Post-Workout Headaches: When to Seek Medical Attention

Q: Post-Workout Headaches: When to Seek Medical Attention

Hello： If you have localized pain points, you may want to consider cervical myofascial pain syndrome. <br>Clinically, it often presents as pain at the site of onset, discomfort, muscle stiffness, or a heavy pressure sensation, and sometimes palpable myofascial trigger points can

Headache after holding your breath during weight training?

Hello doctor, I usually have a habit of working out at the gym.
A week ago, during weight training, I neglected to adjust my breathing and held my breath, which resulted in pain in the back of my head.
I took a break immediately.
After researching online, I suspect it might be due to the Valsalva maneuver.
Therefore, I have rested and not engaged in any exercise for a week.
Currently, there is still a slight pain in the back of my head, but there are no issues in other parts of my body.
Should I seek medical attention? Thank you.

jony, 30~39 year old female. Ask Date: 2017/10/11

Dr. Jiang Junyi reply Neurology

Hello: If you have localized pain points, you may want to consider cervical myofascial pain syndrome.
Clinically, it often presents as pain at the site of onset, discomfort, muscle stiffness, or a heavy pressure sensation, and sometimes palpable myofascial trigger points can be felt under the skin.
Stretching activities can help alleviate the pain, and it often recurs.
During acute episodes, there may be local muscle tension, spasms, and restricted movement.
If there are other neurological symptoms such as weakness or paresthesia, other conditions like nerve root compression or vertebral artery disease may need to be considered.
It is advisable to consult with a rehabilitation or neurology specialist for further evaluation and treatment.
Wishing you good health and peace.
Dr.
Tao, Neurology, cares about you.

Reply Date: 2017/10/11

More Info

Post-workout headaches can be a common occurrence, especially after intense physical activity or improper breathing techniques during exercise. In your case, it sounds like you experienced a headache due to the Valsalva maneuver, which occurs when you hold your breath and strain during lifting. This can lead to increased pressure in the head and potentially cause a headache.

Given that you've been experiencing persistent pain in the back of your head for a week after the incident, it is advisable to seek medical attention. While many post-exercise headaches resolve on their own, persistent or worsening symptoms may indicate an underlying issue that needs to be addressed. Here are some reasons why you should consider consulting a healthcare professional:
1. Duration and Severity: If the headache has lasted for more than a few days and is not improving, it warrants further evaluation. Headaches that persist beyond a week, especially after a specific incident, should be investigated to rule out any serious conditions.

2. Associated Symptoms: Pay attention to any additional symptoms that may accompany your headache. These can include nausea, vomiting, visual disturbances, dizziness, or neurological symptoms such as weakness or numbness. If you experience any of these, seek immediate medical attention.

3. Exclusion of Serious Conditions: Although it is likely that your headache is benign and related to your workout, it is essential to rule out more serious conditions such as a concussion, intracranial hemorrhage, or other neurological issues. A healthcare provider may recommend imaging studies, such as a CT scan or MRI, to ensure there are no underlying problems.

4. Evaluation of Exercise Technique: Consulting a medical professional can also provide you with insights into proper exercise techniques and breathing strategies to prevent future headaches. They may refer you to a physical therapist or a trainer who can help you adjust your workout routine.

5. Management and Treatment: A healthcare provider can offer treatment options to alleviate your headache. This may include over-the-counter pain relief medications, recommendations for hydration, rest, and possibly physical therapy if muscle tension is contributing to your pain.

In summary, while post-workout headaches can be common and often benign, your persistent symptoms suggest that it would be wise to seek medical evaluation. A healthcare professional can help determine the cause of your headache, rule out any serious conditions, and provide guidance on how to manage your symptoms effectively. Remember, it’s always better to err on the side of caution when it comes to your health.

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