Headaches and Migraines
Many headaches and migraines are driven by tension in the neck and upper back. Physiotherapy targets that source to reduce how often and how hard they hit.
Understanding headaches and migraines
Headaches and migraines are among the most common reasons people seek care, and many have a physical driver in the neck and surrounding muscles. Tension type headaches often stem from tight, overworked muscles and stiff joints in the upper neck, while cervicogenic headaches are referred directly from the cervical spine. Migraine is a neurological condition with its own triggers, yet neck tension frequently feeds into attacks and makes them harder to settle.
Because the causes overlap, an accurate assessment matters. A headache that comes with neck stiffness, worsens with certain postures or eases when the neck is treated often has a musculoskeletal component that physiotherapy can address. Understanding your pattern, triggers and history helps us separate the different types, recognise the small number of headaches that need urgent medical review, and focus treatment where it will actually change how often and how badly you are affected.
Signs to look out for
- Aching or tight pain across the head
- Pain that starts at the base of the skull
- Tender, stiff muscles in the neck and shoulders
- Throbbing, one sided pain with migraine
- Sensitivity to light, sound or smell
- Nausea during an attack
- Headaches triggered by posture or screen time
Why it happens
- Prolonged desk work and poor posture
- Neck and upper back tension
- Stress and disrupted sleep
- Previous neck injury or whiplash
- Jaw clenching and teeth grinding
- Dehydration and known migraine triggers
Treating headaches and migraines at Rehoboth
Every plan starts with a thorough assessment and a written plan you can actually read. Same-week appointments across five Grand Cayman clinics.
Your first visit is a detailed assessment of your neck, posture and headache pattern to identify how much of the problem comes from the muscles and joints of the cervical spine. From there we build a personalised plan. Hands-on manual therapy and mobilisation ease stiff upper neck joints, while dry needling and soft tissue work release the tight, tender muscles that refer pain into the head.
We add targeted exercises to improve neck strength, posture and movement, plus practical advice on workstation setup, screen habits and stress so triggers reduce over time. For stubborn muscle tension, modalities such as TENS or heat can help, and chiropractic care is available when spinal mobilisation suits you. If your pattern points to migraine or anything that needs medical review, we coordinate with our general practice team and refer promptly.
Services that treat headaches and migraines
Physiotherapy
Magnetotherapy, robotic rehabilitation, shockwave, ultrasound and electrical stimulation, calibrated to your exact diagnosis.
Dry Needling
Western-medical trigger-point release for myofascial pain, headaches and muscular knots that won't release with massage alone.
Chiropractic Care
Consultation, spinal adjustment and spinal mobilisation for the spine, pelvis and extremities.
General Practice
General health consultations, work-permit & taxi medicals, statutory certificates and annual health checks, with same-week appointments.
Headaches and Migraines questions, answered
Yes. Physiotherapy is very effective for tension type and cervicogenic headaches that come from the neck, and it can reduce the frequency and intensity of migraine when neck tension is a trigger. We assess your headache pattern first, then treat the muscles and joints driving it.
Neck driven headaches often start at the base of the skull, worsen with certain postures or long screen time, and ease when the neck is treated. Our assessment checks the joints and muscles of the cervical spine to confirm this and to rule out other causes.
No referral is needed to see our physiotherapists, and you can book directly. We offer same-week appointments across our five Grand Cayman clinics and bill CINICO and major insurers directly.
A sudden, severe headache, or one with fever, weakness, vision changes or after a head injury, should be reviewed by a doctor promptly. Our general practice team is on hand, and we refer quickly whenever a headache needs medical rather than physical treatment.
Other musculoskeletal conditions we treat
Back and Neck Pain
Back and neck pain can make everyday movement, work and sleep difficult. Physiotherapy and chiropractic care ease pain and restore movement so you can get back to normal.
Joint Pain
Joint pain in the knees, hips, shoulders or hands can limit the things you love. Physiotherapy eases pain and rebuilds the strength that keeps your joints moving well.
Muscle Pain
Muscle pain, tightness and stubborn knots can nag for weeks. Hands-on physiotherapy and dry needling release tense muscles and help you move freely and comfortably again.
Strains and Sprains
A strain or sprain can happen in an instant and needs the right care from day one. Physiotherapy settles pain and rebuilds strength for a safe return to activity.
Osteoarthritis
Osteoarthritis causes joint pain and stiffness as cartilage wears over time. Physiotherapy helps you stay active, build strength and manage symptoms long term.
Rheumatoid Arthritis
Rheumatoid arthritis is an autoimmune condition that inflames the joints. Alongside your doctor, physiotherapy helps keep you mobile, strong and functioning well.