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If your migraines come with neck stiffness, start at the base of your skull, or always seem to hit after certain postures or activities, there may be a cervical spine component that has never been evaluated. Dr. Mark at Blue Ridge Chiropractic can help. Call (828) 274-1122.

Migraines are one of the most disabling things a person can deal with regularly. The pain, the light sensitivity, the nausea, the lost days at work or missed time with family, all of it adds up fast. A lot of people in Asheville NC manage their migraines with medication, and for some that works well enough. But for many, the medication barely keeps up, the migraines keep coming, and nobody has ever looked at whether there is a structural reason driving them.
Chiropractic care is not a cure for all migraines, and Dr. Mark will be straightforward with you about that. But for patients whose migraines have a cervical spine component, which is a meaningful portion of migraine sufferers, addressing that component can reduce both how often migraines happen and how severe they are. If that has never been evaluated in your case, it is worth doing.
The upper cervical spine, specifically the C1, C2, and C3 joints at the very top of your neck, shares nerve pathways with the trigeminal nerve, which is the main nerve involved in most headache and migraine pain. When those upper cervical joints are restricted, irritated, or misaligned, they can trigger or amplify the neurological cascade that produces a migraine attack. This type of headache even has its own name: cervicogenic headache, which means a headache that originates from the cervical spine rather than from inside the head itself.
The tricky part is that cervicogenic headaches and migraines can feel nearly identical. The way to tell them apart is through a careful physical examination of the upper cervical spine, not just through imaging or symptom questionnaires.
Most people with migraines spend years focused on the pain itself without ever examining the role the neck plays. The upper cervical spine shares nerve pathways with the trigeminal system, the primary pain network involved in migraines, and dysfunction there can make attacks more frequent and harder to stop.
The patterns below are worth paying attention to. A significant number of people living with chronic migraines have a cervical component that has never been identified or treated.
These patterns suggest the neck is involved in your headaches:
● Your headaches often start at the base of the skull and spread forward, sometimes to behind one eye
● Neck stiffness or soreness consistently accompanies or precedes your migraines
● Your migraines are worse after long periods at a desk, looking at a screen, or driving
● Pressing on certain spots at the base of your skull or upper neck reproduces some of your head pain
● Your attacks tend to be one-sided and often on the same side as your neck tension
● You have a history of whiplash or a car accident that was followed by an increase in headache frequency
Having several of these does not mean your migraines are entirely cervicogenic, but it strongly suggests the neck is a contributing factor that is worth evaluating and treating.
Did you know? Research shows that people who receive chiropractic care for cervicogenic headaches experience reductions in headache frequency and intensity comparable to those seen with preventive migraine medications, but without the side effects. For patients where the cervical spine is a driver, the results can be significant.
Dr. Mark performs a detailed examination of the upper cervical spine to assess joint mobility, tenderness, and nerve sensitivity at each segment. He looks specifically at the C1, C2, and C3 levels and at the suboccipital muscles at the base of the skull. If cervical involvement is found, treatment involves precise gentle adjustments to the restricted upper cervical joints and soft tissue work on the muscles that maintain the tension pattern. Most patients with a significant cervical component notice a reduction in headache frequency within a few weeks of consistent care.
We are not going to promise results we cannot guarantee, but we will give you an honest assessment after the first visit of whether we think the cervical spine is contributing to your migraines and whether care here is likely to help. We see migraine and headache patients from Asheville and nearby areas including Fletcher, Weaverville, Candler, and Arden. Call (828) 274-1122 to schedule.

If pain, poor posture, or stiffness is slowing you down, we’d love to help. At Blue Ridge Chiropractic, Dr. Mark makes it simple to get the care you need and start feeling better. Call today or book your appointment online to get started.

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