Tension-type headaches, cervicogenic headaches, and many migraines are driven by dysfunction in the upper cervical joints, muscle tension in the neck and shoulders, and restricted movement through the cervicothoracic junction. Treating the headache with medication manages the symptom. Treating the cervical spine and soft tissue addresses the cause.
At Saanichton Chiropractic Group, our chiropractors and registered massage therapists work together to assess the full picture — neck mobility, joint restriction, muscle tone, posture, and lifestyle factors — and build a treatment plan around what's actually driving your headaches.
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Getting the right diagnosis matters because different headache types have different drivers — and different treatments. Here's how we approach the most common presentations we see in Saanichton:
The most common headache type. Characterized by a band-like tightness across the forehead and temples, often with bilateral occipital (base of skull) pressure. The primary driver is sustained muscle tension in the suboccipital muscles, upper trapezius, and cervical paraspinals — typically from prolonged screen posture, stress, or poor sleep position. Chiropractic adjustments to the upper cervical spine combined with soft tissue release resolve most tension headaches quickly, and address the recurrence pattern when combined with postural correction.
Cervicogenic headaches originate in the cervical spine and refer pain up into the head — usually one-sided, starting at the base of the skull and radiating toward the eye or forehead. They're caused by joint dysfunction (most commonly C1-C2-C3), and are frequently triggered by neck movement or sustained position. Many patients have seen multiple practitioners for 'migraines' that were actually cervicogenic in origin. Chiropractic assessment and specific upper cervical adjustments are highly effective for this headache type.
Chiropractic doesn't treat all migraines — but a significant subset of migraine patients have a strong cervical trigger component. If your migraines are consistently preceded by neck tightness or stiffness, if they're worsened by certain head positions, or if they began after a neck injury, cervical care may substantially reduce frequency and severity. We work alongside your GP or neurologist for complex migraine cases, and refer for medication management when appropriate. Massage therapy targeting the suboccipital region and upper trapezius can also reduce migraine frequency in cervically triggered cases.
Persistent headaches after a concussion are common and can have both neurological and cervical components. The neck is often injured in the same mechanism that causes the concussion (falls, sports impacts, MVAs) and the cervical component is sometimes overlooked in concussion management. Our team can assess for cervical contribution to post-concussion symptoms and provide manual therapy where appropriate, working within return-to-activity protocols.
For most headache patients, treatment combines two or three of the following:
For tension and cervicogenic headaches, most patients notice a meaningful reduction in frequency and severity within 4–6 visits. Patients who've had daily headaches for years may require a longer course — typically 10–15 visits with an ongoing maintenance component. We reassess at each stage and adjust the plan based on your response.
Yes. Chronic daily headache that has a cervical component responds well to chiropractic care, even after years of symptoms. The longer the headache pattern has been present, the more layers there typically are — joint restriction, chronic muscle tension, movement avoidance, and sensitization all compound over time. Our multi-disciplinary approach is well-suited to complex, long-standing headache patterns.
Chiropractic cervical manipulation has a strong safety record when performed by a trained practitioner after proper assessment. If you have concerns or a history of vertebrobasilar insufficiency or vascular conditions, tell us at your first visit — we have effective alternatives including mobilization, soft tissue therapy, and instrument-assisted techniques that don't involve rotational manipulation.
For most headache presentations, imaging isn't necessary before treatment. We recommend X-ray or MRI when there are red flags (sudden onset severe headache, neurological symptoms, headache following head injury, or headache waking you from sleep), or when you're not responding to care as expected.
TMJ dysfunction can contribute to headaches, particularly temporal and frontal headaches. Our assessment includes evaluation of the cervical-mandibular relationship, and we can address the cervical component directly. For primary TMJ dysfunction, we'll refer to an appropriate specialist while managing the cervical contribution ourselves.
Accepting new patients from Saanichton, Central Saanich, Brentwood Bay, Sidney, Victoria, and surrounding areas.
📞 250 223 0200
Book online — 24 hours a day | Open 6 days, 8am–6pm.
Address: #203 - 6981 E Saanich Rd, Saanichton, BC V8Z 5Z2
Also explore: Neck pain treatment | Chiropractic care | Massage therapy
Open 6 days a week, 8:00am – 6:00pm. Direct billing to most extended health plans, ICBC and WorkSafeBC.