Nick Monczakowski
Sports Massage Therapist · New Malden
★★★★★5.0 · 66 reviews
💬 WhatsApp Nick 📞 07517 335358
Conditions · Tension Headaches

Tension headache treatment, New Malden KT3.

Targeted soft tissue treatment for tension headaches at Beverley Road, New Malden KT3 4AW: addressing the suboccipital, upper trapezius and SCM muscles that generate the pain, not masking it. BTEC Level 5, 66 five-star reviews. First session £80.

Suboccipital release at the base of the skull for tension headaches, New Malden KT3
Tension Headaches

Why tension headaches originate in the neck, not the head.

Most tension headaches are a referred pain pattern. The pain presents in the head (across the forehead, behind the eyes, at the base of the skull) but the source is in the soft tissue of the neck and upper shoulders. Tight suboccipital muscles at the base of the skull, overworked upper trapezius, shortened levator scapulae and trigger points in the sternocleidomastoid all generate pain that is experienced as a headache.

This is why ibuprofen and paracetamol provide only temporary relief: the medication addresses the pain signal but not the tight muscles generating it, so the referred pain returns as soon as it wears off. Desk work, screen use, prolonged driving and neck tension are the primary drivers. For most sufferers, a focused treatment session produces more relief than any amount of pain medication, because it treats the cause. This condition closely overlaps with shoulder pain: the same muscles are involved in both.

What treatment addresses

The muscles generating the pain.

🧠Suboccipital muscles

The four small muscles at the base of the skull are the primary headache generators. Their tightness irritates the greater occipital nerve, producing the characteristic occipital ache that radiates to the forehead. Releasing them is usually the single most impactful intervention for tension headaches.

💪Upper trapezius & levator scapulae

Chronically overloaded by forward head posture and desk work. Upper trap trigger points refer pain to the temple and the angle of the jaw, while levator scapulae tightness restricts neck rotation and loads the cervical spine. Both are consistently involved in tension headache patterns.

👁️Sternocleidomastoid (SCM)

One of the most clinically significant muscles in tension headache treatment. SCM trigger points refer pain directly to the forehead, around the eye and into the cheek, mimicking sinus pain; many sufferers have had ENT investigations for sinus pressure that is actually SCM referral. Treating SCM often produces immediate and significant relief.

🦴Upper cervical restriction

Restricted mobility in the upper neck is consistently associated with cervicogenic headaches, those originating from the neck rather than the head itself. Restoring upper cervical movement through soft tissue work addresses the irritation that drives this pattern.

Who gets it

Who tension headaches affect, and why.

💼Desk workers & commuters

The largest group. Forward head posture at a screen overloads the suboccipitals and upper trap continuously, and a South West London commute from Wimbledon, Raynes Park or Surbiton adds 60 to 90 minutes of the same posture on a train. By mid-afternoon the headache builds. Nick treated desk workers at Google HQ, where tension headaches from screen loading were among the most common presentations.

🔄Frequent or daily headache sufferers

People who experience headaches three or more times a week often have chronic muscle tension that medication no longer adequately controls: the suboccipitals remain in a sustained state of contraction, maintaining constant low-level referred pain. Regular soft tissue release breaks this cycle, and many clients go from daily headaches to once or twice a month.

🤕Sinus-type & cervicogenic headaches

SCM trigger points refer pain into the cheek, forehead and around the eye, closely mimicking sinusitis; many people in this group have had ENT or GP consultations that found nothing structural. Cervicogenic headaches originate from upper neck restriction rather than the head itself. Both respond well to targeted soft tissue work.

What to expect

What a session involves.

The session starts with a conversation about your headache pattern, screen time and what eases or worsens it, followed by hands-on assessment of the suboccipitals, upper traps, SCM and upper back to find which muscles are generating your referred pain. Treatment then releases those structures, with careful, specific work at the base of the skull where the biggest changes usually come from.

First session £80 (usually £100) · view all rates · 🏛️ MSMA member; private health insurance may cover sessions, receipt provided on request.

Client reviews

What clients say about their results.

★★★★★

"Have been going to Nick for a few months and he has really helped me with the problems I have with my back, shoulders and legs. After sitting in a typist's chair for seventeen years I was struggling."

AlisonLong-term client · Google Review
★★★★★

"Very professional, knowledgeable and attentive. Nick took an interest in finding the cause of my shoulder and neck pain (experienced for more than 10 years) and worked on an old spasm in my lower back that no other therapist had been interested in. I will be back next week."

AlexandraShoulder & neck client · Google Review
★★★★★

"I've got noticeable results from just one session and could really feel the difference in my gym workout the following day. The tension in my neck has reduced considerably which helps with my singing."

RosaSinger & Dancer · Google Review

Read all 66 reviews on the reviews page.

Common questions

Before you book for tension headaches.

Yes. Tension headaches caused by tight suboccipital muscles, upper trapezius, levator scapulae and sternocleidomastoid respond very well to targeted soft tissue release. These muscles generate the referred pain pattern that presents as forehead pressure, eye aching or band-like head pain. A focused session can produce significant relief within 24 hours, often after the first treatment.

Tension headaches typically present as a band of pressure across the forehead or a vice-like ache at the base of the skull, without nausea, visual disturbance or light sensitivity. Migraines are usually one-sided, more severe, and accompanied by nausea, vomiting or aura. Many people with frequent tension headaches also experience occasional migraines. Soft tissue treatment is appropriate for tension headaches and for the cervicogenic component that can trigger migraines in susceptible people.

Most clients notice a clear reduction in headache frequency and neck tension within 24 to 48 hours of the first session. For people with longstanding daily headaches, the improvement may take 2 to 3 sessions to become consistent. A single session is usually enough to determine whether this approach is working for your pattern.

For frequent or chronic tension headaches, 3 to 4 sessions produces clear and lasting improvement. Many clients then continue with monthly maintenance sessions to prevent the pattern from returning. For desk workers or commuters whose headaches are driven by daily postural loading, regular treatment is more effective than single sessions.

Beverley Road, New Malden, KT3 4AW. A short walk from New Malden railway station with free street parking nearby. Open Monday to Friday 10am to 7pm and Saturday 10am to 3pm.

Treat the cause, not the symptom.

First session £80 (usually £100): assessment and treatment in the same appointment at Beverley Road, New Malden KT3 4AW.

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