Headaches are one of the most common health complaints worldwide.
In fact, almost every person will experience one at some point in their life.
But did you know that the type, frequency and intensity of headaches often change as we get older?
Understanding how headaches and ageing can help you take better control of your health and stay ahead of the pain.
In Australia, over 6 million people suffer from migraines or frequent headaches.
Many assume that headaches are just a young person’s problem, but older adults can experience them too, often in different forms.
So, whether you’re in your 20s or well into your 60s, it’s important to know what’s normal and what’s not.
Why Do Headaches Change with Age?
Our bodies, including the brain, blood vessels, hormones and nervous system, evolve over time. These changes can influence how, why, and how often headaches appear.
Childhood & Teens: Headaches often begin during childhood or adolescence. In younger people, their first migraines are common and may include nausea, light sensitivity, or aura (visual disturbances). Hormonal changes, especially during puberty and school stress can trigger frequent migraines; particularly in girls. Although at this stage not often frequent.
Early Adulthood (20s–40s): For many, this may be the increased frequency stage for migraines, especially for women. Hormones, stress, sleep deprivation and lifestyle habits all play a major role. University study, stressful work and starting a family. Headaches begin to occur more often with increased associated symptoms like visual or sensitivity changes. Interestingly Tension type headaches (those dull, pressing aches across the forehead or back of the head) are quite common during this phase.
Midlife (40s–60s): While some lifestyle factors and stressors may become more consistent, those with work stress or poor posture tend to see an increase in Migraine frequency and intensity during this stage. Women going through pre/menopause often experience a shift in headache patterns due to changing oestrogen levels.
Older Adults (60+): While new-onset migraines are rare in this age group, it’s still possible to have headaches triggered by medications, sleep disorders, neck arthritis, or even changes in blood vessels. Dizziness related headaches in this group are quite common and Vestibular Migraine should be considered a component for all those suffering dizziness symptoms, even those without any headache symptoms.
Managing Headaches and Ageing
The good news? Headache patterns may become more predictable and manageable with age, but only if you understand your triggers and take proactive steps.
- Track your headaches: Keeping a headache diary can help you identify what’s triggering your pain. Note when it starts, how long it lasts, and what you were doing beforehand.
- Review your medications: Many pain relievers and headache medication, can cause medication overuse headaches. And as we age, our body processes medications differently. So regular reviews with your GP or pharmacist are essential.
- Rule out other causes: Headaches in older adults can sometimes be linked to neck or jaw issues, poor posture, eye strain, or even dehydration. It’s important to get a thorough assessment by your headache physiotherapist, especially if the pain is new or worsening.
- See a physiotherapist: Many headaches, especially those that increase with neck movement or poor posture, may be cervicogenic meaning they originate from the upper neck. Physiotherapists trained in techniques like the Watson Headache Approach can help assess and treat the root cause.
Practical Tips for Headache Prevention
Here are a few age-friendly strategies that can make a big difference:
- 💤 Prioritise Sleep: Maintain a regular sleep schedule and avoid screens before bed. Poor sleep is a common trigger at any age.
- 🧘♀️ Manage Stress: Try relaxation techniques such as breathing exercises, yoga, or walking daily.
- 🪑 Improve Posture: Consider spinal posture when sitting and elevate screens to eye level to avoid forward head posture. Long hours at a desk can contribute to all types of headaches.
- 💧 Stay Hydrated: Dehydration is a surprisingly common trigger. Aim for at least 1.5–2L of water a day, more in hot weather.
- 👓 Check Your Vision: As we age, changes in eyesight can cause eye strain and headaches. Also consider screen distance from eyes.
In Summary
Headaches may evolve with age, but they don’t have to control your life. Whether you’re dealing with migraines, tension headaches, or something new, understanding the link between headaches and ageing can help you seek the right treatment and prevent unnecessary suffering.
If you’ve noticed a change in your headache pattern or you just want a clearer path to long-term relief our team is here to help. Physiotherapy offers safe, non-medication-based options to manage headaches and ageing at every stage of life.
Book a consultation with us today to get to the root cause of your headaches and finally take control.
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