Can Neck Tension Cause Migraines? The Hidden Role of Trigger Points

Professional woman experiencing migraine headache at work in Orlando office setting

Can Neck Tension Cause Migraines?

Yes—and in many cases, it’s one of the most overlooked causes.

Most patients think of migraines as a neurological or hormonal issue. While those factors do play a role, many chronic migraine sufferers also have significant muscle tension and trigger points contributing to their symptoms.

This is especially true for people who:
– Work at a desk for long hours 
– Experience high levels of stress 
– Have poor posture or forward head positioning 

What Are Trigger Points?

Trigger points are tight, irritated areas within muscle that can:
– Reduce local blood flow 
– Increase sensitivity in the nervous system 
– Refer pain to other areas of the body 

In the case of migraines, these trigger points often refer pain into the head.

How Neck Muscles Can Cause Headaches

Trigger points in neck and shoulder muscles contributing to migraine headache pain
Trigger points in the neck and upper shoulder muscles can refer pain into the head and contribute to chronic migraines.

Several key muscles are commonly involved:

– Suboccipital muscles (base of the skull) 
– Temporalis (side of the head) 
– Upper trapezius 
– Sternocleidomastoid (SCM) 

When these muscles become tight or overactive, they can:
– Create tension at the base of the skull 
– Alter blood flow 
– Increase pressure and pain signaling 

This can either:
– Trigger a migraine 
– Or make an existing migraine worse 

The Most Overlooked Areas

In clinical practice, two of the most commonly missed areas are:
– Suboccipitals 
– Temporalis 

Why This Is Often Missed in Conventional Care

Most migraine treatments focus on:
– Medication 
– Neurological pathways 
– Hormonal factors 

While these are important, muscle dysfunction is often not evaluated or treated thoroughly.

A Clinical Approach to Treating Trigger Points

As a practitioner trained directly under Jan Dommerholt and an assistant instructor with Myopain Seminars, I take a structured approach to identifying and treating trigger points.

Treatment may include:
– Dry needling 
– Soft tissue therapy 
– Cupping 
– Instrument-assisted soft tissue techniques (IASTM/Graston) 

The goal is to:
– Improve blood flow 
– Reduce muscle tension 
– Decrease referred pain into the head 

How This Fits Into Migraine Treatment

Trigger points are rarely the only cause—but they are often a key piece of the puzzle.

When combined with:
– Nervous system regulation 
– Lifestyle changes 
– Internal support (such as personalized herbal medicine) 

…the results tend to be more consistent and longer-lasting.

What Patients Typically Notice First

When trigger points are addressed properly, patients often notice:
– Reduced frequency of headaches 
– Less tension at the base of the skull 
– Improved mobility in the neck 
– Decreased intensity of migraines over time 

Who Is Most Likely to Benefit?

This approach is especially helpful for people who:
– Sit for long periods 
– Experience frequent neck or shoulder tightness 
– Wake up with headaches 
– Feel tension building throughout the day 

When Neck Tension Is Not the Only Cause

It’s important to understand that migraines are usually multifactorial.

Migraine Treatment in Orlando & Winter Park

If you’re dealing with chronic migraines and suspect neck tension may be playing a role, it’s important to have a proper evaluation.

At Orlando Alternative Health, treatment focuses on:
– Identifying trigger points and muscle dysfunction 
– Addressing underlying contributors 
– Creating a personalized plan 

This often includes:
– Dry needling 
– Acupuncture 
– Soft tissue therapy 
– Customized herbal medicine 

Frequently Asked Questions

Can tight neck muscles really cause migraines? 
Yes. Trigger points in the neck and head can refer pain and contribute significantly to migraine patterns.

Where are migraine trigger points located? 
Common areas include the suboccipitals, temporalis, upper trapezius, and SCM.

Does treating neck tension reduce migraines? 
In many cases, yes—especially when it is part of a comprehensive treatment plan.

Final Thoughts

Neck tension and trigger points are one of the most overlooked contributors to chronic migraines.

When properly identified and treated, they can significantly reduce:
– Frequency 
– Intensity 
– Overall impact of migraines

Ready to get started?