Migraines, tension headaches and secondary headaches Migraine and tension headaches are the most common complaint of humanity. Migraine differs from tension headache in many ways. Migraine sufferers may experience sensitivity to light and sound, have visual disturbances with an accompanying feeling of nausea and vomiting. Tension type headaches tend to be more common than migraines with episodes tending to last for longer. Causes include poor posture, eye strain, jaw clenching, fatigue and stress. Secondary headaches occur as a result of direct trauma to the head or neck. Post whiplash headache is a common example of this. How can Physiotherapy help Distinguishing which type of headache you are experiencing is important. Once categorized an appropriate treatment plan can be put in place. Medical acupuncture has been proven highly effective in the treatment of headaches. Should you choose not to have acupuncture manual techniques are just as effective.