Headaches and migraines that keep coming back

A recurring headache deserves an explanation and a plan you can understand. Naming the type matters: migraine, tension-type headache and headache related to a neck problem do not all call for the same care. A neck examination is one part of the discussion when neck symptoms are present; it cannot establish that every headache starts in the spine.

A visit with our chiropractor in Clarksville TN starts with your history and an examination.

When a headache needs urgent medical care

Call 911 or go to an emergency department for a sudden severe headache, especially with a stiff neck; a severe headache with fever; or headache with new weakness, confusion, double vision or loss of consciousness. Call 911 for possible stroke symptoms. A headache after a significant head injury also needs prompt medical assessment. NINDS lists headache warning signs.

A changing pattern, progressively worsening headaches or new headaches unlike your usual ones deserve medical review. Do not wait for a chiropractic visit to investigate those changes.

Migraine and a headache related to the neck

Migraine is more than an ordinary headache. Attacks can involve moderate or severe throbbing pain, often on one side, and other symptoms. Medical treatment includes medicines for an attack and preventive options that reduce future attacks. It is inaccurate to describe all headache medication as merely short-term relief. Read the NINDS migraine guide.

Cervicogenic headache means head pain arising from a problem in the neck. Some research suggests that manual therapy and exercise may help, but study quality and results vary. That possibility does not mean that spinal misalignment explains migraine or every tension-type headache. NCCIH reviews the evidence.

For more background, read different types of headaches and neck pain. Bring an existing diagnosis and treatment plan to the discussion.

What to record before an appointment

A headache diary can help a clinician understand the pattern. Note when it starts, how long it lasts, its intensity, associated symptoms, medicines taken, sleep and activities around the episode. NINDS explains what to include.

Also write down what the headache prevents you from doing. The goal might be fewer missed workdays or more predictable time with your family. Ask how that goal will be measured and when a plan that is not helping should change.

Can chiropractic care help migraines?

Research on spinal manipulation for migraine is not conclusive. We do not promise prevention, permanent relief or a percentage reduction in attacks. The evidence discussion is different for a diagnosed neck-related headache than for migraine. NCCIH's clinical digest sets out those limits.

If manual treatment is proposed, ask which problem it is intended to address, what benefit is realistic and what alternatives could meet the same goal. Continue to discuss migraine medicines with the prescribing clinician; do not stop a prescribed plan because you are considering chiropractic care.

Risks, alternatives and referrals

Manual treatment may cause temporary discomfort or headache. Rare strokes have been reported after neck manipulation, although whether manipulation caused an individual event can be uncertain. That uncertainty belongs in the consent discussion. NCCIH includes safety information.

Medical assessment gives access to diagnosis-specific treatment and prevention. Depending on the headache, physical therapy, exercise or behavioral approaches may be worth discussing as well. NCCIH describes complementary options and their evidence.

If we are not able to help you with your problem or are unable to reduce your pain levels, we will make sure to give you a recommendation to another experienced provider. Contact the team for visit questions.