Why do I get a headache after working out?

Last updated September 3, 2026.

Usually a harmless primary exercise headache - throbbing, both sides, starting during or after hard exertion, lasting minutes to hours. Mayo's split is the answer: primary exercise headaches are benign and often preventable with medication; secondary ones come from underlying, sometimes serious causes - bleeding, tumor, or coronary artery disease - and can require emergency care. Hopkins notes a first exertion headache usually earns a brain MRI, and confirmed primary headaches often respond to indomethacin. Pymander's escalation routing is built and tested specifically for this class of decision; see the safety architecture working paper.

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