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
Check out the “Zivora” app to help you track your migraines to try to establish patterns or identify triggers.