causes, a combination of changes to your physical activity and over-the-counter or prescription medication will likely provide relief.
  • #1
    https://www.onepeloton.com/blog/headache-after-workout/
    Chances are it could be an exercise or exertion headache, a rare yet incredibly frustrating problem among athletes. […] Fortunately, a variety of preventative measures to fend off an exercise-induced headache. […] If you think your symptoms fall into the secondary exercise headache category, you may require immediate medical attention. […] While you should always talk to your doctor about the right treatment plan for you, here are a few general tactics to keep in mind, according to Dr. Hall and Dr. Dasgupta: Hydrating, Decreasing the intensity of your workout, or stopping your workout early, Trying an over-the-counter pain reliever, such as acetaminophen, ibuprofen, or naproxen. […] Remember that preventative care is best for exercise headaches, according to both experts we spoke with.
  • #1
    https://www.onepeloton.com/blog/headache-after-workout/
    Here are some tried-and-true preventative measures to ward off a potential exertion headache, according to our experts: Warm up before exercising, Drink more water, ideally with electrolytes, Choose a cooler workout environment, Maintain good posture, Don’t push yourself too hard, Prepare for training at high altitudes, Get enough high-quality sleep. […] Your healthcare provider may also recommend an over-the-counter or prescription anti-inflammatory (or another type of medication) that you can take before exercising. […] Both Dr. Hall and Dr. Dasgupta agree that most exercise-related headaches should be discussed with your doctorespecially if they are persistent, severe, sudden, or associated with fainting or feeling confused. […] If you’re experiencing headaches after working out, get evaluated by a doctor to confirm that it’s a primary (and not a secondary) exercise headache.
  • #1 Exercise Induced Headaches – Brisbane Headache & Migraine Clinic
    https://brisbanemigraine.com.au/exercise-induced-headaches/
    Exercise induced headaches are simply that, a headache brought on by or occurring during/after exercises. A primary exercise headache is not caused by any other underlying condition or disorder, commonly causes pain bilaterally and is often difficult to distinguish from migraines triggered by exertion. […] A secondary exercise headache is one that is caused by an underlying condition such as a sinus or ear infection, or sometimes something more sinister such as a tumour, other structural abnormalities or a brain bleed. For this reason it is important to seek medical attention if you suddenly begin to experience headaches related specifically to exercise. […] Primary exercise headaches often only last for a finite period time (commonly between three to six months), and so sufferers are advised to avoid excessive exercise or other triggering activities during this time. In place of usual aggravating exercise, patients are encouraged to keep fit and active by going for walks, and participating in light, gentle exercise.
  • #1
    https://www.premierhealth.com/your-health/articles/women-wisdom-wellness-/5-types-of-exercise-to-beat-headache-pain
    Instead of avoiding exercise, the American Headache Society recommends developing a preventive exercise plan if exercise seems to make your headaches worse. […] Staying hydrated before, during and after exercise. Lack of fluids in your body may trigger a migraine. […] Eating sufficient food about 90 minutes before exercising. You need to provide your body with a source of energy, because exercise zaps your blood sugar levels, which in turn can trigger headaches. […] Warming up. Don’t jump in and start working out vigorously.
  • #1 Headache After Exercise: 5 Potential Causes, Treatment, and Prevention
    https://www.healthline.com/health/headache-after-exercise
    Most cases of mild hydration respond well to replenishing lost fluids and electrolytes. You can do this by drinking plenty of water. […] If you’re having symptoms of low blood sugar, try to eat or drink something containing 15 grams of carbohydrates right away, such as a glass of fruit juice or a small piece of fruit. This is a quick fix that should hold you over for a few minutes. […] If your workout involves things that could strain your neck, try doing some gentle stretches afterward. […] If releasing tension isn’t quite doing the trick, you can also take some ibuprofen for relief. […] Most exercise-related headaches can be easily treated at home, but sometimes they could be a sign of an underlying condition. Simple prevention and home treatment methods should help alleviate your headaches. But if they aren’t doing the trick, it might be time to talk to a doctor.
  • #1 Exercise Headaches: Why You Get Headaches After Working Out
    https://www.webmd.com/migraines-headaches/triggers-exercise
    If you sweat out a lot of salt, you should have either a sports drink or water along with a salty snack before a workout. […] Take note of the exercises you were doing when your headache started. If you get a headache each time you do those exercises, try something different to see whether or not it causes an exercise headache. […] Regular exercise can help relieve tension and prevent headaches. […] Moderate exercise, such as swimming, cycling, and walking, can help with headaches. Aim for 30 minutes a day, 5 days a week. […] Resting in a cool, dark room can help ease your headache.
  • #1 Stretches and Exercises for Headaches – Quick Relief! | Petersen Physical Therapy
    https://petersenpt.com/stretches-and-exercises-for-headaches-quick-relief
    Migraines are difficult for most people as they can presently differently last for different periods of time; physical therapy for migraines can be very effective. […] Now that we know the most common types of headaches/migraines and their typical causes. Let us talk about how to relieve them! […] Thirdly, massage to your temporalis and sub occipitals using a tennis or racquetball will assist with any pinpoint tenderness. […] Lastly, completing exercises such as shoulder depressions, temporomandibular active range of motion, and chin tucks will improve blood flow and promote desensitization to the area. […] You may not have been aware, but there are exercises that tend to provide headache relief as well. […] Here are a few exercises to try: […] Chin tucks are one of the most simple neck stretches for headaches a simple exercise that can pay big dividends when it comes to relieving headache pain. […] If you experience pain or discomfort while completing these exercises, we recommend consulting with a medical provider or physical therapist to address possible contributing symptoms.
  • #1 Exercise and Manual Therapy for the Treatment of Primary Headache: An Umbrella and Mapping Review – PubMed
    https://pubmed.ncbi.nlm.nih.gov/35084039/
    Objective: The main aim of this study was to assess through systematic review the efficacy of exercise and manual therapy (MT) interventions in individuals with primary headache. […] Results show that exercise could be an effective therapy for the treatment of primary headache, with moderate to limited quality of evidence regarding the positive effects in terms of pain intensity and frequency and duration of headache. […] Exercise could be an effective treatment in patients with primary headache. Manual therapy showed limited evidence to reduce pain intensity in patients with tension-type headache.
  • #1 Effectiveness of Exercise and Manual Therapy as Treatment for Patients with Migraine, Tension-Type Headache or Cervicogenic Headache: An Umbrella and Mapping Review with Meta-Meta-Analysis
    https://www.mdpi.com/2076-3417/11/15/6856
    Manual cervical therapy has shown improvements in the symptomatology of headaches. […] The results showed moderate evidence to suggest that AE reduces pain intensity in patients with migraine. In addition, the evidence in favour of MT or a mixed intervention (including therapeutic exercise) was also moderate in terms of reducing pain intensity in patients with TTH.
  • #1
    https://www.cprsweb.com/About-CPRS/Latest-News/ArticleID/1092/Physical-Therapy-for-Headaches
    HOW A PHYSICAL THERAPIST CAN HELP! There is building evidence that physical therapy significantly reduces the symptoms of the headaches listed above. One large-scale study in Spine Journal showed that high-velocity, low amplitude thrust techniques combined with exercise improved the frequency, intensity and duration of cervicogenic headaches after 7 weeks. Another recent large-scale study showed that stretching and strengthening exercises prescribed by physical therapists improved headache symptoms by 69%. A review of all research on this topic up to 2004 demonstrates that joint mobilization and exercise combined reduce headaches and pain caused by neck joint and muscle dysfunction. The evidence is growing, and physical therapists use these established hands-on techniques and exercises to reduce headaches and help return patients to pain-free function. […] There are many different types of headaches; however, what is not widely known is that physical therapy has been demonstrated to be a successful treatment for some types of headaches.
  • #1 How Can Physical Therapy Help Your Headache? – Athletico
    https://www.athletico.com/2021/06/14/how-can-physical-therapy-help-your-headache/
    Physical therapists are special health practitioners, but did you know they can treat people from head to toe? That certainly includes treating those dreaded headaches. […] Nearly half of the worlds population suffers from some form of headache which may include tension, migraine, or cervicogenic headaches (commonly known as neck-derived headaches). Headaches can significantly lead to disability and poor quality of life which is why physical therapy should be your next stop if headaches seem to chronically affect you. […] According to research, patients with migraine headaches have shown an 18% improvement in migraine frequency when treated with physical therapy and medication combined as opposed to medication alone. Those who were also treated with physical therapy reported better feelings of self-perception in global change compared to patients who only took medication to control their migraines. This means they felt a bigger difference in their headache treatment when they sought physical therapy.
  • #1 Top 5 Exercises to Get Rid of Headaches — Physical Therapy in Brooklyn | Sports Rehab in Brooklyn- Evolve PT
    https://evolveny.com/blogposts/2020/8/25/5-best-exercises-to-get-rid-of-headaches
    Head rotations on a roll: This exercise works on the upper cervical vertebrae. […] Scapular Squeeze: If you are experiencing headaches, it may mean your chest area is tight and that your upper back is weak. […] Pec Stretch: This exercise will help you stretch out your chest muscles, putting you in a better posture and reducing the chances of getting a headache. […] Thoracic roller: Headaches come from the neck, but may also come from the upper back, or thoracic region. Another way to relieve headaches is to loosen up that region of the spine.
  • #1 The 5 Best Exercises To Relieve Headaches Caused By Neck Pain | Physiotherapists in Toronto | Yorkville Sports Medicine Clinic
    https://www.yorkvillesportsmed.com/blog/the-5-best-exercises-to-relieve-headaches-caused-by-neck-pain
    Physiotherapy is a widely recognized and effective treatment option for neck pain and headaches. […] For anyone frequently experiencing headaches, especially those associated with neck pain, incorporating physio-led exercises can provide much-needed relief. […] Exercise plays a pivotal role in relieving neck pain-related headaches. […] The five best exercises for relieving neck pain-related headaches that a physiotherapist may prescribe may include: […] Neck stretches target the muscles in the neck and help alleviate tension, such chin tucks. […] Strengthening the shoulder muscles can help support the neck and relieve pain, such as shoulder shrugs. […] Specific exercises such as shoulder blade squeezes can help correct postural issues and alleviate the associated pain. […] Engaging in exercises such as dead bug can help strengthen these muscles, improving stability and reducing the strain on the neck, ultimately relieving headaches.
  • #1 The 5 Best Exercises To Relieve Headaches Caused By Neck Pain | Physiotherapists in Toronto | Yorkville Sports Medicine Clinic
    https://www.yorkvillesportsmed.com/blog/the-5-best-exercises-to-relieve-headaches-caused-by-neck-pain
    Regular aerobic exercise, such as brisk walking, can improve neck-related symptoms. […] A physiotherapist may recommend helpful tips such as creating a schedule to ensure that exercise becomes a priority in the day. […] Exercise should not cause pain or discomfort, so if these arise its best to discuss these with the physiotherapist to ensure the exercises are being performed correctly and to receive personalised recommendations. […] By incorporating exercises under the guidance of physiotherapists, patients get relief and manage their symptoms effectively.
  • #1 Breaking the Cycle of Tension Headaches with Manual Therapy and Exercise
    https://www.motionspecificrelease.com/post/breaking-the-cycle-of-tension-headaches-with-manual-therapy-and-exercise
    By addressing jaw dysfunction and muscle tension, this protocol helps reduce the frequency and intensity of tension headaches, which are frequently connected to TMD. […] Addressing joint restrictions in the cervical spine is crucial for relieving tension headaches. […] Chiropractic adjustments can be highly effective in managing tension headaches. […] Many patients report a significant reduction in symptoms, and some even experience complete relief. […] The goal is to optimize symptom relief and improve function, with adjustments made as needed based on the patients response. […] Exercise is vital in managing tension headaches. […] By strengthening muscles and improving flexibility, targeted exercises reduce strain on the muscles and nerves that trigger headaches. […] These exercises range from gentle stretches to strength training, focusing on the neck, shoulders, and upper back.
  • #1 5 Exercises for Cervicogenic Headaches | Lattimore PT
    https://lattimorept.com/5-exercises-for-cervicogenic-headaches/
    Physical therapy exercises can help address CGHs because they focus on strengthening your injured neck muscles. Strengthened neck muscles may reduce the pressure on the tight nerves in your neck. This reduced pressure can reduce the pain in your neck and head. […] If left untreated, cervicogenic headaches may get worse. Light exercises alone may not be enough to treat every case of neck pain that’s causing CGHs. Physical therapists will typically combine exercises with other PT techniques to help you address this issue. […] One manual therapy technique that physical therapists offer is therapeutic stretching. In therapeutic stretching, physical therapists can target tight neck muscles. This technique can help improve the range of motion in your neck. It can also reduce pinched nerve pain in your neck, if applicable, which is a common cause of CGHs.
  • #1 How Can Physical Therapy Help Your Headache? – Athletico
    https://www.athletico.com/2021/06/14/how-can-physical-therapy-help-your-headache/
    Physical therapists can treat headaches with hands on treatment to stretch neck muscles, mobilize contributing stiff neck and upper back joints, and provide tension-relieving massages to trigger points that may be causing headaches. All of these methods may improve headache intensity and duration. The best part is that physical therapy will include self-management exercises to help you improve your flexibility and strength of tight and weak muscles contributing to your headaches. These strategies can teach you how to improve headaches independently or prevent headaches in the first place without the heavy reliance on medication. […] Physical therapy also works for management of tension headaches and neck-derived headaches also known as cervicogenic headaches which are a chronic and recurrent form of headaches. This type of headache stems from tight neck musculature, stiff neck joints, and poor posture. Research shows that physical therapy can significantly help decrease headache intensity and frequency as well as neck pain. Physical therapists can use hands on manipulative treatments which may involve quick small movements, slow, relaxing oscillating movements, and neck stretches which work well to improve the symptoms mentioned above. To further the benefits from manipulative treatments, physical therapy will focus on postural neck strengthening activities to improve headache symptoms while sustaining them long term. […] If you find yourself suffering from chronic headaches of any type, physical therapy may be for you!
  • #1 Headache Treatment | PT Continuing Education
    https://glseminars.com/courses/view-course-info/headache/
    Headache treatment can be extremely overwhelming as headaches involve several different body systems and affect up to 75% of people. This course will provide you with a starting point of where to treat when patients describe head and face pain, then effective techniques allowing you to give them more headache free days. […] Treatment approaches include Muscle Energy Technique (MET) to the cervical spine, myofascial release to the neck and head, posture retraining and review of other causes/treatments in a comprehensive approach. […] Demonstrate the ability to treat 5 myofascial dysfunctions in muscles most commonly causing headache. […] The repetitiveness of the manual interventions was very helpful in facilitating learning in order to feel more comfortable about implementing these techniques.
  • #1 Physical Therapy – Effective Treatment for Headaches
    https://www.fyzical.com/littleton-co/blog/Physical-Therapy-Effective-Treatment-for-Headaches
    Physical therapy can have an effective result for relieving your tension headache through the relaxation of muscles. Your tension headache treatment may include alleviating stiff neck joints through manual therapy, muscle strengthening exercises, muscle stretching, massage, dry needling, and posture correction. […] Physical therapy may be recommended to strengthen weak neck muscles and improve the mobility of your joints. After a thorough exam and creating a treatment plan, your Physical Therapists goals will be to improving mobility through the upper and middle back, lumbar spine, and pelvis as appropriate, strengthen the anterior neck stabilizing muscles and working with you to improve the stresses of your normal day (i.e. sitting posture at a computer). […] Physical therapy can help reduce headache pain and restore function and movement and should be carried out by a licensed physical therapist. Passive and active are two types of physical therapy used to relieve migraine and headache pain. Passive therapies include massage, heat/ice packs, steroid creams, and ultrasound. Active physical therapies include stretching, range-of-motion, and pain-relief exercises; strengthening exercises; and low-impact aerobic conditioning. Some techniques can help reduce pain, at least temporarily, especially if used at the onset of the attack.
  • #1 5 Exercises for Cervicogenic Headaches | Lattimore PT
    https://lattimorept.com/5-exercises-for-cervicogenic-headaches/
    In aquatic therapy, your physical therapist will guide you through exercises in a heated pool. The water in the pool helps hold you up and can reduce the weight on your neck. This reduced pressure can help you improve the strength of your neck muscles without placing more stress on your neck. […] Another physical therapy technique that can help treat CGHs is spinal decompression. In this technique, your physical therapist will use a manual lumbar traction table to stretch your spinal muscles while you stay in a comfortable position. This technique can help reposition your spine, which can improve your posture and reduce the likelihood of you having neck pain in the future. […] To treat cervicogenic headaches, we offer services such as aquatic therapy and manual therapy. A physical therapist will work with you to create a personalized treatment plan that includes the physical therapy techniques most relevant to your CGH.
  • #1 Acupuncture Treatment for Exertion Headaches
    https://innerlight-wellness.net/acupuncture-for-exertion-headaches/
    Exertion headaches or exercise headaches, as the name suggests, cause pain during or right after physical activity. They can last from a few minutes up to 48 hours. Exercise headaches are not typically associated with any underlying disorder or disease. […] Acupuncture is a specific form of traditional Chinese medicine that has been proven effective in treating different forms of headaches and migraines. […] Our approach to treating exertion headaches is through specialized training in the neurological causes of headache pain, muscle relaxation, and helping the body release endorphins and other beneficial neuro-chemicals. […] Treatment frequency will vary based on the severity of your exertion headaches. Most people start with two visits per week for several weeks. […] Rest assured, we see at least an 85% success rate for our patients receiving acupuncture for headaches.
  • #1 Tension headaches
    https://www.nhs.uk/conditions/tension-headaches/
    There are some things you can do to treat a tension headache yourself. […] try doing activities to help you relax like exercise, yoga and massage […] You may be referred to a specialist if painkillers and activities like exercise do not help reduce your headaches or if it’s not clear what’s causing them. […] If you get tension headaches regularly, you may be offered a course of acupuncture. […] An antidepressant medicine called amitriptyline is also sometimes recommended to help prevent tension headaches.
  • #1 Sports Exercise Headaches Chiropractor
    https://dralexjimenez.com/sports-exercise-headaches-chiropractor/
    Sports exercise headaches are exertion headaches that involve pain during or immediately after sports, exercise, or some physical activity. […] Chiropractic, massage, decompression, and traction therapies can realign the body and relax the muscles allowing for optimal circulation and certain strategies to help prevent future episodes. […] Doctors and scientists believe an exertional headache occurs when intense physical activity causes the veins and arteries to expand to circulate more blood. […] According to the American Chiropractic Association, spinal adjustments are an effective headache treatment option. This includes migraines, tension headaches, or sports exercise headaches. Using the targeted approaches, chiropractic restores the body’s natural alignment to improve function and alleviate stress on the nervous system. This allows the body to operate at optimal levels reducing muscle stress and muscle tension.
  • #1 Breaking the Cycle of Tension Headaches with Manual Therapy and Exercise
    https://www.motionspecificrelease.com/post/breaking-the-cycle-of-tension-headaches-with-manual-therapy-and-exercise
    This comprehensive approach not only targets the immediate pain but also works to prevent tension headaches from occurring in the future. […] Research shows that tension in the shoulder, neck, and jaw often amplifies tension headaches, but manual therapy and targeted exercises can significantly reduce their occurrence and intensity. […] The following videos demonstrate effective techniques, combining joint manipulation with functional exercises to treat tension headaches by resolving soft tissue restrictions in key areas. […] Each case of neck pain is unique and should be treated accordingly. […] This protocol targets the root causes of neck tension to alleviate headaches and improve overall neck function. […] The MSR Ten-Point TMJ Protocol specifically targets the soft tissues involved in TMD, aiming to relieve the root causes of these issues.
  • #1 What Causes Headaches During Exercise? | Divine Smiles Blog
    https://www.divinesmiles.com/blog/whats-causing-your-exertion-headaches/
    Exertion headaches are often known as exercise headaches, and they’re so common among weightlifters that they are also sometimes called weightlifters headaches. […] If you are dealing with headaches and your current treatment is not giving you the results you hope for, it might be time to consider other possibilities. One commonly overlooked cause of headaches and migraines is TMJ. At Divine Smiles, TMJ dentist Dr. Ryan Clancy can evaluate the health of your jaw system to determine whether TMJ might be causing exertion headaches and other headaches.
  • #1 Health Tips | 3 Ways a Physical Therapist Can Help Manage Headaches | Choose PT
    https://www.choosept.com/health-tips/3-ways-physical-therapist-help-manage-headaches
    Headaches affect 47% of the world’s population. […] A physical therapist will perform a full examination to diagnose the type of headache. Based on their findings, they will develop the most effective treatment plan. […] Physical therapy has been proven to: Decrease or resolve the intensity, frequency, and duration of headaches. […] A physical therapist treatment plan for headaches may include: Manual therapy […] Exercise […] Education. […] Research has shown that various types of exercises can: Decrease pain. […] Educating patients has been to be helpful in lessening the severity and/or frequency of headaches.
  • #1 Headache: What It Is, Types, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/9639-headaches
    Treatment for headaches depends on the type. […] One of the most crucial aspects of treating primary headaches is figuring out your triggers. Learning what those are typically by keeping a headache log can reduce the number of headaches you have. […] Once you know your triggers, your healthcare provider can tailor treatment to you. For example, you may get headaches when you’re tense or worried. Counseling and stress management techniques can help you handle this trigger better. By lowering your stress level, you can avoid stress-induced headaches. […] Not every headache requires medication. A range of treatments is available. Depending on your headache type, frequency and cause, treatment options include: Stress management, Biofeedback, Medications, Treating the underlying medical condition/cause.
  • #1 Physical therapy to ease headaches – UF Health Jacksonville
    https://ufhealthjax.org/conditions-and-treatments/physical-therapy-to-ease-headaches
    The movements performed in physical therapy for headache examination and treatment are gentle range of motion movements that are no more stressful than the motions a person typically performs with their daily activities. […] If you experience recurring headaches and are curious if physical therapy can help, please contact your headache care provider and ask if a referral to physical therapy is right for you.
  • #1
    https://www.cprsweb.com/About-CPRS/Latest-News/ArticleID/1092/Physical-Therapy-for-Headaches
  • #1 Exercise headaches – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/exercise-headaches/symptoms-causes/syc-20372276
    Exercise headaches occur during or after sustained, strenuous exercise. […] Health care providers divide exercise headaches into two categories. Primary exercise headaches are usually harmless, aren’t connected to any underlying problems and can often be prevented with medication. […] If you experience a headache during or after exercise, consult your provider. […] A warm-up prior to strenuous exercise also can help prevent exercise headaches.
  • #1 Reddit – The heart of the internet
    https://www.reddit.com/r/crossfit/comments/1y3str/what_do_i_do_for_exertion_headaches/
    A little background… I’ve been crossfitting 4-5 days/week since August 2013 and I’ve never had any problems with headaches like this in my life. Last 4 times going to the box, I got a sudden, debilitating headache in the middle of the WOD. […] I took 2 weeks off from CF and I haven’t had them since. […] I definitely recommend the 2 week break though and make sure you’re getting enough water.
  • #1 POPSUGAR: Exercise Headaches & How to Treat Them | NYU Langone News
    https://nyulangone.org/news/popsugar-exercise-headaches-how-treat-them
    While exercise can help prevent headaches and migraines, in some instances typically due to intense exertion and increased blood pressure it can cause them. […] If you start to develop a headache during a workout, Dr. Barchi recommends resting and stretching before starting the exercise again. Go back at 50 percent of the intensity, and then try to go from there, she says. But if the headache’s not getting better, even with 10 minutes of stretching, that’s when I’d say call it a day.
  • #1 Exercise and Migraine | American Migraine Foundation
    https://americanmigrainefoundation.org/resource-library/exercise-migraine/
    Being active can relieve stress, improve sleep and even reduce migraine attacks. Exercise can be as beneficial for your mental health as it is for your physical health. […] Although it may be hard to exercise during a migraine attack, it’s important to try when you aren’t having one. There’s evidence to suggest regular exercise can help reduce the frequency of headache attacks. […] Exercise can help manage the symptoms and triggers of migraine in a few different ways. Exercise releases endorphins, which are the body’s natural painkillers. […] Additionally, exercise can improve sleep quality and consistency and help relieve stress, which are common migraine triggers. […] Before starting an exercise program, it’s important to check with your doctor. […] By pacing yourself, preparing for your routine with the right gear and carefully considering your diet, you can help reduce the risk of exercise-induced migraine attacks and get the most out of a workout.
  • #1
    https://www.premierhealth.com/your-health/articles/women-wisdom-wellness-/5-types-of-exercise-to-beat-headache-pain
    Good things come to those who exercise, including headache sufferers. […] Exercise can release tension in the body and have a positive impact on body chemistry (like boosting oxygen levels), which in turn can decrease the risk of tension headaches and migraines. […] Yoga can help by improving flexibility and posture, and relaxing tight muscles. […] Research indicates that yoga also helps balance the mind, body and spirit, which can have a positive effect on mood, anxiety and stress. […] If yoga isn’t your thing, then simply stretching, deep breathing and/or practicing progressive muscle relaxation can help headache sufferers by improving circulation and reducing muscle tension, according to the American College of Sports Medicine (ACSM). […] Cardiovascular or aerobic exercise (exercise that gives your heart and lungs a workout) reduces stress, anxiety, depression and anger all of which are headache triggers, according to the ACSM.
  • #1 Prescription of therapeutic exercise in migraine, an evidence-based clinical practice guideline | The Journal of Headache and Pain | Full Text
    https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-023-01571-8
    Several international scientific societies recommend the practice of exercise as part of the therapeutic approach to migraine. […] The main objective of this clinical practice guideline is to provide a series of recommendations regarding different exercise modalities that could be effective in the treatment of migraine, and other lifestyle recommendations that could increase the efficacy of exercise interventions, for healthcare and exercise professionals, such as neurologists, physical therapists, and exercise physiologists, so as to better treat patients with migraine. […] Professionals should consider that prescription of aerobic exercise for patients with migraine is likely to decrease pain frequency, intensity, and duration, and to improve quality of life. […] Professionals should consider that moderate-intensity continuous aerobic exercise, from an 8-week onward intervention applied 3 times per week, is likely to improve headache frequency, might improve pain intensity, and remotely improves attack duration, disability and quality of life in patients with episodic migraine.
  • #1 Prescription of therapeutic exercise in migraine, an evidence-based clinical practice guideline | The Journal of Headache and Pain | Full Text
    https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-023-01571-8
    Professionals should consider that yoga, including asanas, breathing and relaxation techniques, and meditation is likely to improve headache frequency and disability and remotely improves pain intensity and attack duration, from a 6-week onward intervention applied 3 times per week for episodic migraine. […] Professionals should consider that exercise prescription and physical activity in conjunction with other lifestyle recommendations is likely to decrease pain frequency, might improve pain intensity and attack duration, and remotely decrease the disability of both episodic and chronic migraine patients after 6 weeks of intervention with 35 sessions per week. […] Professionals should consider that relaxation techniques remotely improve headache frequency after at least 6 weeks, from 1 session per week to daily sessions, in patients with episodic migraine.
  • #1 What is the efficacy of aerobic exercise versus strength training in the treatment of migraine? A systematic review and network meta-analysis of clinical trials | The Journal of Headache and Pain | Full Text
    https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-022-01503-y
    Multiple clinical trials with different exercise protocols have demonstrated efficacy in the management of migraine. […] Strength training exercise regimens demonstrated the highest efficacy in reducing migraine burden, followed by high-intensity aerobic exercise. […] Several clinical trials have demonstrated the efficacy of exercise interventions in the management of migraine. […] The variable efficacy results from these different exercise protocols hamper the precise identification of specific treatment effects of each exercise modality. […] The NMA provided 27 pairwise comparisons and 8 indirect comparisons. […] When combining all intervention types, the most common durations of the exercise interventions were 12-week (40%) and 8-week (40%). […] Strength/resistance training was initiated with 2-3 sets of 12-15 repetitions at a capacity of 45-60% of the maximum weight lifted in a single repetition (one repetition maximum or one RM) performed thrice a week.
  • #1 Prescription of therapeutic exercise in migraine, an evidence-based clinical practice guideline | The Journal of Headache and Pain | Full Text
    https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-023-01571-8
    Professionals should consider that high-intensity aerobic interval training might improve the frequency of pain and remotely improve the intensity of pain, attack duration, and disability after 8 weeks of intervention with 3 sessions per week in patients with episodic migraine. […] Professionals should consider that low-intensity aerobic exercise remotely improves headache frequency, pain intensity, and total duration per month of migraine after 6 weeks of intervention with 3 sessions per week in patients with episodic migraine. […] Professionals should consider that exercise and relaxation techniques might improve pain intensity and remotely improve the frequency and disability of episodic and chronic migraine patients after 6 weeks of intervention with at least 2 days per week of sessions.
  • #1 What is the efficacy of aerobic exercise versus strength training in the treatment of migraine? A systematic review and network meta-analysis of clinical trials | The Journal of Headache and Pain | Full Text
    https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-022-01503-y
    The average number of hours per session for the strength/resistance training, high-intensity aerobic exercise, and moderate-intensity aerobic exercise interventions were 50 (SD=14; range=40-60), 56 (SD=7; range=48-60), and 45.3 (SD=10; range 30-60 weeks), respectively. […] The reason for strength/resistance training to rank top could be because of targeted muscular strengthening and reconditioning, particularly involving major muscles in the neck, shoulders and upper limbs. […] Based on our meta-analysis and experience, we can infer that combining strength/resistance training days and active recovery days may provide the most optimum efficacy in reducing migraine burden. […] Our recommendations are to start with 50% one RM with 2-3 sets of 12-15 repetitions done thrice a week along with 10 min of warm-up, stretching, and cool-down totaling 45-60 min per session.
  • #1 7 Ways to Avoid Exercise-induced Migraine | Nuvance Health
    https://www.nuvancehealth.org/health-tips-and-news/what-you-need-to-know-about-sports-and-migraine
    Exercising or playing a sport in very hot or humid weather can cause dehydration and in turn may trigger migraine. […] Warming up your body with light movements and stretching may reduce exercise-induced migraine. Similarly, cooling down after working out will gradually reduce your heart rate and may prevent the onset of migraine. […] See a headache specialist if you have headaches often, headaches that last for more than two days, severe head pain that disrupts your life, or other neurological symptoms in addition to head pain. […] Many types of headaches have different treatments. A headache specialist can accurately diagnose you and recommend an effective treatment. […] There are ways to manage migraine so you can stay active, maintain your exercise routine and keep your competitive edge. Getting a proper diagnosis, recognizing and avoiding triggers and finding the right treatment for you are ways you can reduce migraine days.
  • #1 How to Treat Exertion Headaches After A Workout
    https://news.hss.edu/headache-after-exercise-what-to-know-about-exertion-headaches-and-how-to-treat-them/
    Headache After Exercise: What to Know About Exertion Headaches and How to Treat Them. Health Magazine discusses how to treat exertion headaches that occur during or after a workout, according to experts including Erin E. Manning, MD, neurologist at HSS. Dehydration, sleep deprivation, and food and drink choices (e.g., chocolate, alcohol and caffeine) are some of the triggers of exertion headaches. Dr. Manning explained the best defense is to stay well-hydrated and to ensure you’re getting enough sleep. Dr. Manning also suggested trying over the counter (OTC) pain relievers. However, if OTC medicines don’t help or aren’t an option, sometimes people actually need prescription medication that they take either right before strenuous exercise or regular medication that they take on a daily basis to help prevent these from happening, she explained. Dr. Manning concluded, I would say if this has happened more than a couple of times, then it’s probably a good time to see a doctor.
  • #1 Primary exercise headache | MedLink Neurology
    https://www.medlink.com/articles/primary-exercise-headache
    Primary exercise headache is a rare syndrome where headache can be induced during or after physical exertion. […] Headache induced by exertion is a red flag and imaging is necessary to rule out secondary causes. […] Prevention of headache attacks can be through modification of exercise. Where this is not possible or successful, prophylactic indomethacin can be utilized. […] Exercise modification may be the only management required to prevent headache onset. Indomethacin can be utilized prophylactically before initiating exercise to prevent headache onset. […] Prophylactic use of indomethacin in doses varying from 25 to 150 mg a day has been recommended for more prolonged exercise headaches. Over 80% of patients will respond to indomethacin, with the response within 1 to 4 weeks of initiation.
  • #1 Exertional Headache: Symptoms, Causes, Diagnosis, and TreatmentHealthline
    https://www.healthline.com/health/exertional-headache
    Exertional headaches are headaches triggered by some type of physical activity. The types of activity that cause them vary from person to person, but include strenuous exercise, coughing, and sexual activity. Doctors divide exertional headaches into two categories, depending on their cause: Primary exertional headache, which is brought on solely by physical activity and is usually harmless, and secondary exertional headache, which is brought on by physical activity due to an underlying condition, such as a tumor or coronary artery disease. […] Treatment for exertional headaches depends on whether your headaches are primary or secondary. Secondary exertional headaches usually go away once you treat the underlying cause. Primary exertional headaches usually respond well to traditional headache treatments, including nonsteroidal anti-inflammatories such as ibuprofen (Advil). If these don’t provide relief, your doctor might prescribe a different type of medication.
  • #1 Exercise Headaches: Why You Get Headaches After Working Out? – Advance Headache Center
    https://www.advancedheadachecenter.com/exercise-headaches-why-you-get-headaches-after-working-out
    Your doctor may recommend a few tips to exercise better and prevent such episodes. […] Over-the-counter medications are effective in preventing and treating primary exertion headaches. Your doctor may suggest the following medications: Nonsteroidal anti-inflammatory drugs such as Naproxen, Ibuprofen such as Advil, Acetaminophen such as Tylenol. […] With the help of your pain management doctor, you can relieve pre or post-workout headaches by implementing simple, non-invasive treatment options for exercise. […] Regular exercise can reduce the frequency and intensity of headaches and migraines, especially those caused by stress. Seek your doctors advice regarding light exercise and how it can help to manage stress and sleep better at night. […] Suffering from a headache every time you work out might be a sign of some serious medical condition, and you must go for professional medical guidance. Schedule an appointment with the headache specialist near me at Advanced Headache Center for expert diagnosis and seek specialized help to get rid of these headaches. Our doctors will strive to resolve your pain and provide the best treatment for long-term relief.
  • #2 Exertional Headache: Symptoms, Causes, Diagnosis, and TreatmentHealthline
    https://www.healthline.com/health/exertional-headache
    Exertional headaches are headaches triggered by some type of physical activity. The types of activity that cause them vary from person to person, but include strenuous exercise, coughing, and sexual activity. Doctors divide exertional headaches into two categories, depending on their cause: Primary exertional headache, which is brought on solely by physical activity and is usually harmless, and secondary exertional headache, which is brought on by physical activity due to an underlying condition, such as a tumor or coronary artery disease. […] Treatment for exertional headaches depends on whether your headaches are primary or secondary. Secondary exertional headaches usually go away once you treat the underlying cause. Primary exertional headaches usually respond well to traditional headache treatments, including nonsteroidal anti-inflammatories such as ibuprofen (Advil). If these don’t provide relief, your doctor might prescribe a different type of medication.
  • #2 Exercise-Induced Headaches: Prevention, Management, and Treatment
    https://www.uspharmacist.com/article/exerciseinduced-headaches-prevention-management-and-treatment
    Patients who experience headaches related to strenuous physical activity may find it difficult to exercise at sufficient durations or intensities. […] The adoption of appropriate nonpharmacologic and pharmacologic preventive and treatment measures improves exercise tolerance in patients who experience exercise-induced headaches. […] First-line therapy for exercise headache is the implementation of appropriate prevention strategies. […] Proper intensity and duration of warm-up are crucial in preventing headaches related to exercise. […] Indomethacin is the first-line choice for short-term treatment of exercise-induced headache. […] Indomethacin may be taken either on an as-needed basis prior to a known exertional trigger or as scheduled dosing for headache prophylaxis. […] When long-term or daily headache prophylaxis is needed, beta-blockers are recommended.
  • #2 Exercise headaches | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/exercise-headaches
    If no underlying structural or vascular problem is causing your exercise headaches, your provider may recommend medications to take regularly to help prevent the headaches. […] Indomethacin, an anti-inflammatory drug, is commonly prescribed. […] Propranolol (Inderal, Innopran XL), a blood pressure medication, also is used to prevent exercise headaches. […] Other therapies, including naproxen (Naprosyn), phenelzine (Nardil) and dihydroergotamine mesylate (Migranal, Trudhesa), have been reported to be effective in some people. […] If your exercise headaches are predictable, you may be able to take a medication an hour or two before a scheduled event, such as a tennis match or a hike at high altitude. If your exercise headaches are frequent or unpredictable, you might need to take the preventive medicine every day.
  • #2 What are treatment options for headaches after exercising?
    https://www.dotfit.com/content-35771.html?srsltid=AfmBOopYJbuo-V5YPYR2YFBBhNRXKRcOy6paTp3HOMkyqxDcPc3rgHcO
    Exercise headaches occur during or after sustained, strenuous exercise. […] Primary exercise headaches are usually harmless, aren’t connected to any underlying problems and can often be prevented with medication. […] If no underlying structural or vascular problem is causing your exercise headaches, your doctor may recommend medications to help prevent the headaches. Indomethacin, an anti-inflammatory drug, is most commonly prescribed. Propranolol, a blood pressure medication, also is used preventively. […] If your exercise headaches are predictable, you may be able to take the medication an hour or two before a scheduled event, such as a tennis match or a hike at high altitude. If your exercise headaches are frequent or unpredictable, you might want to take the preventive medicine every day.
  • #2
    https://link.springer.com/article/10.1007/s11910-020-01028-4
    Primary exercise headache has gone through many descriptors in the past but generally is a headache that is precipitated by strenuous exercise without significant intracranial pathology. […] A lack of randomized clinical trials in the treatment of primary exercise headache remains. Indomethacin and beta-blocker use remain the mainstays of treatment based on case series with several case reports that urge caution when diagnosing said headache. […] There are a lack of randomized clinical trials for PEH to suggest protocoled management for the disorder; guidance for treatment is based on case series, case reports, and expert opinion statements. In one early study of 15 patients with PEH, successful control of headache with continuous use of indomethacin was noted. The literature describes a therapeutic dose ranging from 25 to 150 mg taken before planned strenuous activity.
  • #2 Primary Exercise Headache
    https://pmc.ncbi.nlm.nih.gov/articles/PMC7160088/
    The ability of indomethacin to reduce cerebral blood flow and thus reduce intracranial pressure, as suggested by one review on the treatment of increased ICP in traumatic brain injury, lends itself to previous theorized pathophysiologic mechanisms of pain in PEH. […] In terms of management, this study found benefit in a cohort of patients with sexual headache with either propranolol at 40 to 80 mg daily or atenolol 50 mg. […] If headaches were not improved, up-titration of propranolol or the use of indomethacin as needed prior to strenuous activity could be reasonable treatment strategies. […] Patients that fail to respond with beta-blockade or indomethacin should warrant reassessment for secondary causes.
  • #2 Exertional Headache: Symptoms, Causes, Diagnosis, and TreatmentHealthline
    https://www.healthline.com/health/exertional-headache
    Medications used to treat exertional headaches include indomethacin, propranolol, naproxen (Naprosyn), ergonovine (ergometrine), and phenelzine (Nardil). If your headaches are predictable, you may only need to take medication before doing activities that you know might trigger a headache. If they aren’t predictable, you may need to take medication regularly to prevent them. […] For some people, gradually warming up before doing any strenuous exercise also helps. If you’re a runner, for example, try dedicating more time to warming up your body and gradually building up your speed. For headaches triggered by sexual activities, having less strenuous sex more often may help. […] Primary exertional headaches are frustrating but usually harmless. However, they can sometimes be a sign of an underlying condition that needs treatment, so it’s important to follow up with your doctor about your symptoms. Once you’ve ruled out any other causes, a combination of changes to your physical activity and over-the-counter or prescription medication will likely provide relief.
  • #2 Exertion headaches | LloydsPharmacy Online Doctor UK
    https://onlinedoctor.lloydspharmacy.com/uk/lifestyle-advice/exertion-headaches
    Treatment for exertion headaches […] If you’re dealing with regular headaches, several treatment options can help ease the pain or prevent the headaches from happening. You can take these on top of lifestyle changes, such as the ones above, for the best results. […] Over-the-counter pain relief: medications like ibuprofen, paracetamol, or aspirin can be effective in treating exertion headaches […] Prescription medications: in more severe cases, your doctor might prescribe stronger pain relief medicines. […] Beta-blockers: these are sometimes prescribed to prevent exertion headaches or migraines, particularly if you have them frequently […] Triptans: If you have a history of migraines, triptans such as Sumatriptan or Rizatriptan can be effective. They are designed to treat migraine symptoms and might be prescribed if you’re regularly experiencing severe headaches.
  • #2 Exercise-Induced Headaches: Prevention, Management, and Treatment
    https://www.uspharmacist.com/article/exerciseinduced-headaches-prevention-management-and-treatment
    Triptans are another treatment option, particularly when there is a known exertional trigger that cannot be avoided or when the patient does not tolerate indomethacin. […] Implementation of proper warm-up and nonpharmacologic measures can help prevent exercise-induced migraines in patients who experience them. […] In patients who need pharmacologic therapy, preventive options such as magnesium, riboflavin, and NSAIDs should be considered. […] Appropriate abortive therapy, such as triptans, should be readily available to the patient during exercise for times when preventive measures fail.
  • #2 Exertional Headaches | Headaches | Andrew Weil, M.D.
    https://www.drweil.com/health-wellness/body-mind-spirit/headache/exertional-headaches/
    Exercise headaches often can be treated or prevented by taking aspirin, Naproxen (Aleve) or the prescription anti-inflammatory drug indomethacin 30 minutes to an hour before exercise. […] If you get frequent headaches related to exercise, taking the blood pressure drug propranolol before your workout or on a daily basis may help prevent them. […] Warming up before exercise also may be preventive. […] If you develop a severe headache after any type of exertion, you should see your doctor to be examined and to rule out a serious underlying cause. […] Dr. Weil advises warming up before exercise, which may help prevent these headaches. […] He also recommends making sure you’re not dehydrated.
  • #2 Exercise headaches – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/exercise-headaches/symptoms-causes/syc-20372276
    Exercise headaches occur during or after sustained, strenuous exercise. […] Health care providers divide exercise headaches into two categories. Primary exercise headaches are usually harmless, aren’t connected to any underlying problems and can often be prevented with medication. […] If you experience a headache during or after exercise, consult your provider. […] A warm-up prior to strenuous exercise also can help prevent exercise headaches.
  • #2
    https://www.cprsweb.com/About-CPRS/Latest-News/ArticleID/1092/Physical-Therapy-for-Headaches
  • #2 Exercise Induced Headaches – Brisbane Headache & Migraine Clinic
    https://brisbanemigraine.com.au/exercise-induced-headaches/
    Exercise induced headaches are simply that, a headache brought on by or occurring during/after exercises. A primary exercise headache is not caused by any other underlying condition or disorder, commonly causes pain bilaterally and is often difficult to distinguish from migraines triggered by exertion. […] A secondary exercise headache is one that is caused by an underlying condition such as a sinus or ear infection, or sometimes something more sinister such as a tumour, other structural abnormalities or a brain bleed. For this reason it is important to seek medical attention if you suddenly begin to experience headaches related specifically to exercise. […] Primary exercise headaches often only last for a finite period time (commonly between three to six months), and so sufferers are advised to avoid excessive exercise or other triggering activities during this time. In place of usual aggravating exercise, patients are encouraged to keep fit and active by going for walks, and participating in light, gentle exercise.
  • #2 Headaches after exercise: here’s why they happen – and how to prevent them
    https://theconversation.com/headaches-after-exercise-heres-why-they-happen-and-how-to-prevent-them-205953
    Staying hydrated is also important. This ensures the brains blood vessels can function properly. Adequate rest will also ensure the brain works at its best and help you feel less sensitive to pain. […] Although exertion headaches are annoying, they shouldnt prevent you from exercising, especially in warmer weather when they can be more common. Gradual warm-ups and avoiding hot days or altitude may help lower your risk of them happening. Trying other types of exercise which do not have a sustained peak heart rate level such as yoga or weightlifting may be beneficial.
  • #2 Exertion Headaches: Causes, Management, and PreventionShare to Facebookprint pageBookmark for latercaret iconFollow us on facebookFollow us on instagramFollow us on facebookFollow us on linkedincaret icon
    https://migraine.com/headache-types/exertion-headaches
    Exercise or exertion headache is a headache triggered by physical activity or exercise. […] Avoiding strenuous exercise is one of the key treatment options for people who get exertion headaches. […] If the headache is mild or builds slowly, then your doctor may recommend you warm up slowly or join in less intense exercise for a few months. Some people find that taking a pain reliever or a beta-blocker about 1 hour before exercise helps prevent the headache or reduces its intensity. […] Any treatments for exertion headache should be stopped after 6 months to see if treatment is still needed.
  • #2
    https://www.onepeloton.com/blog/headache-after-workout/
    Here are some tried-and-true preventative measures to ward off a potential exertion headache, according to our experts: Warm up before exercising, Drink more water, ideally with electrolytes, Choose a cooler workout environment, Maintain good posture, Don’t push yourself too hard, Prepare for training at high altitudes, Get enough high-quality sleep. […] Your healthcare provider may also recommend an over-the-counter or prescription anti-inflammatory (or another type of medication) that you can take before exercising. […] Both Dr. Hall and Dr. Dasgupta agree that most exercise-related headaches should be discussed with your doctorespecially if they are persistent, severe, sudden, or associated with fainting or feeling confused. […] If you’re experiencing headaches after working out, get evaluated by a doctor to confirm that it’s a primary (and not a secondary) exercise headache.
  • #2 Headache After Exercise: 5 Potential Causes, Treatment, and Prevention
    https://www.healthline.com/health/headache-after-exercise
    Most cases of mild hydration respond well to replenishing lost fluids and electrolytes. You can do this by drinking plenty of water. […] If you’re having symptoms of low blood sugar, try to eat or drink something containing 15 grams of carbohydrates right away, such as a glass of fruit juice or a small piece of fruit. This is a quick fix that should hold you over for a few minutes. […] If your workout involves things that could strain your neck, try doing some gentle stretches afterward. […] If releasing tension isn’t quite doing the trick, you can also take some ibuprofen for relief. […] Most exercise-related headaches can be easily treated at home, but sometimes they could be a sign of an underlying condition. Simple prevention and home treatment methods should help alleviate your headaches. But if they aren’t doing the trick, it might be time to talk to a doctor.
  • #2 Effectiveness of Exercise and Manual Therapy as Treatment for Patients with Migraine, Tension-Type Headache or Cervicogenic Headache: An Umbrella and Mapping Review with Meta-Meta-Analysis
    https://www.mdpi.com/2076-3417/11/15/6856
    The aim of the study was to perform a mapping and umbrella review with meta-meta-analysis (MMA) to synthesise and critically evaluate the effectiveness of manual therapy (MT) and aerobic exercise (AE) in relation to pain intensity, frequency, disability and quality of life in patients with migraines, tension-type headaches (TTH) and cervicogenic headaches (CGH). […] The nonpharmacological approach provides therapeutic options to be assessed for the treatment of headaches, such as therapeutic exercise and manual therapy. Some proposed exercise modalities are aerobic exercise (AE) and exercise focused on retraining the cervical and shoulder muscles, with moderate evidence of reduced pain intensity, symptom frequency and disability and improved quality of life in patients in the short- to medium-term.
  • #2
    https://www.cprsweb.com/About-CPRS/Latest-News/ArticleID/1092/Physical-Therapy-for-Headaches
    HOW A PHYSICAL THERAPIST CAN HELP! There is building evidence that physical therapy significantly reduces the symptoms of the headaches listed above. One large-scale study in Spine Journal showed that high-velocity, low amplitude thrust techniques combined with exercise improved the frequency, intensity and duration of cervicogenic headaches after 7 weeks. Another recent large-scale study showed that stretching and strengthening exercises prescribed by physical therapists improved headache symptoms by 69%. A review of all research on this topic up to 2004 demonstrates that joint mobilization and exercise combined reduce headaches and pain caused by neck joint and muscle dysfunction. The evidence is growing, and physical therapists use these established hands-on techniques and exercises to reduce headaches and help return patients to pain-free function. […] There are many different types of headaches; however, what is not widely known is that physical therapy has been demonstrated to be a successful treatment for some types of headaches.
  • #2 Tension Headache Relief With Strength Exercises
    https://www.kelosphysicaltherapy.com/post/tension-headache-relief-with-strength-exercises
    Recent research suggests that a strength-based exercise program can significantly reduce the frequency, intensity, and duration of tension-type headaches. […] The goal of the study was to determine whether specific strength exercises could reduce the frequency, intensity, and duration of these headaches, ultimately improving the quality of life for those who suffer from them. […] The results of the study were promising and highlighted the benefits of incorporating strength exercises into the treatment plan for chronic tension-type headaches. […] These findings suggest that a structured, strength-based exercise program can be an effective way to manage symptoms of chronic tension-type headaches. […] By following this structured and progressive exercise program, participants were able to effectively target the muscles associated with tension-type headaches, leading to significant improvements in pain and muscle strength.
  • #2 Top 5 Exercises to Get Rid of Headaches — Physical Therapy in Brooklyn | Sports Rehab in Brooklyn- Evolve PT
    https://evolveny.com/blogposts/2020/8/25/5-best-exercises-to-get-rid-of-headaches
    While headaches can range from being a nuisance to being excruciating, there may be a way to find relief through movement, if you meet certain criteria. […] If you are not experiencing any of the above symptoms, you may be experiencing a muscle contraction headache. This is a type of tension headache correlated with clenching the muscles in the head. […] You may also be experiencing a cervicogenic headache. These stem from upper cervical issues of the segments, ligaments, and muscles on the sides and back of your neck. These are a mechanical dysfunction, and can be treated with certain exercises. […] Here are 5 exercises you can try at home to find some relief from headache pain caused by tension, stiffness, and tightness in the neck and shoulders: […] Chin Tucks: These help reset the muscles in your head, neck, and shoulders.
  • #2 The 5 Best Exercises To Relieve Headaches Caused By Neck Pain | Physiotherapists in Toronto | Yorkville Sports Medicine Clinic
    https://www.yorkvillesportsmed.com/blog/the-5-best-exercises-to-relieve-headaches-caused-by-neck-pain
    Physiotherapy is a widely recognized and effective treatment option for neck pain and headaches. […] For anyone frequently experiencing headaches, especially those associated with neck pain, incorporating physio-led exercises can provide much-needed relief. […] Exercise plays a pivotal role in relieving neck pain-related headaches. […] The five best exercises for relieving neck pain-related headaches that a physiotherapist may prescribe may include: […] Neck stretches target the muscles in the neck and help alleviate tension, such chin tucks. […] Strengthening the shoulder muscles can help support the neck and relieve pain, such as shoulder shrugs. […] Specific exercises such as shoulder blade squeezes can help correct postural issues and alleviate the associated pain. […] Engaging in exercises such as dead bug can help strengthen these muscles, improving stability and reducing the strain on the neck, ultimately relieving headaches.
  • #2 Breaking the Cycle of Tension Headaches with Manual Therapy and Exercise
    https://www.motionspecificrelease.com/post/breaking-the-cycle-of-tension-headaches-with-manual-therapy-and-exercise
    This comprehensive approach not only targets the immediate pain but also works to prevent tension headaches from occurring in the future. […] Research shows that tension in the shoulder, neck, and jaw often amplifies tension headaches, but manual therapy and targeted exercises can significantly reduce their occurrence and intensity. […] The following videos demonstrate effective techniques, combining joint manipulation with functional exercises to treat tension headaches by resolving soft tissue restrictions in key areas. […] Each case of neck pain is unique and should be treated accordingly. […] This protocol targets the root causes of neck tension to alleviate headaches and improve overall neck function. […] The MSR Ten-Point TMJ Protocol specifically targets the soft tissues involved in TMD, aiming to relieve the root causes of these issues.
  • #2 Breaking the Cycle of Tension Headaches with Manual Therapy and Exercise
    https://www.motionspecificrelease.com/post/breaking-the-cycle-of-tension-headaches-with-manual-therapy-and-exercise
    By addressing jaw dysfunction and muscle tension, this protocol helps reduce the frequency and intensity of tension headaches, which are frequently connected to TMD. […] Addressing joint restrictions in the cervical spine is crucial for relieving tension headaches. […] Chiropractic adjustments can be highly effective in managing tension headaches. […] Many patients report a significant reduction in symptoms, and some even experience complete relief. […] The goal is to optimize symptom relief and improve function, with adjustments made as needed based on the patients response. […] Exercise is vital in managing tension headaches. […] By strengthening muscles and improving flexibility, targeted exercises reduce strain on the muscles and nerves that trigger headaches. […] These exercises range from gentle stretches to strength training, focusing on the neck, shoulders, and upper back.
  • #2 Headache: What It Is, Types, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/9639-headaches
    Stress management teaches you ways to cope with stressful situations. Relaxation techniques help manage stress. You use deep breathing, muscle relaxation, mental images and music to ease your tension. […] Biofeedback teaches you to recognize when tension is building in your body. You learn how your body responds to stressful situations and ways to settle it down. […] Occasional tension headaches usually respond well to over-the-counter pain relievers. But be aware that using these medications too often can lead to long-term daily headaches (medication overuse headaches). […] For frequent or severe headaches, your provider may recommend prescription headache medications. Triptans and other types of drugs can stop a migraine attack. You take them at the first signs of an oncoming headache.
  • #2 Primary Exercise Headache | American Migraine Foundation
    https://americanmigrainefoundation.org/resource-library/primary-exercise-headache/
    Your doctor may recommend modifying your exercise regimen and trying certain preventive or acute treatments to help manage primary exercise headache. […] Indomethacin may be taken 30-60 minutes before exercise to prevent primary exercise headache. […] Beta-blockers such as nadolol, atenolol and propranolol have also been reported to be effective for preventing primary exercise headache, and are reasonable options for people who cannot take indomethacin. […] Since primary exercise headache is generally self-limiting, symptoms should be assessed periodically to reevaluate the need for any acute or preventive treatments.
  • #2 Headache: What It Is, Types, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/9639-headaches
    Treatment for headaches depends on the type. […] One of the most crucial aspects of treating primary headaches is figuring out your triggers. Learning what those are typically by keeping a headache log can reduce the number of headaches you have. […] Once you know your triggers, your healthcare provider can tailor treatment to you. For example, you may get headaches when you’re tense or worried. Counseling and stress management techniques can help you handle this trigger better. By lowering your stress level, you can avoid stress-induced headaches. […] Not every headache requires medication. A range of treatments is available. Depending on your headache type, frequency and cause, treatment options include: Stress management, Biofeedback, Medications, Treating the underlying medical condition/cause.
  • #2 How to Treat Exertion Headaches After A Workout
    https://news.hss.edu/headache-after-exercise-what-to-know-about-exertion-headaches-and-how-to-treat-them/
    Headache After Exercise: What to Know About Exertion Headaches and How to Treat Them. Health Magazine discusses how to treat exertion headaches that occur during or after a workout, according to experts including Erin E. Manning, MD, neurologist at HSS. Dehydration, sleep deprivation, and food and drink choices (e.g., chocolate, alcohol and caffeine) are some of the triggers of exertion headaches. Dr. Manning explained the best defense is to stay well-hydrated and to ensure you’re getting enough sleep. Dr. Manning also suggested trying over the counter (OTC) pain relievers. However, if OTC medicines don’t help or aren’t an option, sometimes people actually need prescription medication that they take either right before strenuous exercise or regular medication that they take on a daily basis to help prevent these from happening, she explained. Dr. Manning concluded, I would say if this has happened more than a couple of times, then it’s probably a good time to see a doctor.
  • #2 Reddit – The heart of the internet
    https://www.reddit.com/r/bodyweightfitness/comments/13493n0/rest_for_exertion_headaches/
    I’ve seen advice to give it rest, saying that having one headache makes you more susceptible to more headaches for some time. Should I stop for a while, and if so, for how long?
  • #2 Prescription of therapeutic exercise in migraine, an evidence-based clinical practice guideline | The Journal of Headache and Pain | Full Text
    https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-023-01571-8
    The main objective of this clinical practice guideline is to provide a series of recommendations for healthcare and exercise professionals, such as neurologists, physical therapists, and exercise physiologists, regarding exercise prescription for patients with migraine. […] The evaluation of the current evidence, the elaboration of the grades of recommendation, and their validation show a B grade of recommendation for aerobic exercise, moderate-continuous aerobic exercise, yoga, and exercise and lifestyle recommendations for the improvement of symptoms, disability, and quality of life in patients with migraine. […] Exercise prescription for migraine improvement appears to be a safe and effective intervention that could decrease migraine symptoms and disability and increase quality of life.
  • #2 Exercise and Tension Headaches: What Workouts Are Best
    https://www.webmd.com/migraines-headaches/features/tension-headache-exercise-therapy
    Research shows that if you have neck and shoulder pain and regularly get headaches, a daily 2-minute workout with these bands may reduce how often you get them. […] Anything that activates your muscles, gets blood flowing, clears your mind, and helps you breathe more can be very helpful if you have a headache, Diamond says. […] Exercise doesnt just help you tame a tension headache in the moment. If you make it a habit to work out, you might get fewer, less-intense ones in the future. […] Having an exercise habit helps your body produce endorphins, which naturally help your body treat pain, Diamond says. On top of that, exercise is amazing at relieving stress you blow off steam, clear your mind, and focus on your health. […] As for how much exercise to do to prevent tension headaches, aim for at least 20 minutes, three times a week. Its fine to do more.
  • #2
    https://www.premierhealth.com/your-health/articles/women-wisdom-wellness-/5-types-of-exercise-to-beat-headache-pain
    Good things come to those who exercise, including headache sufferers. […] Exercise can release tension in the body and have a positive impact on body chemistry (like boosting oxygen levels), which in turn can decrease the risk of tension headaches and migraines. […] Yoga can help by improving flexibility and posture, and relaxing tight muscles. […] Research indicates that yoga also helps balance the mind, body and spirit, which can have a positive effect on mood, anxiety and stress. […] If yoga isn’t your thing, then simply stretching, deep breathing and/or practicing progressive muscle relaxation can help headache sufferers by improving circulation and reducing muscle tension, according to the American College of Sports Medicine (ACSM). […] Cardiovascular or aerobic exercise (exercise that gives your heart and lungs a workout) reduces stress, anxiety, depression and anger all of which are headache triggers, according to the ACSM.
  • #2 Prescription of therapeutic exercise in migraine, an evidence-based clinical practice guideline | The Journal of Headache and Pain | Full Text
    https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-023-01571-8
    Several international scientific societies recommend the practice of exercise as part of the therapeutic approach to migraine. […] The main objective of this clinical practice guideline is to provide a series of recommendations regarding different exercise modalities that could be effective in the treatment of migraine, and other lifestyle recommendations that could increase the efficacy of exercise interventions, for healthcare and exercise professionals, such as neurologists, physical therapists, and exercise physiologists, so as to better treat patients with migraine. […] Professionals should consider that prescription of aerobic exercise for patients with migraine is likely to decrease pain frequency, intensity, and duration, and to improve quality of life. […] Professionals should consider that moderate-intensity continuous aerobic exercise, from an 8-week onward intervention applied 3 times per week, is likely to improve headache frequency, might improve pain intensity, and remotely improves attack duration, disability and quality of life in patients with episodic migraine.
  • #2 Prescription of therapeutic exercise in migraine, an evidence-based clinical practice guideline | The Journal of Headache and Pain | Full Text
    https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-023-01571-8
    Professionals should consider that yoga, including asanas, breathing and relaxation techniques, and meditation is likely to improve headache frequency and disability and remotely improves pain intensity and attack duration, from a 6-week onward intervention applied 3 times per week for episodic migraine. […] Professionals should consider that exercise prescription and physical activity in conjunction with other lifestyle recommendations is likely to decrease pain frequency, might improve pain intensity and attack duration, and remotely decrease the disability of both episodic and chronic migraine patients after 6 weeks of intervention with 35 sessions per week. […] Professionals should consider that relaxation techniques remotely improve headache frequency after at least 6 weeks, from 1 session per week to daily sessions, in patients with episodic migraine.
  • #2 What is the efficacy of aerobic exercise versus strength training in the treatment of migraine? A systematic review and network meta-analysis of clinical trials | The Journal of Headache and Pain | Full Text
    https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-022-01503-y
    The average number of hours per session for the strength/resistance training, high-intensity aerobic exercise, and moderate-intensity aerobic exercise interventions were 50 (SD=14; range=40-60), 56 (SD=7; range=48-60), and 45.3 (SD=10; range 30-60 weeks), respectively. […] The reason for strength/resistance training to rank top could be because of targeted muscular strengthening and reconditioning, particularly involving major muscles in the neck, shoulders and upper limbs. […] Based on our meta-analysis and experience, we can infer that combining strength/resistance training days and active recovery days may provide the most optimum efficacy in reducing migraine burden. […] Our recommendations are to start with 50% one RM with 2-3 sets of 12-15 repetitions done thrice a week along with 10 min of warm-up, stretching, and cool-down totaling 45-60 min per session.
  • #2 Primary Exercise Headache | American Migraine Foundation
    https://americanmigrainefoundation.org/resource-library/primary-exercise-headache/
    Did you know there’s a headache disorder that specifically occurs during or after strenuous exercise? If you’re experiencing this, it could be primary exercise headache. Learn the signs and symptoms, what steps to take if you start having exercise-induced headaches and how to differentiate it from migraine triggered by physical exertion. […] Primary exercise headache, previously known as primary exertional headache or benign exertional headache, is a rare type of headache disorder that is brought on by and occurs only during or after strenuous physical exercise. […] If exercise causes you to have a headache, you should see your doctor to rule out potentially serious underlying issues—especially if these symptoms are new and/or you have never been evaluated for primary exercise headache.
  • #2 Headache: What It Is, Types, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/9639-headaches
    Treatment for secondary headaches involves treating the underlying medical condition causing it. […] You can treat the occasional, mild headache at home with over-the-counter pain relievers. Other self-care treatments for headaches include: Applying heat or cold packs to your head, Doing stretching exercises, Massaging your head, neck or back, Resting in a dark and quiet room, Taking a walk. […] The key to preventing headaches is figuring out what triggers them. Triggers are very specific to each person what gives you a headache may not be a problem for others. Once you determine your triggers, you can avoid or minimize them. […] Although researchers are closer than ever before to a cure, at this time, there isn’t a cure for primary headaches. Treatment focuses on relieving symptoms and preventing future episodes.
  • #2 Sports Exercise Headaches Chiropractor
    https://dralexjimenez.com/sports-exercise-headaches-chiropractor/
    Sports exercise headaches are exertion headaches that involve pain during or immediately after sports, exercise, or some physical activity. […] Chiropractic, massage, decompression, and traction therapies can realign the body and relax the muscles allowing for optimal circulation and certain strategies to help prevent future episodes. […] Doctors and scientists believe an exertional headache occurs when intense physical activity causes the veins and arteries to expand to circulate more blood. […] According to the American Chiropractic Association, spinal adjustments are an effective headache treatment option. This includes migraines, tension headaches, or sports exercise headaches. Using the targeted approaches, chiropractic restores the body’s natural alignment to improve function and alleviate stress on the nervous system. This allows the body to operate at optimal levels reducing muscle stress and muscle tension.
  • #2 Long COVID Headache Treatments (Beyond Medication)
    https://www.cognitivefxusa.com/blog/long-covid-headache-treatment
    One of the best long COVID headache treatments is multidisciplinary therapy that addresses the underlying issues rather than just covering the symptom with medication. […] If you’re suffering from long COVID, medication can’t solve the problem by itself. You need an experienced healthcare professional who can help you identify the cause of the headaches and provide an appropriate treatment regimen to improve long COVID symptoms. […] At our clinic, we use targeted, multidisciplinary therapies to treat the most common conditions resulting from brain injury, including neurovascular coupling dysfunction, autonomic nervous system dysfunction, vestibular dysfunction, and vision problems. […] Our treatment combines a series of cardio exercises and other therapies, including cognitive, sensorimotor, neuromuscular, and vision therapies, to name just a few, which can help long COVID patients with persistent headaches in a variety of ways.
  • #3 What are treatment options for headaches after exercising?
    https://www.dotfit.com/content-35771.html?srsltid=AfmBOopYJbuo-V5YPYR2YFBBhNRXKRcOy6paTp3HOMkyqxDcPc3rgHcO
    Exercise headaches occur during or after sustained, strenuous exercise. […] Primary exercise headaches are usually harmless, aren’t connected to any underlying problems and can often be prevented with medication. […] If no underlying structural or vascular problem is causing your exercise headaches, your doctor may recommend medications to help prevent the headaches. Indomethacin, an anti-inflammatory drug, is most commonly prescribed. Propranolol, a blood pressure medication, also is used preventively. […] If your exercise headaches are predictable, you may be able to take the medication an hour or two before a scheduled event, such as a tennis match or a hike at high altitude. If your exercise headaches are frequent or unpredictable, you might want to take the preventive medicine every day.
  • #3 Prescription of therapeutic exercise in migraine, an evidence-based clinical practice guideline | The Journal of Headache and Pain | Full Text
    https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-023-01571-8
    Professionals should consider that high-intensity aerobic interval training might improve the frequency of pain and remotely improve the intensity of pain, attack duration, and disability after 8 weeks of intervention with 3 sessions per week in patients with episodic migraine. […] Professionals should consider that low-intensity aerobic exercise remotely improves headache frequency, pain intensity, and total duration per month of migraine after 6 weeks of intervention with 3 sessions per week in patients with episodic migraine. […] Professionals should consider that exercise and relaxation techniques might improve pain intensity and remotely improve the frequency and disability of episodic and chronic migraine patients after 6 weeks of intervention with at least 2 days per week of sessions.
  • #3 How to Treat Exertion Headaches After A Workout
    https://news.hss.edu/headache-after-exercise-what-to-know-about-exertion-headaches-and-how-to-treat-them/
    Headache After Exercise: What to Know About Exertion Headaches and How to Treat Them. Health Magazine discusses how to treat exertion headaches that occur during or after a workout, according to experts including Erin E. Manning, MD, neurologist at HSS. Dehydration, sleep deprivation, and food and drink choices (e.g., chocolate, alcohol and caffeine) are some of the triggers of exertion headaches. Dr. Manning explained the best defense is to stay well-hydrated and to ensure you’re getting enough sleep. Dr. Manning also suggested trying over the counter (OTC) pain relievers. However, if OTC medicines don’t help or aren’t an option, sometimes people actually need prescription medication that they take either right before strenuous exercise or regular medication that they take on a daily basis to help prevent these from happening, she explained. Dr. Manning concluded, I would say if this has happened more than a couple of times, then it’s probably a good time to see a doctor.