This How the Journey Starts and Progresses
Your initial treatment will take one hour.
We will spend time discussing your headache or migraine presentation and history. It is important for me to hear your story to have a full understanding of the processes involved that have led to your particular headache presentation. We get an idea of the intensity, frequency and duration of your headaches, what triggers them and where you feel the pain.
After this discussion, there is a full explanation of the assessment procedures to be performed and why they are important. These include:
- Assessment of the vertebral artery in the neck
- Assessment of ligaments in the upper cervical spine
- Assessment of the upper neck
Our main goal is to determine if your neck is involved in your headache. Note you do not have to feel pain in your neck for it to be involved!
After this assessment I will review my findings with you and you will have a chance to ask questions and understand what is going on. If you do not have a problem in your neck, this will be very clear and explained to you. If your neck is the problem, treatment will begin on day one! This will include an exercise program, postural retraining as well as hands on treatment to start the process of fixing the cause of your headaches.
The Initial Treatment Block – Treatment progression
Experience tells us that the most effective results are gained by an initial program of 4-5 treatments over a 2-3 week period as well as a regular exercise programs performed by you at home. If you are willing to commit to this process, there is a high probability you will see changes in your headache presentation.
During these first five treatments, the intensity of the treatment will be increased to deal with movement problems present in your upper neck that are leading to the brainstem sensitivity. This will be an intense period of treatment, but one that is necessary so you must be prepared to work hard on your exercises and posture to address the hypersensitivity.
What happens after the initial treatment block?
If there has been significant improvement, time between treatments begins to increase as you start the process of learning to self-manage your headache or migraine problem.
This is the end goal; that you are able to control your headaches and not rely on “regular treatment for the rest of your life”.
Some people, who have had chronic long term problems may need some ongoing maintenance treatment on an occasional basis, but often this becomes less over time.
There are occasions when headache sufferers do all the right things but don’t improve. If this happens, we will take the time to review your history and neck presentation, seeing if it warrants further intervention. If treatment has improved the neck dysfunction but the headaches remain the same, we will reassess your situation and determine the most appropriate course of action.
My expectations of you are to be committed to exercise for 2-3 mins, 5 times a day and to work on any postural exercises and attend the treatments as discussed.
I will keep you informed of my thoughts on your progress and answer any questions you may have to the best of my ability.