Physical Therapy for

Headaches

Most people don't think of physical therapy for headaches — but many headaches, including those diagnosed as tension headaches or migraines, actually originate in the cervical spine. When the neck is the source, PT can be remarkably effective.

Is Your Neck Causing Your Headaches?

Cervicogenic headaches are headaches that originate in the cervical spine — the joints, muscles, and nerves of the neck — and refer pain into the head. They are frequently misdiagnosed as tension headaches or migraines.

Signs your headaches may be coming from your neck:

  • Headaches that start at the base of the skull
  • Pain on one side of the head or behind one eye
  • Neck stiffness that accompanies or precedes headaches
  • Headaches that worsen after sitting at a computer
  • Headaches triggered by neck movement or sustained postures
  • Tenderness in the upper neck when pressed
  • Headaches that don't fully respond to medication

Types of Headaches PT Can Help

  • Cervicogenic Headaches

    Directly caused by dysfunction in the cervical spine. Respond very well to manual therapy and dry needling.

  • Tension Headaches

    Often driven by muscle tension in the neck, upper traps, and suboccipital muscles — all treatable with PT.

  • Headaches After Whiplash

    Post-traumatic headaches following a car accident or injury frequently have a cervical component.

  • TMJ-Related Headaches

    Jaw dysfunction can refer pain into the temples and head. PT addresses both the jaw and neck.

How I Treat Headaches

The goal is to identify and treat the source — not just manage the symptom.

Cervical Manual Therapy

Joint mobilization of the upper cervical spine — the C1/C2 area is a primary source of cervicogenic headaches.

Dry Needling

Targets the suboccipital muscles, upper traps, and sternocleidomastoid — key contributors to headache pain.

Postural Correction

Forward head posture places enormous stress on the upper cervical spine. Correcting it reduces headache frequency.

Deep Cervical Flexor Training

Strengthening the deep neck muscles that support the cervical spine and reduce mechanical stress.

PRRT

Primal Reflex Release Technique — can rapidly reduce the muscle guarding and reflex patterns that drive headaches.

TMJ Treatment

When jaw dysfunction is contributing to headaches, manual therapy and dry needling to the jaw and neck address both.

Tired of Living With Headaches?

If your headaches haven't responded to medication, your neck may be the source. Call for a free 10-minute phone consultation.