If you respond well to exercise it might be worth a shot checking for tense muscle
related causes. Physical exercise (esp. heavy weights) might inadvertently work as
a relaxation technique for tensed muscles (similar to the way PNF works [0]).
Some causes for tension I know:
- Neck -- c0 to c2 joint related issues; esp. with the Forward Neck Syndrome,
can tense neck muscles and cause headaches. It's even speculated that
this might be a common cause for migraine [1]
- Dental. If not everything is aligned in the "zero" position, muscles actively
work and overwork to compensate. They are commonly called Temporomandibular
disorders (TMD) [2]
- Eye. Eyestrain can develop, if an eye works too much for too long, hunts for focus,
it can tense forehead and other facial muscles. [3]
and so on, down every joint in the body.
You might have built up some high pain resistance through the years and not even be aware this is happening. This can lead to physiological stress, which in turn interferes with the deep sleep phase (cortisol and other stress hormones keep us half awake for scanning the environment for danger).
[0] https://mediphysio.com.au/pnf-stretching-technique/#:~:text=....
[1] https://www.caringmedical.com/prolotherapy-news/chronic-head....
[2] https://www.hopkinsmedicine.org/health/conditions-and-diseas....
[3] https://www.mayoclinic.org/diseases-conditions/tmj/symptoms-...