Most people treat their headaches. Very few get them diagnosed. That distinction matters because a tension-type headache driven by (for example) tight suboccipital muscles responds to very different management than a cervicogenic headache driven by a restricted C2/3 joint, even though both can produce remarkably similar symptoms. At Waterloo Chiropractic, we start by establishing a diagnosis so the treatment we provide is targeted rather than generic.
Chiropractic care has a strong evidence base for two of the most common headache types: cervicogenic headache and tension-type headache. Our blog post on daily stretches for headache management offers some self-care strategies, but if headaches are a regular part of your week we encourage you to book in for a thorough assessment rather than continuing to manage symptoms alone.
Types of Headache We Manage
Cervicogenic Headache
Headache that originates from a disorder of the cervical spine (joints, discs, or muscles of the neck). Typically unilateral (one-sided), starts at the base of the skull, and radiates forward. Often accompanied by neck stiffness and restricted range of motion. This is one of the headache types best supported by evidence for chiropractic management. Read more about neck pain and its causes.
Tension-Type Headache
A bilateral band-like pressure or tightening sensation, often described as moderate intensity. Associated with stress, fatigue, poor posture, and prolonged screen time. Frequently driven by trigger points in the suboccipital, upper trapezius, and SCM muscles. Responds well to manual therapy and trigger point treatment.
Headache from Jaw (TMJ) Dysfunction
The temporomandibular joint and surrounding muscles share referred pain patterns with the head and neck. Jaw clenching (bruxism), a misaligned bite, or TMJ dysfunction can be a significant and overlooked contributor to chronic headache. We assess for this and can treat the jaw musculature directly, as well as referring to a dentist or physiotherapist where needed.
Red Flags: When to See a Doctor Urgently
Most headaches are benign musculo-skeletal complaints, but some are not. If you experience any of the following, seek immediate medical attention:
- Thunderclap headache: sudden, severe onset, described as the worst headache of your life.
- Headache with fever, stiff neck, and sensitivity to light.
- Headache following head injury.
- Headache with neurological symptoms including visual disturbances, weakness, or speech changes.
- New headache pattern in someone over 50 years of age.
At Waterloo Chiropractic, your practitioner will screen for red flags at every assessment. Where clinical concern exists, we refer promptly.
Treatment
- Cervical joint manipulation and mobilisation, with strong research support for cervicogenic headache.
- Suboccipital, upper trapezius, and cervical soft tissue therapy.
- Dry needling for trigger point-driven headaches.
- Postural assessment and targeted exercise prescription.
- Advice on screen ergonomics, workstation setup, and lifestyle factors that contribute to headache frequency.
How Waterloo Chiropractic Can Help
At Waterloo Chiropractic, we do not just treat headaches; we diagnose them first. That distinction is what separates effective management from ongoing symptom control. On your first visit, we take a detailed headache history (frequency, duration, location, triggers, aggravating and relieving factors) and carry out a thorough orthopaedic and neurological assessment of the cervical spine to establish the most likely diagnosis.
Where cervicogenic or tension-type headache is confirmed, our treatment approach is specific and evidence-based. We use cervical and thoracic manipulation or mobilisation, targeted soft tissue therapy, and dry needling to address the joints and muscles contributing to your headaches, alongside postural correction and exercise prescription to address the underlying drivers.
We also carry out red flag screening at every assessment. Where there is any clinical concern about the nature of your headaches, we will refer promptly and appropriately. Read our blog on daily stretches for headache management for self-care strategies to use between appointments.
If headaches are a regular part of your week, it is time to get them assessed rather than just managed. Call (02) 9690 0911 or book online. Shop 265, 8 Lachlan St, Waterloo NSW 2017.