Woman with migraine or tension headache holding her temples

Migraine or tension headache? How to tell the difference

Headaches aren't just headaches. Sometimes they're a tightening sensation that goes away after a break from the screen. Other times they're a throbbing, one-sided pain that forces you to close the curtains and lie down. The difference matters—both in terms of what helps and when massage is the answer.

What is tension headache?

Tension headaches are the most common type of headache, and we have previously written in detail about the. In short, it is characterized by a pressing or tightening sensation on both sides of the head, often triggered by muscle tension in the neck, shoulders, and jaw.

What is migraine?

Migraine is a neurological disorder, not just a “severe headache.” A migraine attack typically differs from a tension headache by being:

  • One-sided and throbbing or pulsating in nature
  • Worsened by physical activity, light, or sound
  • Accompanied by nausea or vomiting in many
  • Sometimes heralded by visual disturbances or so-called aura

A migraine attack can last from a few hours to several days, and many people have no symptoms between attacks.

How to know the difference

Tension headache Migraine
Oppressive, like a band around the head Throbbing or pulsating
Both sides of the head Often one-sided
Rarely worsened by activity Typically worsened by activity
Rarely nausea Often nausea and sensitivity to light/sound
Closely related to muscle tension Neurologically related, may have trigger factors

What triggers migraines?

Migraines are individual, but typical triggers are:

  • Stress, or the period just after stress is relieved
  • Irregular sleep
  • Hormonal fluctuations
  • Certain foods or alcohol
  • Bright lights or strong scents

Can massage help with migraines?

Massage does not cure migraines, it is important to be honest about this. Migraine is a neurological condition, and massage cannot change the underlying mechanisms.

On the other hand, many people find that massage can:

  • Relieve muscle tension in the neck, shoulders and jaw that often accompanies or exacerbates seizures
  • Reduce stress, which is one of the most common triggers
  • Provide better sleep quality, which for many means fewer seizures

Massage is therefore a sensible supplement to preventive efforts, not a treatment for the migraine itself.

When should you seek medical attention?

Contact a doctor if:

  • The headache is new and significantly different from what you usually experience
  • It comes on suddenly and is very strong.
  • You experience visual disturbances, speech difficulties, or paralysis
  • The attacks become more frequent or severe over time

A doctor can clarify the diagnosis and any medical treatment, which massage cannot replace.

The next step

If you have recurring headaches and are unsure of what type you have, please call 45 88 88 50 and talk to us about how massage can be incorporated into your everyday life.

Book an appointment for treatment here.

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