Headaches from Weightlifting: the Causes and Solutions - Neurology

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Headaches caused by exercise?


I would like to consult a physician...
I have been working out, and during a recent session while doing some weightlifting (with a set of 10-12 repetitions), I felt pain on the right side of the back of my head during the last few repetitions (which usually require extra effort to complete).
Since that incident, I have experienced headaches whenever I exert myself even slightly during workouts.
Additionally, I have had headaches on two occasions while trying to sleep at night.
What could be the cause of this? Should I stop working out? If so, for how long should I take a break? I hope the physician can address my concerns.

A-Ming, 20~29 year old female. Ask Date: 2005/06/01

Dr. Ye Boshou reply Neurology


The symptoms indicate a strain in the neck muscles, but the duration of the symptoms is unknown.
It is advised to stop exercising until a physician can evaluate the condition.

Reply Date: 2005/06/01

More Info


Headaches related to weightlifting can be a common issue, particularly for those who engage in high-intensity or heavy lifting. The pain you are experiencing, especially if it occurs during or after exertion, could be attributed to several factors, including tension headaches, exertional headaches, or even issues related to improper lifting techniques.


Understanding the Causes
1. Tension Headaches: These are often caused by muscle tension in the neck and shoulders, which can be exacerbated by the physical strain of lifting weights. When you lift heavy weights, especially towards the end of your set when you are pushing yourself, you may unconsciously tense your neck and shoulder muscles, leading to headaches.

2. Exertional Headaches: These headaches are specifically triggered by physical activity, including weightlifting. They can occur during or after strenuous exercise and are often characterized by a throbbing pain that can last from a few minutes to several days. The exact cause of exertional headaches isn't fully understood, but they may be related to changes in blood flow or pressure in the brain during intense physical activity.

3. Dehydration: Intense workouts can lead to dehydration, which is a common trigger for headaches. If you are not adequately hydrating before, during, and after your workouts, this could be contributing to your symptoms.

4. Improper Breathing Techniques: Holding your breath while lifting (a common practice known as the Valsalva maneuver) can increase pressure in your head and lead to headaches. It's important to maintain proper breathing throughout your lifts.

5. Neck Strain: If your lifting technique involves straining your neck or if you have poor posture while lifting, this can lead to tension in the neck muscles, which may radiate pain to the head.


Recommendations
1. Evaluate Your Technique: Ensure that you are using proper lifting techniques. Consider working with a trainer to assess your form and make necessary adjustments. Proper posture and alignment can significantly reduce the risk of headaches.

2. Stay Hydrated: Make sure you are drinking enough water before, during, and after your workouts. Dehydration can lead to headaches, so aim to keep your fluid intake consistent.

3. Warm-Up and Cool Down: Incorporate a proper warm-up and cool-down routine into your workouts. Stretching and light cardio can help prepare your muscles and reduce tension.

4. Monitor Your Breathing: Focus on your breathing during lifts. Exhale during the exertion phase (when you are lifting the weight) and inhale during the relaxation phase (when you lower the weight). This can help prevent unnecessary pressure buildup.

5. Rest and Recovery: If you experience headaches consistently after lifting, it may be wise to take a break from weightlifting. Listen to your body; if the pain persists, consider resting for at least a week or until the headaches subside. Gradually reintroduce lifting, starting with lighter weights and monitoring for any recurrence of headaches.

6. Consult a Healthcare Professional: If your headaches continue despite making these adjustments, it would be advisable to consult a healthcare professional. They can help rule out any underlying conditions and provide tailored advice based on your specific situation.


Conclusion
Headaches from weightlifting can be frustrating, but they are often manageable with proper techniques and self-care strategies. By focusing on your lifting form, staying hydrated, and listening to your body, you can reduce the likelihood of experiencing headaches during or after your workouts. If the problem persists, seeking professional guidance is essential to ensure your health and safety while continuing your fitness journey.

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