If you have been treating headaches for years with medication that works for a few hours and then stops, it is worth asking a different question. Not “how do I stop this headache,” but “where is this headache actually coming from.”
For a lot of people, the answer is the neck.
What a cervicogenic headache is
A cervicogenic headache is a headache whose source is in the cervical spine rather than in the head itself. Pain is referred from the joints, discs and soft tissue of the neck up into the skull.
It is a real and common mechanism, and it is routinely mistaken for tension headache or migraine, because the thing that hurts is your head.
Signs that yours may be coming from your neck
- The pain starts at the base of the skull and moves forward
- It is usually worse on one side, and tends to stay on that side
- Certain neck positions or movements reliably set it off, such as long stretches at a screen or a night on the wrong pillow
- Neck stiffness or reduced rotation shows up alongside it
- It is often accompanied by shoulder or arm discomfort on the same side
None of this is a substitute for an examination. But if you are reading that list nodding, the neck deserves to be evaluated.
Why neck pain and headaches travel together
Neck pain is one of the leading causes of disability in the United States, and it is closely associated with headaches. That association is not coincidence. The upper cervical spine carries an enormous amount of neurological traffic, and when its structure or motion is compromised, the effects do not stay local.
This is a textbook Secondary Condition. The headache is the alarm. The neck is the fire.
What an evaluation looks like
We do not treat headaches by treating your head. We perform a physical examination and, where indicated, structural x-rays analyzed to the millimeter and degree, plus digital spinal range-of-motion assessment and neurological testing, to identify the underlying cause.
If the source turns out to be structural, the protocol may include specific chiropractic adjustments by hand or with gentle impulse instruments, corrective exercises, and ergonomic changes so your working day stops reproducing the problem.
And if your headaches are not coming from your neck, we will tell you that too, and point you toward the provider who can help.
Stop managing it and find out what it is
Call (305) 661-4775 for a complimentary consultation. Bring your history, including what you have already tried and what did or did not work. That information is genuinely useful to us.