Symptom
Headaches & Migraines
Tension, vascular, and cervicogenic patterns
Recurring headaches or migraines. Many cases have a structural component in the upper cervical spine that responds well to chiropractic assessment alongside primary medical care.
By Dr. Logan Swaim · Last updated June 5, 2026
About Headaches & Migraines
A headache is pain or pressure in the head, and a migraine is usually a more intense version that can come with nausea, light sensitivity, or visual changes. Most headache pain doesn't actually start in the brain itself, because brain tissue has no pain sensors. It comes from the structures around it: the muscles, blood vessels, and nerves of the head and neck, all of which are controlled by your nervous system. When those signals get overactive or out of balance, your body experiences it as a headache.
Headaches tend to fall into a few patterns. Tension-type headaches feel like a tight band squeezing the head and often build through the day. Vascular patterns, including many migraines, involve changes in blood flow and tend to throb. Cervicogenic patterns start in the neck and refer pain up into the head. Many cases have a structural component in the upper cervical spine, where tension and restricted movement can irritate the nerves that feed the head. Common drivers include stress, poor sleep, screen posture, dehydration, hormonal shifts, and clenching the jaw.
Our approach starts by mapping the nervous system first with a thorough neurological evaluation, so we can see where tension and irritation are showing up rather than guessing. From there we build a personalized care plan aimed at supporting how your nervous system and the structures of your neck and head function. This works alongside your primary medical care, never in place of it, and we coordinate with your physician when that's the right call.
Where We See This
Common contexts in our office
- Often traces back to tension and restricted movement in the upper neck
- Frequently worsens during periods of high stress or poor sleep
- Commonly tied to long hours at a screen, desk posture, or jaw clenching
- Often appears alongside neck tightness, shoulder tension, and eye strain
The Nervous System Map
What this can be connected to
Per the science of the nervous system plus the patterns we see clinically, headaches & migraines is often associated with these regions or systems. Click any to read more.
Spinal regions
When To Seek Medical Care
Talk to your doctor first if…
Some headaches need urgent medical attention, not a care plan. Call 911 or go to the emergency room for a sudden, severe headache you'd describe as the worst of your life, a headache that comes with fever, a stiff neck, confusion, slurred speech, vision loss, weakness or numbness on one side, or any headache that follows a head injury. A new headache pattern that is getting worse, or one that wakes you from sleep, deserves a prompt visit to your physician. Our care is educational support for nervous-system function and works alongside appropriate medical evaluation.
Common Questions
About headaches & migraines
This page is educational, not medical advice. Always consult your medical doctor for serious health concerns; our care complements but doesn't replace primary medical care.
Want a personalized look at your nervous system?
Start with a complimentary consultation. We use a neurological evaluation to map what's going on — no commitment, no cost.