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Therapeutic massage

Tension in the head and faceWhen the temples, forehead and jaw will not let go of the working day

There are days when the head feels as if a band were tightening around it, the temples throb at the end of the afternoon and the jaw wakes up already clenched. The face can also look tired, without any skin needing treatment. Here we explain what usually lies behind this tension, how to tell it from a migraine, what a head and face massage does and does not do, and when it is best to see a doctor first. At Clínica Luxmed, in Algés (Oeiras), these massages are performed by massage therapists.

Reviewed by Dr Michelle Campagnoli, clinical director

  • 3massages for this need
  • 1conversation before starting
  • Directbooking, no prior consultation
Woman with hands on her temples and a mug on the kitchen table at the end of the day

How to recognise it

Is what you feel in your head and face tension?

Tension in the head and face has its own signs. These help you work out whether what you feel resembles it, before choosing a massage. It is not a diagnosis.

Tick what you recognise0/7

Tick the signs you recognise in your case. This is not a diagnosis, it is only meant to give you an idea.

A sudden, very severe headache, the worst you have ever had, or one after a blow; fever with a stiff neck; changes in vision or speech, weakness, confusion or unusual drowsiness are emergencies: call 112 or SNS 24 (808 24 24 24). This is not a case for massage.

Massage therapist in a burgundy tunic, holding a clipboard, talking to a client in a white robe before a massage
Photograph of a conversation before the massage. The dots mark the areas where tension is usually felt; the image does not show any complaint.

Why it happens

What weighs on head tension

It is rarely just one thing, and most of the time it is not dangerous. Choose a factor to see what makes it worse and what usually eases it.

The muscles of the head, face and neck

Studies on tension-type headache describe muscles that are more sensitive around the skull and painful points in the muscles, alongside a more sensitive pain response in the nervous system. That is why pressure on the temples or forehead can be painful to the touch, and why the tension lasts long after the stress that started it.

What makes it worse

Staying in the same position for hours, eyes fixed on a screen, with no breaks to let the shoulders and face relax.

What usually helps

Short, regular breaks, changing position and letting the jaw relax, with the teeth slightly apart.

Two areas, two massages

Tension in the head and tension in the face

The head and the face share muscles, but the sensation is not the same, and neither is the choice of massage. Compare the two areas.

  • How it feels. Pressure or tightness around the head, sensitive temples, a tight scalp and a feeling of a full head, especially at the end of the afternoon.

  • When it appears. It usually builds up through the day, after hours of screen time, concentration or stress, and can be more frequent in weeks with less sleep.

  • What may be behind it. Contracted muscles around the skull, eye strain, little sleep or stress. It is not a diagnosis, and if it recurs it is best to speak to a doctor.

  • What the clinic suggests. The Toque Crânio Facial, which combines work on the face with work on the scalp to ease tension in the head and mental tiredness.

  • Tell us before starting. Whether pressure on the scalp is unpleasant for you, whether you have migraines and whether today is a pain day, so that the massage therapist can adjust the touch.

Want gentle pressure in a calm moment? You can book the massage directly, without a prior consultation. If the headache is new, very severe or frequent, speak to a doctor first.

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What the clinic can do

Massages for the head and face

These are well-being massages performed by massage therapists, not treatments for an illness. You can book them directly. Before starting there is a conversation about what you feel, and the pressure is adjusted to your sensitivity, and you can say mid-session whether you want more or less. The price and duration are explained when you book. Massages can be a moment of relief, but headaches that recur call for a doctor's opinion first.

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Massage therapist with both hands on the temples of a client lying down, eyes closed, on a rolled-up towel

Head

Toque Crânio Facial

It combines work on the face with work on the scalp, to ease tension in the head and mental tiredness.

Suitable when

your head feels heavy at the end of the day, your temples tight or your scalp tense, and you want a break that works on the head and face in the same session.

Find out more
Massage therapist with her hands on both sides of the face of a client lying down, eyes closed, wearing a headband

Face

Toque Facial

A gentle face massage that relaxes the facial muscles, softens the expression and brings out the skin's radiance.

Suitable when

the tension is concentrated in the forehead and jaw, your face looks tired and you prefer a delicate massage, without touching the scalp.

Find out more
Rolled burgundy towel, glass bowl with golden oil, lit candle and a dark orchid on a stone counter

Body and calm

Toque Relax

A massage with gentle to moderate pressure, designed to slow the pace, ease tension and restore a feeling of calm.

Suitable when

it is your first time having a massage, you want to start with gentle pressure and the tension in your head is part of a more general tiredness.

Find out more

Which to choose? If the tension is mainly in the head, start with the Toque Crânio Facial. If it is in the face and jaw, the Toque Facial usually makes more sense. If you are not sure, the team helps you choose when you book. Drainage massages are only done with prior medical referral and are not for this need. No massage replaces a doctor's assessment.

What the journey looks like

From booking to massage

You can book directly, without a prior consultation. This is how it usually works at the clinic, in Algés.

  1. 01Before booking

    Understanding what you feel

    If the headache is new, severe, frequent or different from usual, speak to a doctor first. If the tension is the usual kind and you want a break, you can book directly by WhatsApp, phone or email.

  2. 02At the clinic

    Conversation before starting

    The team asks where you feel the tension, whether you have migraines, whether you have pain today, whether you are allergic to oils or scents and whether there are sores or skin problems on the face.

  3. 03At the clinic

    Choosing the massage

    Based on what you have told them, the team suggests the Toque Crânio Facial, the Toque Facial or another, and explains what the session includes, so that you can decide calmly.

  4. 04In the session

    Pressure to your measure

    The massage therapist adjusts the intensity to your sensitivity. During the session you can say whether you want more or less pressure, or whether any area is painful.

  5. 05Afterwards

    Noticing what has changed

    Drink water and do not book anything in a rush afterwards. Notice whether your head and face feel lighter, and tell the team how you felt for next time.

Day to day

What helps at home

A massage is a moment. What you do between sessions weighs as much as it does, and these are the habits that count most.

The golden rule

Letting go of tension before it settles in

Head tension rarely arrives suddenly: it builds up through the day, as you clench your jaw and frown without noticing. Giving the face and eyes short breaks during the day usually counts for more than waiting until the end of the afternoon.

Taking breaks from the screen

The eyes and forehead work hard in front of a screen.

In practice: every now and then, look into the distance and close your eyes for a few seconds, letting your eyebrows drop.

Letting the jaw loosen

Many people keep their teeth touching during the day without realising it.

In practice: let your tongue rest and keep your teeth slightly apart. Notice during the day whether you are clenching.

Sleeping at regular times

Short nights leave the head more sensitive.

In practice: go to bed and wake up at similar times, and keep your phone away from the bed.

Drinking water and eating on time

Skipping meals and drinking little is very common on intense working days.

In practice: keep water nearby and take breaks to eat, instead of putting it off.

Keeping a record of your headaches

Understanding the pattern helps the doctor tell the cause.

In practice: note when it starts, how long it lasts, whether there is nausea or sensitivity to light and what you had done beforehand.

Dr Michelle Campagnoli, clinical director of Clínica Luxmed

Who will look after you

A massage performed by massage therapists

At Luxmed, massages are performed by massage therapists. Before starting, the team finds out where you feel the tension and suggests the massage that makes sense for you, and you can book it directly, without a prior consultation.

  • Conversation before startingUnderstanding where the tension is, whether you have migraines, whether there is pain today and whether there is any skin condition, allergy or injury to take into account.
  • Pressure to your measureThe intensity is adjusted to your sensitivity, and you can ask for more or less pressure during the session.
  • No obligationThe price and duration are explained when you book.
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Choose how you prefer to get in touch. We will arrange the assessment consultation with Dr Michelle Campagnoli.

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How do I know whether it is a tension headache or a migraine?

Tension-type headache is usually a mild to moderate pain, like a tight band around the head, that does not get worse with movement, light or sound and does not cause nausea. In migraine, the pain is stronger, may be on one side only, often comes with nausea and sensitivity to light and smells, and lasts from hours to days. If you are unsure, speak to a doctor, because the path changes.

What do the temples feel when there is tension?

Many people describe a pressure or throbbing on both sides of the head, and temples that become sensitive to touch. It is not a diagnosis: it may be tension in the muscles around the skull, eye strain or lack of sleep. Sudden, very severe pain in one temple only, or with pain when chewing, is not ordinary tension and calls for medical assessment without delay. If the pattern repeats, speak to your doctor.

Can a clenched jaw cause a headache?

It can contribute. Clenching or grinding the teeth is a repeated activity of the chewing muscles, and people who do it often report facial tiredness and pain near the temples. Problems with the jaw joint are also associated with tension-type headache. Massage can give the muscles a feeling of rest, but it does not treat bruxism, and the dentist is the one who assesses the teeth and the joint.

What is the Toque Crânio Facial?

It is a massage that combines work on the face with work on the scalp, to ease tension in the head and mental tiredness. It is performed by massage therapists and can be booked directly, without a prior consultation. Before starting, the team asks where you feel the tension and adjusts the pressure, which you can ask to increase or decrease during the session. It is a well-being massage and not a treatment for a headache.

What is the difference between the Toque Facial and the Crânio Facial?

The Toque Facial is a gentle face massage that relaxes the facial muscles, softens the expression and brings out the skin's radiance. The Toque Crânio Facial goes beyond the face and adds the scalp, to ease tension in the head and mental tiredness. In general, people who feel the pressure in the head and temples choose the Crânio Facial, and those who feel the face tired and the jaw tense choose the Facial. The team helps you choose when you book.

Is a head massage good for you?

For many people it is a pleasant moment of rest, and medical sources list head and neck massage among the measures that doctors may recommend for tension-type headache. The studies, however, are small and very different from one another, and reviews have not found rigorous evidence that manual therapies reduce pain. For this reason, massage should be seen as a possible relief and not as a treatment.

Scalp massage: what does it feel like?

It is usually gentle pressure, with slow movements over the scalp, forehead and temples, and many people describe a feeling of warmth and rest. If your scalp is sensitive or sore, tell the massage therapist, who will adjust the touch, and you can ask to stop at any time. It is not a hair or skin treatment: for hair loss or a scalp with sores, speak to the doctor in a separate consultation.

Relaxing facial massage or facial cleansing: which to choose?

They serve different purposes. The clinic's facial massage is a gentle massage that relaxes the muscles of the face and softens the expression, performed by massage therapists. Facial cleansing is a cosmetic treatment that treats the surface of the skin, and it is neither part of this massage nor performed by massage therapists. If you are mainly looking for relief from tension, choose the massage. If you want to treat pores, blemishes or texture, the clinic describes those treatments on other pages.

Can the massage make my headache worse?

In some people, strong pressure on a sensitive area can increase the pain, and people with migraines may be more sensitive to touch during an attack, so it is best to let the team know. That is why the pressure is adjusted and can be reduced at any time. If you are having a severe attack, of migraine or otherwise, it is better to postpone the massage and speak to a doctor. If the pain increases during the session, tell the massage therapist straight away.

When should I not have a face or head massage?

Tell the team if you have infected skin, active herpes, inflamed acne, rosacea in a flare, sores or a recent injury on the head or face, and if you are allergic to oils or scents. In these situations, the massage should be postponed or assessed. Fever, acute infection and a new, intense headache also call for a doctor's opinion first. If you are or might be pregnant, say so before starting.

When should I see a doctor first about a headache?

See a doctor before booking if the pain is sudden and very severe, appeared after a blow, comes with fever and a stiff neck, with changes in vision or speech, weakness or confusion, or if it is getting worse. Also if the pain is new after the age of 50, if it wakes you from sleep, if there is pain in the temple when combing your hair or in the jaw when chewing, or if you take painkillers very often. In an emergency, call 112 or SNS 24 (808 24 24 24).

How many sessions are needed?

There is no right number, and the answer depends on you and on what you feel. A massage can be a moment of relief and some people come back when the tension returns, with no fixed plan. If headaches recur every week, the important thing is to understand the cause with a doctor, not to increase the number of massages. The team helps you think about the rhythm when you book, and you can always talk to them again after the first massage to say how you felt and adjust what makes sense next.

Can I book the massage directly, in Algés?

Yes. The Toque Crânio Facial and the Toque Facial can be booked directly, by WhatsApp, phone or email, without a prior consultation, at the clinic in Algés, in Oeiras. Only drainage massages require prior medical referral, and these are not those massages. The price and duration are explained when you book, with no commitment, and the team helps you choose the massage that makes the most sense. If you are unsure whether your complaint needs a doctor first, ask when you book.

What should I say and bring to the massage?

Come in comfortable clothes and, if you can, without rushing, so you can enjoy the moment. Before starting, tell the team where you feel the tension, whether you have migraines or pain today, whether you are allergic to oils or scents, whether you are pregnant and whether you have sensitive skin, sores or herpes on the face. If you wear contact lenses, it may be more comfortable to take them out, and if you have long hair, bear in mind that it may end up with oil on it.

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Scientific references

This page is based on the sources below and was reviewed by Dr. Michelle Campagnoli. Last updated on .

  1. Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition. Cephalalgia, 2018.
  2. Manual MSD Versão Saúde para a Família. Cefaleias tensionais. MSD Manuals, 2026.
  3. Manual MSD Versão Saúde para a Família. Enxaquecas. MSD Manuals, 2026.
  4. Pan LH, Ling YH, Wang SJ, Al-Hassany L, Chen WT, Chiang CC, et al. Hallmarks of primary headache: part 2 - Tension-type headache. J Headache Pain, 2025.
  5. Fernández-de-las-Peñas C, Alonso-Blanco C, Cuadrado ML, Miangolarra JC, Barriga FJ, Pareja JA. Are manual therapies effective in reducing pain from tension-type headache?: a systematic review. Clin J Pain, 2006.
  6. Pillai S, Zhang N. The Role of Manual Therapies in the Treatment of Headache Disorders. Curr Neurol Neurosci Rep, 2023.
  7. Bravo-Vazquez A, Anarte-Lazo E, Gonzalez-Alvarez ME, Rodriguez-Blanco C, Bernal-Utrera C. Clinical features of manual therapy interventions in people with tension-type headache: a scoping review. Musculoskelet Sci Pract, 2026.
  8. Do TP, Remmers A, Schytz HW, Schankin C, Nelson SE, Obermann M, Hansen JM, Sinclair AJ, Gantenbein AR, Schoonman GG. Red and orange flags for secondary headaches in clinical practice: SNNOOP10 list. Neurology, 2019.
  9. Lobbezoo F, Ahlberg J, Raphael KG, Wetselaar P, Glaros AG, Kato T, et al. International consensus on the assessment of bruxism: report of a work in progress. J Oral Rehabil, 2018.
  10. Chiaramonte R, Ferrillo M, de Sire A, Vecchio M. Efficacy of manual therapy by different healthcare professionals on pain and function in temporomandibular disorders: a systematic review of randomized controlled trials. J Man Manip Ther, 2026.
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