headacheHeadaches affect just about everyone at some point and they can present themselves in many different ways. Some people only experience pain in one part of their head or behind their eyes, some people experience a pounding sensation inside their whole head, and some people even experience nausea, while others do not. The pain itself may be dull or sharp and may last for anywhere from a few minutes to a few days. Fortunately, very few headaches have serious underlying causes, but those that do require urgent medical attention.

Although headaches can be due to a wide variety of causes, such as drug reactions, temporomandibular joint dysfunction (TMJ), tightness in the neck muscles, low blood sugar, high blood pressure, stress and fatigue, the majority of recurrent headaches are of two types: tension headaches (also called cervicogenic headaches) and migraine headaches. There is a third, less common, type of headaches called a cluster headache that is a cousin to the migraine.

Chiropractic Care for Headaches

Numerous research studies have shown that chiropractic adjustments are very effective for treating tension headaches, especially headaches that originate in the neck.

A report released in 2001 by researchers at the Duke University Evidence-Based Practice Center in Durham, NC, found that “spinal manipulation resulted in almost immediate improvement for those headaches that originate in the neck, and had significantly fewer side effects and longer-lasting relief of tension-type headache than commonly prescribed medications.” These findings support an earlier study published in the Journal of Manipulative and Physiological Therapeutics that found spinal manipulative therapy to be very effective for treating tension headaches. This study also found that those who stopped chiropractic treatment after four weeks continued to experience a sustained benefit in contrast to those patients who received pain medication.

Each individual’s case is different and requires a thorough evaluation before a proper course of chiropractic care can be determined. However, in most cases of tension headaches, significant improvement is accomplished through manipulation of the upper two cervical vertebrae, coupled with adjustments to the junction between the cervical and thoracic spine. This is also helpful in most cases of migraine headaches, as long as food and lifestyle triggers are avoided as well.

Headache Trigger Points

Trigger point therapy for headaches tends to involve four muscles: the Splenius muscles, the Suboccipitals, the Sternocleidomastoid (SCM) and the Trapezius. The Splenius muscles are comprised of two individual muscles – the Splenius Capitis and the Splenius Cervicis. Both of these muscles run from the upper back to either the base of the skull (splenius capitis) or the upper cervical vertebrae (splenius cervicis). Trigger points in the Splenius muscles are a common cause of headache pain that travels through the head to the back of the eye, as well as to the top of the head.

The Suboccipitals are actually a group of four small muscles that are responsible for maintaining the proper movement and positioning between the first cervical vertebra and the base of the skull. Trigger points in these muscles will cause pain that feels like it’s inside the head, extending from the back of the head to the eye and forehead. Often times it will feel like the whole side of the head hurts, a pain pattern similar to that experienced with a migraine.

The Sternocleidomastoid (SCM) muscle runs from the base of the skull, just behind the ear, down the side of the neck to attach to the top of the sternum (breastbone). Although most people are not aware of the SCM trigger points, their effects are widespread, including referred pain, balance problems and visual disturbances. Referred pain patterns tend to be deep eye pain, headaches over the eye and can even cause earaches. Another unusual characteristic of SCM trigger points is that they can cause dizziness, nausea and unbalance.

The trapezius muscle is the very large, flat muscle in the upper and mid back. A common trigger point located in the very top of the Trapezius muscle refers pain to the temple and back of the head and is sometimes responsible for headache pain. This trigger point is capable of producing satellite trigger points in the muscles in the temple or jaw, which can lead to jaw or tooth pain.

Avoid Headache Triggers

  • Stress may be a trigger, but certain foods, odors, menstrual periods, and changes in weather are among many factors that may also trigger headache.
  • Emotional factors such as depression, anxiety, frustration, letdown, and even pleasant excitement may be associated with developing a headache.
  • Keeping a headache diary will help you determine whether factors such as food, change in weather, and/or mood have any relationship to your headache pattern.
  • Repeated exposure to nitrite compounds can result in a dull, pounding headache that may be accompanied by a flushed face. Nitrite, which dilates blood vessels, is found in such products as heart medicine and dynamite, but is also used as a chemical to preserve meat. Hot dogs and other processed meats containing sodium nitrite can cause headaches.
  • Eating foods prepared with monosodium glutamate (MSG) can result in headache. Soy sauce, meat tenderizer, and a variety of packaged foods contain this chemical which is touted as a flavor enhancer.
  • Headache can also result from exposure to poisons, even common household varieties like insecticides, carbon tetrachloride, and lead. Children who ingest flakes of lead paint may develop headaches. So may anyone who has contact with lead batteries or lead-glazed pottery.
  • Foods that are high in the amino acid tyramine should also be avoided, such as ripened cheeses (cheddar, brie), chocolate, as well as any food pickled or fermented foods.

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Check out what our patients have to say!

I had been suffering from headaches, hamstring damage, dizziness, and a tight back. I was not new to chiropractic however. I had been seeing a chiropractor when I lived in Virginia for quite some time. My original chiropractor would perform tests on my shoulder to prove to me where the pain came from and how it could be related to what I was feeling. That was the moment when I really became a believer in chiropractic and everything it can do for you and your health. My father was a patient of Dr. Hoch’s. That is how I started chiropractic in this office. Dr. Hoch recommended regular adjustments, electric muscle stimulation, and ultrasound. I can now honestly say that the improvement in my leg is up to 90% better than it ever has been. The dizziness and headaches I once experienced are now a thing of the past. Since then, I have other family members that come to see Dr. Hoch regularly for adjustments.  ~ J.Y. 



I’ve had back pain and headaches for quite some time……actually, about 7 years.

Hello.  My name is Michelle and I’ve had back pain and headaches for quite some time……actually, about 7 years.  Prior to coming to see Dr. Hoch, my back pain was in the area of an 8/10 in severity and my headaches were, at times, a 10/10…very painful.  I didn’t want to try any over-the-counter medications.  I didn’t want to have to rely on meds just to cover up and mask the pain.  I wanted it taken care of!  My brother Chuck was a chiropractic patient, had great results and suggested that I come in to see Dr. Hoch.  After seeing my brother’s great results, I had no doubts that chiropractic could help me, so I scheduled an appointment.  On my first visit, I found the office to be very friendly, warm and inviting.  After Dr. Hoch reviewed my x-rays, I sat with her to discuss her findings.  I was in need of regular adjustments, EMS/Ultrasound therapy, and home stretching exercises.  It was only a couple of weeks before I began to see amazing results.  I have several family members who are also patients including; my mom, my son, and my brother.  I have referred many people to Dr. Hoch’s office including anyone who is sick, suffering, or in pain.  My family and I enjoy coming to the office, receiving our adjustments, and enjoy the benefits of chiropractic!  ~M.S.