Headaches and osteopathy
Headaches are one of the most widespread health problems worldwide. According to the World Health Organization (WHO), almost half the adult population has suffered from at least one headache in the past year. Although often benign, these pains can considerably impair quality of life, affecting productivity, mood and general well-being.
While medical treatments (analgesics, anti-inflammatories, etc.) are often effective in relieving symptoms, they do not always address the underlying causes of headaches. This is where osteopathy comes into its own. By acting on the body's structural and functional imbalances, your osteopath offers a complementary approach to headache prevention and relief.
Understanding headaches
Definition and classification
Headaches fall into two broad categories: primary and secondary.
- Primary headaches They are independent of any other pathology. The most common are :
- Migraines: Pulsating pain, often unilateral, accompanied by nausea, vomiting or sensitivity to light and noise.
- Tension headaches: diffuse pain, often described as a "helmet" around the head, linked to stress or muscular tension.
- Cervicogenic headaches: Originating from cervical dysfunctions, they manifest as pain radiating from the nape of the neck to the skull.
- Secondary headaches Secondary headaches are symptomatic of another condition (head trauma, sinusitis, intracranial hypertension, etc.).
Causes and triggers of headaches
Headaches can be triggered by a multitude of factors:
- Muscular and joint factors: tension in cervical muscles, shoulders or jaws, spinal dysfunctions.
- Vascular factors: disturbances in cranial blood circulation.
- Hormonal factors: Hormonal variations in women (menstrual cycle, menopause).
- Psychological factors: Stress, anxiety, fatigue.
Osteopathy is particularly interested in mechanical dysfunctions (blocked vertebrae, muscular tension) and postural imbalances which can contribute to the appearance of headaches, but can also help you work on emotional causes (stress, anxiety...).
Osteopathic treatment of headaches

Principles of osteopathy
Osteopathy is based on a holistic approach to the body, considering that any loss of mobility of a structure - be it bony, muscular, fascial or visceral - can disrupt physiological balance and give rise to a variety of symptoms, including headaches. These often disabling pains can be the result of muscular tension, postural disorders, cranial dysfunctions or restrictions in the cervical spine.
Osteopaths do not limit themselves to treating pain alone, but seek to identify and correct the underlying causes of headaches. His intervention is based on several fundamental principles:
The human body functions as a unit, with each structure interacting with the others. A restriction of mobility in one area of the body can lead to compensation and tension at a distance. For example, a blockage of the cervical vertebrae can lead to excessive tension on the muscles of the neck and skull, resulting in headaches.
Similarly, disorders of the jaw (temporomandibular joint) or tensions in the diaphragm can influence blood and neurological circulation, contributing to the development of headaches. The osteopath therefore adopts a holistic approach to identify the origin of the disorder and restore functional harmony.
Osteopathic techniques for headaches
Structural techniques
These techniques aim to restore mobility to blocked joints, particularly in the cervical and dorsal regions. For example, gentle spinal manipulation can relieve a blocked cervical vertebra, often implicated in cervicogenic headaches.
Cranial techniques
Cranial osteopathy is particularly useful for migraines and headaches linked to cranial tension. The osteopath works on the mobility of the cranial bones (sphenoid, occiput, temporal) and intracranial membranes to improve cerebrospinal fluid circulation and reduce tension.
Myofascial techniques
These techniques release muscular tension, particularly in the trapezius, sub-occipital and jaw muscles. By freeing these areas, the osteopath reduces nerve and vascular compression that can cause headaches.
Postural work
Postural imbalance (scoliosis, poor working posture) can contribute to headaches. The osteopath offers postural corrections and ergonomic advice to prevent recurrence.
Benefits and limitations of osteopathy
Benefits of osteopathy
- Reduction in headache frequency and intensity: Many patients report significant improvement after just a few sessions.
- Non-invasive approach: Osteopathy requires no drugs or surgery.
- Preventing recurrences: By acting on the underlying causes, osteopathy helps prevent headache recurrence.
Limits of osteopathy
- The need for a medical diagnosis: Depending on the characteristics of the headache, your osteopath may refer you to your GP, as it may be essential to rule out serious causes of headache (tumours, haemorrhages, etc.) on the basis of medical advice.
- Variable results: The effectiveness of osteopathy depends on the type of headache and the patient's individual response.
Conclusion
Osteopathy offers a complementary and holistic approach to headache management. By acting on structural dysfunctions, muscular tensions and postural imbalances, your osteopath can relieve symptoms and prevent recurrences. However, it may be necessary to consult a doctor to rule out serious causes, and to consider osteopathy as part of a multidisciplinary approach.
For patients suffering from chronic headaches, osteopathy represents a gentle, natural alternative capable of improving their quality of life in a lasting way.
References
- World Health Organization (WHO). (2023). Headache: a public health challenge.
- Journal of the American Osteopathic Association. (2020). Efficacy of Osteopathic Manipulative Treatment for Migraine.
- Institut national de la santé et de la recherche médicale (INSERM). (2021). Headache management: complementary approaches.