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FIFO headaches management prevention flying plane


Headaches are a common health concern for FIFO (Fly-In-Fly-Out) workers.


The demanding nature of FIFO work, combined with long shifts, frequent travel, and environmental factors, significantly increases the risk of developing persistent headaches.

In this blog, we’ll explore why FIFO workers are prone to headaches, the potential underlying causes, and how physiotherapy can help diagnose, manage symptoms, and improve overall health outcomes.


Why Are FIFO Workers at Risk?

FIFO work involves extended periods of time away from home, followed by short breaks, often in isolated or high-stress environments such as mines, oil rigs, or remote construction sites.

These conditions contribute to headaches due to several key factors:

  1. Irregular Sleep Patterns – Many FIFO workers experience disrupted sleep due to shift work, inconsistent schedules, and changes in time zones. Poor sleep quality is a known trigger for tension headaches and migraines.
  2. Dehydration – Remote worksites often have extreme temperatures, and maintaining hydration can be challenging. Dehydration is a leading cause of headaches and can be exacerbated by excessive caffeine intake or inadequate water consumption.
  3. High Stress and Mental Strain – The FIFO lifestyle can be stressful, with long work hours, job pressures, and extended time away from family. Stress is a major factor in developing tension headaches.
  4. Exposure to Environmental Factors – Harsh conditions such as extreme heat, bright lights, loud noises, and high-altitude settings can contribute to headaches and migraines.
  5. Poor Dietary Habits – FIFO workers may have limited access to fresh, nutritious meals, leading to poor dietary choices. Processed foods high in preservatives, caffeine, and artificial additives can trigger headaches.
  6. Prolonged Screen Time and Eye Strain – Many FIFO jobs involve long hours of monitoring screens or working under artificial lighting, which can lead to digital eye strain and headache-related discomfort.
  7. Prolonged Poor Postures – due to the relentless and physical nature of FIFO work usually involving tools, machinery, vehicles or even just on site offices. The equipment is usually a one-size-fits-all which can place an intense strain on the body.

How Physiotherapy Can Help

 Physiotherapy plays a crucial role in diagnosing, managing, and preventing headaches among FIFO workers.

Through targeted assessments and treatments, physiotherapists can address the root causes of headaches and improve overall well-being. Here’s how:

  • Comprehensive Assessment and Diagnosis – A physiotherapist will assess posture, muscle tension, and movement patterns to identify any musculoskeletal causes of headaches. Common issues include neck stiffness, poor ergonomics, and muscle imbalances.
  • Manual Therapy and Massage – Hands-on techniques such as joint mobilisation, soft tissue massage, and myofascial release can help relieve tension in the neck and shoulders, reducing headache frequency and intensity.
  • Postural Correction and Ergonomic Advice – Poor posture, particularly from prolonged sitting or heavy lifting, can contribute to headaches. A physiotherapist can provide tailored exercises and workstation adjustments to improve alignment and reduce strain on the neck and upper back.
  • Exercise Therapy and Stretching Routines – Specific strengthening and stretching exercises can help relieve tension, improve mobility, and prevent recurrent headaches. For example, exercises targeting the deep neck flexors and upper back can support better posture and reduce muscle tightness.
  • Stress Management Strategies – Physiotherapists can incorporate relaxation techniques such as breathing exercises and mindfulness training to help manage stress, a key contributor to tension headaches.
  • Education on Hydration and Lifestyle Modifications – A physiotherapist can provide guidance on maintaining hydration, optimising nutrition, and incorporating movement breaks throughout the workday to support overall health and reduce headache risk.

Preventing and Managing HeadachesFIFO headaches management prevention flying good sleep

While the FIFO lifestyle poses challenges, there are ways to reduce the risk of headaches and improve overall well-being:

  • Prioritise Sleep Hygiene – Create a consistent sleep routine, use blackout curtains, and limit screen exposure before bed to improve sleep quality.
  • Stay Hydrated – Carry a water bottle at all times and set reminders to drink regularly throughout the day.
  • Manage Stress – Practice relaxation techniques such as deep breathing, meditation, and mindfulness to alleviate stress and tension.
  • Adopt a Balanced Diet – Incorporate whole foods, lean proteins, and fresh produce into meals to maintain energy levels and prevent headaches caused by poor nutrition.
  • Take Breaks from Screens – Follow the 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds) to reduce eye strain.
  • Use Proper Ergonomics – Ensure workstations are set up correctly to avoid neck and shoulder tension, which can contribute to headaches.
  • Seek Physiotherapy Support – Regular visits to a physiotherapist can help identify potential issues early and provide effective treatment strategies tailored to individual needs.

Conclusion

Headaches among FIFO workers are a significant yet preventable health concern. By understanding the contributing factors and implementing proactive strategies, FIFO workers can better manage their health and reduce the impact of headaches on their work and personal life.

Physiotherapy offers effective solutions for diagnosing and treating headaches, helping workers maintain optimal function, reduce pain, and improve overall well-being in demanding FIFO environments.


Written by:

David McCawley

Associate Headache Clinician


 

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