Overworking, depression, anxiety, and clenching your jaw may also arouse this type of headache. Other more in depth causes are spinal misalignments, strain in your eyes, muscular tension, and more.By using trigger point therapy, a massage therapist can help reduce tension headache pain. You can always tell when they hit a trigger point. It is the part of the muscle that hurts when touched and pressure is put on it. I guess you could say massaging them "hurts so good". Nerve compression is released and headache pains are reduced. This type of service is called neuromuscular massage.