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Headaches

Tension, cervicogenic and migraine headaches — how the spine and neck may contribute.

Side profile illustration of a human head showing tension patterns at the temple and base of skull
Reviewed by operators of The Joint Chiropractic Rosemead

Not all headaches are the same — and that's why generic advice often fails. Pinpointing which type you're dealing with is the first real step to relief.

The three most common types

Tension-type headache. A dull, band-like tightness around the head. Usually driven by upper-trap and suboccipital muscle tension, stress, and screen time.

Cervicogenic headache. Originates in the neck and refers pain up into the head — often felt behind one eye or at the base of the skull. This is the type where chiropractic care and manual therapy have the strongest evidence.

Migraine. A neurological condition — often unilateral, throbbing, and paired with nausea or light sensitivity. Requires medical management. Manual therapy may reduce frequency but isn't a cure.

Common triggers

  • Poor sleep and dehydration
  • Extended screen use without breaks
  • Clenching or grinding at night
  • Skipped meals and caffeine withdrawal
  • Neck posture (forward head, rounded shoulders)

Simple things that often help

  1. 90-second desk reset every 45 minutes (see Desk posture).
  2. Suboccipital release — lie on your back with two tennis balls in a sock under the base of your skull for 60–90 seconds.
  3. Hydrate first. Many "headaches" are mild dehydration.
  4. Track patterns — sleep, meals, stress, cycle — for two weeks to spot triggers.

When to see a professional

  • Headaches more than 2× per week
  • Any new headache pattern after 50
  • Headaches with vision changes, weakness, or slurred speech (seek emergency care)
  • Recurring pain at the base of the skull that eases with neck movement

Chiropractic evaluation is especially worth considering for cervicogenic and tension-type headaches — the mechanism is often mechanical.

Educational information only — not medical advice. Consult a licensed chiropractor or physician for care.
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