Headaches 101
Likely causes:
Instability of cervical spine “CCI” or “AAI”Instability of jaw
Poor posture
Neck strain “tech neck”
Shoulder weakness causing neck to engage to try to stabilize shoulders Dehydration
Hypersensitivity/hyperexcitability of nervous system with low threshold for triggering migraine
Food, lights, sounds, smells, barometric pressure
Treatments
Postural retraining
Strengthening/stretching (“upper crossed syndrome”)
Massage
Oral appliance and PT for TMD
Biofeedback/relaxation training
New meds for migraine prevention (CGRP: Aimovig, Emgality, Ajovy, Nurtec, Ubrelvy)
Medical marijuana
Botox
TENS (“Cephaly”)
Ice/heat
Soft tissue release of upper cervical spine muscles (likely need to be simultaneously strengthening deep neck stabilizers)
Medication (preventive and abortive) IV infusion (“Myers Cocktail”)
Learn and avoid triggers