Chiropractor Valkenswaard – migraine and neck complaints, are they connected?

Yes, neck complaints and migraines are often directly related. The neck contains nerves and muscles that are closely connected to the structures responsible for migraine pain. When the cervical vertebrae or surrounding tissues are under pressure, this can trigger or worsen migraine attacks. In this article, we answer the most frequently asked questions about this relationship and what you can do about it.

How can neck complaints cause migraines?

Neck complaints can cause migraines because the upper cervical vertebrae are directly connected to the trigeminal nerve system — the system responsible for most migraine pain in the head. When the neck is blocked or tense, these nerve pathways become irritated, which can trigger a migraine attack.

The upper three cervical vertebrae, also known as the suboccipital region, play a key role in this process. Nerve roots from this area run through to the base of the skull and the forehead. Pressure, irritation, or restricted mobility in these vertebrae can directly affect pain signaling in the head.

Muscle tension and posture also play a significant role. People who spend long hours at a desk, stare at a screen for extended periods, or experience stress unknowingly build up tension in the neck and shoulders. This persistent muscle tension can irritate the trigeminal nerve and trigger migraine attacks — even in people who don’t feel any obvious neck pain.

What is the difference between tension headaches and migraines?

A tension headache feels like a pressing, constricting pain around the head, without nausea or sensitivity to light and sound. Migraine is a neurological condition characterized by throbbing, often one-sided pain, nausea, and extreme sensitivity to stimuli. The distinction matters because the causes and treatments differ.

With tension headaches, the cause usually lies in muscle tension in the neck, shoulders, or jaw. The pain is unpleasant but rarely debilitating. Migraines, on the other hand, can last for hours to days and completely disrupt a person’s daily life.

Yet the two conditions frequently overlap. Persistent tension headaches can trigger a migraine attack, and neck complaints play a role in both. People with recurring headaches sometimes aren’t sure which type they have, which makes a thorough assessment by a professional worthwhile.

Which neck complaints are most closely associated with migraines?

The neck complaints most strongly associated with migraines are stiffness and restricted mobility of the upper cervical vertebrae, pain at the base of the skull, and chronic muscle tension in the neck and shoulders. These complaints indicate irritation of the nerve pathways also involved in migraines.

Specifically, these are the most common signs:

• Pain or tenderness at the base of the skull, also known as suboccipital pain
• Stiffness or reduced rotation of the neck, especially in the early morning
• Radiating pain from the neck into the head, sometimes reaching behind the eyes
• Chronic tension in the upper trapezius, the muscle between the neck and shoulder
• Headaches that worsen in certain positions, such as looking downward for extended periods

When someone has migraines and experiences one or more of these neck complaints, there is a good chance the neck is directly contributing to the migraine attacks. This is also known as cervicogenic headache: headache originating from structures in the neck.

How does a chiropractor treat neck-related migraines?

A chiropractor treats neck-related migraines by restoring mobility in the cervical vertebrae, reducing nerve irritation, and improving communication between the nervous system and the rest of the body. This is achieved through targeted spinal manipulations and mobilization techniques, particularly in the upper cervical region.

The approach is non-invasive and focused on the structural cause of the complaints, rather than suppressing symptoms. A chiropractor begins with a comprehensive analysis of the spine, posture, and movement patterns to determine where the pressure or restriction is located.

In addition to classic chiropractic manipulation, supplementary techniques may be used:

• Gentle mobilizations for patients who are sensitive to high-velocity adjustments
• Dry needling to relieve deep muscle tension in the neck and shoulders
• CFR (Cranial Facial Release), a technique targeting the cranial bones that provides relief for some migraine patients
• Postural advice and exercises to structurally reduce the load on the neck

The goal is not only to relieve current complaints, but also to prevent new attacks by addressing the underlying cause.

When is chiropractic care the right choice for migraines?

Chiropractic care is a good choice for migraines when attacks are accompanied by neck complaints, when previous treatments have only provided temporary relief, or when someone consciously chooses a non-medication-based approach. The stronger the connection to neck pain or postural problems, the greater the likelihood that chiropractic care will be effective.

Chiropractic care is less suitable as the sole treatment for migraines with a purely neurological or hormonal cause and no neck involvement. In such cases, chiropractic care can still play a supportive role, but collaboration with a neurologist or general practitioner is advisable.

Practical signs that chiropractic care is worth exploring:

• Migraines that begin in the neck or at the base of the skull
• Attacks linked to stress, poor posture, or physical exertion
• A stiff or painful neck before or during an attack
• Insufficient results with medication or other treatments
• A preference for a cause-focused approach without side effects

After an initial consultation, a chiropractor can assess whether the complaints are suitable for treatment and which approach is most appropriate.

How Ruggensteun helps with migraines and neck complaints

At Ruggensteun, with locations in Eindhoven and Valkenswaard, we offer specialized chiropractic care for people with migraines and neck-related complaints. We always look at the underlying cause and work with modern techniques tailored to your specific situation.

What we can do for you:

• A thorough analysis of the spine, posture, and nervous system
• Targeted treatment of the upper cervical vertebrae to reduce nerve irritation
• Supplementary techniques such as dry needling and CFR for migraines
• Personalized advice on posture, movement, and prevention
• No referral from a general practitioner required, free parking at both locations
• Quick availability for urgent complaints

Do you suffer from recurring migraines and suspect your neck may be playing a role? Get in touch via our website or book an appointment directly. We are happy to help you find lasting relief.