A widespread but under‑appreciated problem

Fresh data from Spain’s National Health and Wellness Survey underscores how common and disabling migraines are. A 2025 population‑based study reported that 13.1 % of adults experienced a physician‑diagnosed migraine in the past year.

• Women 17.7 % vs. men 8.2 %
• 20% sufferers reported severe disability

Chronic neck pain adds to this burden. Health‑survey data show that although its prevalence declined over the last decade, 12.3 % of adults still reported chronic neck pain in 2020. Up to 80 % of migraineurs experience neck pain during their attacks, highlighting the frequent overlap between these conditions.

Why migraines and neck pain co‑occur

Migraines are driven by complex neurovascular processes, yet are also influenced by lifestyle and musculoskeletal factors. Sedentary habits, prolonged screen time and forward‑head posture strain the cervical spine and can trigger episodes. Dysfunction in the craniocervical region sensitizes muscles and nerves, intensifying migraines. Common triggers such as sleep disruption, stress, dietary factors and hormonal fluctuations also increase pain and frequency.

Evidence‑informed ways to manage migraines and neck pain

Many patients seek to reduce medication use, and several conservative approaches have evidence of benefit:

• Manual therapy and exercise – Techniques such as spinal manipulation, myofascial release and suboccipital muscle relaxation, combined with strengthening exercises for the deep neck flexors and the shoulder girdle, have been shown to reduce headache frequency and improve quality of life.
• Acupuncture and supplements – Non‑pharmacological approaches including acupuncture, vitamin B2, coenzyme Q10 and magnesium may help reduce migraine frequency.
• Lifestyle modification – Maintaining regular sleep and meals, staying hydrated, moderating caffeine and alcohol, managing stress through relaxation or mindfulness, and taking movement breaks to counter prolonged sitting all support long‑term management.

When is professional help needed

Persistent headaches and neck pain warrant professional assessment. A physiotherapist or chiropractor can evaluate musculoskeletal function. A tailored programme of manual therapy, exercise and education can then be designed. Sudden or severe headaches, neurological symptoms (such as vision changes or weakness) or persistent pain should prompt immediate medical evaluation.

Takeaway

Migraines and chronic neck pain affect millions of people. Recognising their interconnection and adopting a holistic management plan, including manual therapy , exercise, acupuncture and prudent lifestyle adjustments can reduce symptoms and improve quality of life. Working with a qualified clinician ensures that care is safe, evidence‑based and personalised.