Tension headaches.

Usually the pain is present on both sides on the head and sometimes also occurs unilaterally. If the pain occurs unilaterally, other types of headaches should also be considered. ​ The pain is pressing, a pinching band feeling around the head or nagging in character, with the neck and shoulders often participating. The pain is mild to moderate and does not get worse with physical exertion. There is no nausea or vomiting. Attendance can range from 30 minutes to daily. ​ When the headache is severe, there are often symptoms of migraine present, such as hypersensitivity to light and sound, nausea and a throbbing headache. Aura phenomena do not occur. The headache can be triggered by stress moments, lack of sleep, fatigue or an irregular life pattern.

Causes of tension headaches:

  • Stress

  • Physical exertion

  • Fatigue

  • Eye effort

  • Poor posture

  • Upper chest breathing

  • Overload of the chewing/jaw muscles


Often tension headaches are caused by wrong postures and movement patterns of the body. Stiffness in the spine overloads muscles and surrounding nerves become irritated, which can lead to tension headaches.



The most notable type of migraine is the one where headaches are the big problem. The headache is often on 1 side of your head, is often pounding and severe. It gets worse when you walk up the stairs, for example. You can also get nauseous and even vomit. Or you are so bothered by the light and sound with the headache that you have to sit or lie down in a quiet and dark room. ​


With migraine you suffer from a severe, throbbing headache. Usually on one side of the head, but sometimes also on both sides. The headache comes in multiple attacks. You suffer so much from this that it get in the way of your daily life.

In addition, you may suffer from the following symptoms:

  • You see less well on one side of your field of vision.

  • You see spots and flashes of light. I

  • t's hard to talk.

  • You feel nauseous.

  • You have to throw up.

  • You are sensitive to sound, light and smell.

  • Your attack lasts for hours to days. ​


Migraines can be caused by dilated blood vessels in the head and a stimulation of the nerves around those blood vessels. Hormonal fluctuations, some medications, alcohol or certain foods can also cause migraines. ​


If the chiropractor has concluded that there is a link between the migraine and your vertebrae, joints or nerves, then chiropractic treatment makes sense.

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Headache coming from the jaw (TMJ).


Jaw pain, a limited or abnormal mouth opening or creaking sounds are common symptoms of jaw complaints. A large number of cases of neck pain, headaches, earaches, toothaches and facial complaints also find their cause in the wider jaw region. The proximity of the inner ear means that chronic earache and ringing in the ears (tinnitus) – in some cases – are caused by underlying jaw dysfunctions.


The jaw joint can become overloaded by, for example, teeth grinding while sleeping (bruxism), when something has been bitten hard or by an injury as a result of a fall or whiplash. The irritation of the jaw joint creates a tension and muscle reaction that puts the facial nerve under pressure and irritates it. This can cause pain in the jaw joint.

The most common complaints with TMJ are:

  • pain or fatigue of the chewing muscles

  • not being able to open the mouth properly

  • pain in and around the jaw joint, which can feel like earache

  • crackling or creaking jaw joints

  • hypersensitive or painful teeth

  • abnormal wear and tear of the teeth

  • head and neck pain

  • lump feeling in the throat

Headache from whiplash.

Whiplash is a neck trauma that occurs as a result of an accelerated movement of the head. In most cases, this involves a movement in which the head is moved from front to back or vice versa. A rear-end accident with a car is a good example of this. ​


What are the causes?

As indicated earlier, especially the rear collisions are afraid due to the occurrence of a neck injury of the whiplash type. Yet it is not only the collisions that cause whiplash, sports accidents and diving accidents are also a frequent cause of neck injuries. The consequences are very diverse, one person does not suffer at all, the other person has complaints for a number of weeks and yet another person can have permanent complaints that ultimately lead to dysfunction and participation problems at work and sports. There is still insufficient insight into the causes of these differences.

A classification has been made in the complaints occurring after a whiplash injury.

A distinction is made between four classes:

Class 1: Neck pain and stiffness without physical abnormalities

Class 2: Neck pain with limitation of movement due to muscle and joint injury

Class 3: Neck complaints with symptoms of nerve failure

Class 4: Neck complaints with fractures of vertebrae ​


Symptoms of neck whiplash pain:

  • Neck pain and/or headache

  • Decreased movement of the neck

  • Sensitive to light

  • Pain in shoulder and arm

  • Vertigo