The phenomenon of headache on strenuous exercise is mainly seen in the following possibilities: 1. Patients may have vascular neurological headache, mainly due to excessive mental tension, or due to excessive excitation of sympathetic nerves, excessive increase in blood pressure, and neurological headache. 2. Pay attention to whether the patient’s blood pressure rises sharply during exercise, if the blood pressure rises sharply, the patient cannot do strenuous exercise. 3. Patients also need to undergo Cardiac examination to see if there is hypertrophic cardiomyopathy. When patients with hypertrophic cardiomyopathy exercise vigorously, it will lead to a reduction in the ejection of blood from the heart, resulting in insufficient blood supply to the brain and headache symptoms.