The three headache types we see
Not all headaches are the same, and the distinction guides treatment:
- Tension headaches — the most common, often a band-like tightness driven by muscle tension and stress
- Cervicogenic headaches — pain that actually originates in the neck and refers up into the head, typically starting at the base of the skull
- Migraines — a neurological condition with throbbing pain, often with light sensitivity or nausea, that can be aggravated by cervical dysfunction
How spinal dysfunction contributes
The upper cervical spine and the base of the skull are richly connected to the nerves and muscles that generate head pain. When those joints become restricted or the surrounding muscles stay chronically tense, they can trigger or worsen headaches — especially cervicogenic and tension types, and sometimes migraines.
Symptoms and when to seek care
Recurring headaches tied to neck stiffness, poor posture, or stress are often mechanical and respond well to care.
A sudden "worst headache of your life," headache with fever and stiff neck, headache after head trauma, or new headaches with vision changes or neurological symptoms. These need urgent evaluation, not chiropractic.
How chiropractic helps
For cervicogenic and tension headaches, restoring normal motion to the upper cervical joints and reducing muscle tension can meaningfully lower headache frequency and intensity. Many migraine patients with a cervical component also see benefit. The approach is drug-free and addresses a root contributor rather than only the symptom.
Our approach at Hunterdon Back Pain Center
We assess the cervical spine carefully and, where appropriate, use gentle techniques — including instrument-assisted and upper-cervical methods — alongside traditional adjustment. We're also honest about scope: when chiropractic helps, we treat; when a headache points elsewhere, we say so and refer.
What to expect from treatment
Headache patients often notice change within the first few weeks of care. Your doctor will set a plan based on your headache type and history, and pair in-office treatment with posture and stress-management guidance to keep headaches from returning.