Headache

40 million Americans report at least 1 headache episode per year, and headaches/migraines are the 2nd leading cause of both United States and global disability behind low back pain. Less than 2000 healthcare providers in the United States are qualified to treat migraines & headaches, with the average primary care provider receiving 4 hours or less of education in medical school on headache treatment (Gallagher 2005). Very few patients (<50%) are satisfied with their current treatment for their headaches or migraines, with the majority choosing self-medication using over-the-counter medication without continuing to seek further medical help (Migraine Trust).

There are a number of different factors that can lead to a headache or migraine episode. Often underdiagnosed or completely undiagnosed is the role of the cervical spine (neck) and its relationship to the head & brain. Many pain & movement nerves (the trigeminovascular nucleus) are located in the neck, and a neck that is not moving well can often trigger the beginning of a headache or migraine attack.