Experts estimate that headaches affect half the population. Up to 25% of headaches start from the cervical spine or neck. These headaches are cervicogenic headaches (CGH). There are many studies that show the effectiveness of chiropractic management for CGH. It often involves a multi-modal treatment approach to address biomechanical dysfunction in the cervical spine. The dysfunction may add to or cause a person’s headache. These treatment options include…

SPINAL MANIPULATION THERAPY (SMT)

• There are multiple methods or techniques of spinal manipulation to improve joint movement. They can divide into two types. High velocity, low amplitude (thrust) where joint noise (called cavitation) occurs. Low velocity, low amplitude (non-thrust) where joint cavitation is not common. Some refer to the latter as “mobilization.” Chiropractors often use both, but ultimately, the decision is based on the doctor and patient’s preference.

EXERCISE

• On its own, exercise does not appear to be as effective as spinal manipulation. But, when exercises targeting the deep flexors are combined with chiropractic adjustments, the benefits last longer and are more satisfying in the long term.

OCCIPITAL NERVE FLOSSING

• Tension on the occipital nerve as it exits the skull can exacerbate CGH symptoms. Nerve flossing can reduce this tension. While lying on the back with the chin tucked in, the chiropractor lifts the patient’s head and moves the chin toward the chest to stretch the muscular attachments at the base of the skull (which often pinch the nerves that cause headaches) while the patient bends their arms and touches their collar bones. As the chiropractor lowers the patient’s head, the patient extends their elbows and wrists/hands and lowers the arms toward the floor. You can repeat this five to ten times (depending on tolerance).

ACTIVITY (ERGONOMIC) ADVICE

• Here, your chiropractor assesses your work and hobbies, looking for ways to reduce the load on your neck and upper back. Forward head posture is VERY common and once identified, he or she can teach you ways to correct the faulty posture—often by making simple adjustments to the activity.

HOME CERVICAL TRACTION

• Traction works by stretching the vertebra and muscles. Stretching can be done in the office and at home much more frequently. An over-the-door unit works well. Typical treatment time is 15 minutes. Gradually increase the weight to a maximum comfortable point (10-15 lbs. / 4.5-6.8 kg) is a common threshold of tolerance). The “KEY” is to RELAX to get the best effect.

Bottom-line

If you suffer from headaches, then it may benefit you to consult with a chiropractor. It’ll help determine if your headaches may be caused or exacerbated by joint dysfunction in the neck. If so, then your chiropractor will have a variety of treatment options available to reduce the frequency and intensity of your headaches.