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Headaches

Headache disorders are one of the most common health problems in the world. Large reviews suggest that around half of all adults have a headache in any given year, and about 1 in 7 people experience migraine.


Most headaches are not dangerous, but they can be very disruptive—affecting work, concentration, sleep, and mood. The good news: many common headaches are strongly linked to neck mechanics, jaw tension, posture, screen time, stress, sleep, and breathing patterns, which can be improved.


At Roots Health Clinic in Prague, we see people with:

  • tension-type headaches

  • neck-related (cervicogenic) headaches

  • migraines with a mechanical or lifestyle trigger component


We combine chiropractic care, physiotherapy, manual therapy, movement retraining and lifestyle guidance to reduce pain, improve neck and jaw function, and help you feel more in control of your headaches.

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From Neck to Nerves: What’s Driving Your Headaches?

Headaches can feel like:

  • a tight band or pressure around your head

  • pain behind the eyes or at the temples

  • throbbing or pulsing on one side

  • pain that starts in the neck or upper back and climbs up into the head


Common things we hear:

  • “It always starts at the base of my skull and wraps over my head.”

  • “Every time I’m stressed or at the computer for too long, I get a headache.”

  • “I’ve had scans; they say everything is fine, but I still get headaches.”

  • “Painkillers help, but I don’t want to rely on them forever.”


Our goal is to understand what’s driving your headaches—neck, jaw, posture, lifestyle, or a mix—and build a plan that fits your life.


⚠️  Important: If you ever experience a sudden, severe ‘worst headache of your life’, headache with fever, confusion, weakness, vision loss, speech problems, or after a significant head injury, you should seek urgent medical attention or emergency care.

What's going on in the body?

Most people’s headaches fall into a few broad groups:


Tension-type headaches

  • often feel like a tight band or pressure

  • usually linked to muscle tension in the neck, shoulders, scalp, and jaw

  • commonly triggered by stress, long desk hours, and lack of movement


Migraine

  • often a throbbing or pulsating pain, usually on one side

  • can come with nausea, light/sound sensitivity, visual disturbances (aura)

  • influenced by brain and nervous system sensitivity, hormones, sleep, food, and stress

  • mechanical triggers (neck/jaw tension, posture) can lower the threshold


Neck-related (cervicogenic) headaches

  • pain often starts in the upper neck or base of the skull

  • often on one side, can refer to the eye or forehead

  • linked to stiff or irritated joints and muscles in the upper neck and shoulders


The anatomy behind many headaches

Several structures work together around the head and neck:

  • Upper cervical spine (C0–C3): joints and muscles here share nerve pathways with the head and face, so irritation can feel like a head pain.


  • Trigeminal nerve: the main sensory nerve for the face, eyes, and jaw; closely connected with neck nerves and the brainstem pain centres.

  • Jaw (TMJ) and chewing muscles: clenching or grinding (often stress-related) can create face, temple, and eye-region headaches.

  • Muscles and fascia of the neck, shoulders, and scalp: when overloaded or constantly tense, they can refer pain upward.

  • Breathing and posture: shallow breathing, chest-dominant breathing, and forward-head posture all increase neck and upper back load.


Headache is rarely just one muscle or one joint—it’s usually a combination of:

  • sensitive nervous system

  • overloaded or stiff neck/jaw structures

  • lifestyle and stress patterns

  • sometimes hormonal and metabolic factors (sleep, blood sugar, hydration, etc.)

Why you might be feeling this way

Common patterns we see in people with headaches:

  • Long hours at a desk or screen

    • head drifting forward, shoulders rounding

    • stiff upper back and neck, tight suboccipital muscles

    • eye strain and poor work setup


  • Jaw clenching or teeth grinding

    • often worse with stress or at night

    • tight jaw, temple pain, or “pressure behind the eyes”

    • may go together with neck stiffness


  • Stress, sleep problems, and nervous system overload

    • “tired-but-wired” feeling

    • difficulty winding down at night

    • irregular sleep schedule, too much caffeine, or skipping meals


  • Old neck or head injuries

    • whiplash from a car accident or sports injury

    • falls or past concussions

    • lingering stiffness or weakness that keeps the system sensitised


  • Hormonal and lifestyle triggers

    • headaches around menstruation

    • headaches when you don’t drink enough water or skip meals

    • changes in routine, travel, or disrupted sleep


Very often, your headaches are not a sign that your brain is damaged, but that your system is asking for a better balance of mechanics, recovery, and load.

How we can help at Roots

At Roots Health Clinic in Prague, we combine chiropractic, physiotherapy, and movement-based rehab with a strong focus on neck, jaw, posture, and lifestyle triggers.

Assessment

Your first visit usually includes:


A detailed headache history

  • onset, frequency, intensity, location

  • triggers, relieving factors, any aura or neurological symptoms

  • medication use (to screen for medication-overuse headache)


Red flag screening

  • we check for signs that might require GP, neurology, or emergency referral


Physical examination

  • neck and upper back mobility and joint function

  • muscle tension and trigger points in neck, shoulders, jaw, and scalp

  • jaw movement and bite-loading patterns (if relevant)

  • posture and breathing patterns

  • simple neurological testing where appropriate


From there, we build a plan that matches your headache type and goals.


Treatment & active care

Your plan may include:


Chiropractic care (spine and extremities)

  • gentle joint mobilisation or manipulation for stiff neck and upper back segments

  • improving how the upper cervical spine moves and shares load

  • reducing mechanical irritation that can feed headaches

  • we use spinal manipulation carefully and minimally—and sometimes not at all—if we think it may aggravate your symptoms or carries any unnecessary risk. We will always discuss options with you first.


Physiotherapy & movement rehab

  • targeted exercises for deep neck flexors, shoulder blades, and upper back

  • mobility work where you’re too stiff, stability where you’re too loose

  • graded exposure to movements you’ve been avoiding


Manual therapy & muscle work

  • soft-tissue techniques for tight neck, shoulder, and jaw muscles

  • work on trigger points and myofascial tension that refer pain into the head

  • gentle techniques around the base of the skull and suboccipital muscles

  • with very sensitive tissues around the head and neck, it’s possible to feel some temporary soreness or even a short-lived increase in headache after treatment—this is usually mild and settles within a day or two. We adjust the intensity of treatment to your comfort and response, and you’ll always have our email and phone number so you can contact us between visits if anything worries you.


Jaw (TMJ) and posture guidance

  • awareness and strategies for reducing daytime clenching

  • simple jaw relaxation drills and neck–jaw coordination work

  • practical desk, screen, and phone-position advice


Lifestyle & recovery strategies

  • simple ideas for sleep, hydration, and meal rhythm

  • guidance on screen breaks, micro-movements, and stress management

  • where useful, we coordinate with your GP or neurologist for migraine medication or further investigations


We don’t promise to “cure” every headache—especially complex migraine—but we do aim to reduce frequency and intensity, improve function, and give you tools to manage your own triggers, using the safest, lowest-risk options first.

Ready to get to the root of your headaches?

If headaches are limiting your work, family life, or training, you don’t have to keep guessing.


At Roots Health Clinic in Prague, our team of chiropractors and physiotherapists will:

  • identify the neck, jaw, posture, and lifestyle factors behind your headaches

  • treat the irritated structures and calm the system, using the safest appropriate techniques

  • give you clear, practical tools to reduce future flare-ups


You’ll always have our email and phone number so you can reach us between visits if you have questions or concerns.

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Track Your Patterns, Spot the Triggers

Many of our clients find it helpful to track their headaches for a few weeks. Simple notes on when, where, and what you were doing before a headache starts can reveal surprising patterns—like posture, sleep, stress, or diet.


We’ll help you make sense of these trends and design a plan that addresses the real drivers of your symptoms.

When you should seek emergency care

You should seek urgent medical attention if you notice:

  • a sudden, severe “thunderclap” headache

  • headache with fever, stiff neck, confusion, weakness, or speech/vision changes

  • headache after a serious head injury

  • a new type of headache in someone with cancer, immune suppression, or very high blood pressure


We always screen for these features and will refer you promptly if needed.

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What people often notice after care

Over time, many of our headache patients report:

  • fewer headache days per week or month

  • less intense headaches when they do occur

  • easier neck and shoulder movement

  • less “tight band” or “pressure” feeling around the head

  • fewer painkiller days

  • better concentration and energy

  • more confidence that they can influence their own symptoms


Instead of feeling at the mercy of your head, you feel like your body is on your side again.

FAQ's
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