“Why Do I Sometimes Get a Headache or Migraine After a Massage?”

Suzan D. Walker LMT 104331
Nov 8, 2013
2 min read

Updated: Sep 16

Migraines can be caused by a number of things. Woman holding her head while having a migraine.

There are several reasons why some people may experience a headache or migraine following a massage session:

A Healing crisis, also known as a Herxheimer Reaction: The body may be processing and eliminating metabolic waste too quickly, which can temporarily trigger discomfort.
Latent Trigger Points: Hidden trigger points may be activated by touch or movement during the session.
Dehydration: Not drinking enough water before or after a massage can contribute to headaches.
Hormonal or Chemical Imbalances: Fluctuations in hormones or neurotransmitters can play a role.
Muscle Memory: Chronic tension stored in muscles may cause temporary discomfort as it releases.
Food Sensitivities or Allergies: Certain reactions can manifest as headaches.
Nerve Entrapment: Irritation or compression of nerves can occasionally occur.
Drinking alcohol after a massage: Can dehydrate you, impair circulation, and increase the risk of headaches or dizziness post-massage. It may also counteract the benefits of muscle relaxation.
Smell Sensitivities: Fragrances or essential oils can occasionally trigger migraine symptoms.

Woman smelling essential oil

It’s uncommon for clients to experience a headache after a massage if proper self-care is followed, including adequate hydration. In the rare instances it does occur, the factors above are carefully considered.

If you experience a migraine within 24 hours of a session, please contact me immediately.

A post-massage headache should not discourage you from enjoying a specific modality—or massage in general. Our bodies sometimes react in unexpected ways as muscle tension and scar tissue are released. Occasionally, discomfort may increase temporarily before it improves—this is a normal part of the healing process.

I want every client to feel confident in their healthcare choices. Knowing how massage therapy affects your body helps you make decisions that truly support your health and comfort.

Thank you,

Suzan Walker LMT

Connective Integration Massage Therapy