Back Clinic Headaches & Treatment Team. The most common cause of headaches can relate to neck complications. From spending excessive time looking down at a laptop, desktop, iPad, and even from constant texting, an incorrect posture for extended periods of time can begin to place pressure on the neck and upper back, leading to problems that could cause headaches. The majority of these types of headaches occur due to tightness between the shoulder blades, which in turn causes the muscles on the top of the shoulders to tighten and radiating pain into the head.
If the source of the headaches is related to a complication of the cervical spine or other regions of the spine and muscles, chiropractic care, such as chiropractic adjustments, manual manipulation, and physical therapy, can be a good treatment option. Also, a chiropractor may often follow up chiropractic treatment with a series of exercises to improve posture and offer advice for future lifestyle improvements to avoid further complications.
Post-Accident Headaches in El Paso: An Integrative Chiropractic Plan at El Paso Back Clinic
Persistent headaches after a car crash are common—and treatable. This patient-first guide explains why headaches linger and how an integrated chiropractic approach at El Paso Back Clinic can address soft-tissue injuries, spinal misalignments, and nerve irritation, helping you return to normal life.
Why do headaches linger after a car accident?
A collision can strain the neck’s soft tissues (muscles, fascia, and ligaments), disturb cervical alignment, and irritate nearby nerves. These changes limit normal joint motion, increase guarding, and sensitize pain pathways—fueling tension-type, cervicogenic, post-traumatic migraine, or post-concussive headache patterns that may show up days or weeks after the crash (Cascade Spine & Injury Center, 2023; Wellness Chiropractic Care, n.d.). Cascade Spine and Injury Center+1
At El Paso Back Clinic, we see four mechanics behind lingering pain:
Soft-tissue microtrauma & guarding. Strained muscles develop trigger points (e.g., suboccipitals, SCM, scalenes, upper trapezius) that refer pain to the head and behind the eyes. Guarding compresses joints and keeps the cycle going (Brookdale Health, n.d.). brookdalehealth.com
Spinal misalignments & facet joint irritation. Dysfunction in the upper cervical spine can refer pain into the skull and worsen with neck movement or poor posture (North Port Chiropractic, 2025; Dr. Toth Chiropractic, n.d.). northport-chiropractor.com+1
Nerve irritation & autonomic upset. Inflamed tissues and joint fixations can irritate nerve roots and sympathetic fibers, amplifying pain sensitivity (Premier Care Chiropractic, 2024). premiercarechiro.com
Delayed onset & chronicity risk. Symptoms often surface days to weeks later as inflammation evolves and compensations set in—one reason early evaluation is so important (Premier Care Chiropractic, 2024). premiercarechiro.com
Emergency red flags: severe or worsening headache, repeated vomiting, confusion, weakness/numbness, vision/speech changes, or loss of consciousness require urgent medical care; chiropractic care complements—not replaces—emergency evaluation (Cascade Spine & Injury Center, 2023). Cascade Spine and Injury Center
Headache patterns we commonly treat
Tension-type headaches. Dull, band-like pressure that starts at the neck/base of skull; flares with stress or screen time. Gentle cervical/upper-thoracic adjustments and soft-tissue release reduce muscle guarding and frequency (Brookdale Health, n.d.; Wellness Chiropractic Care, n.d.). brookdalehealth.com+1
Cervicogenic headaches. Pain begins in the neck (often upper cervical joints) and is “felt” in the head; it worsens with neck motion or sustained posture. Segment-specific mobilization/adjustment plus deep-neck-flexor reconditioning are key (North Port Chiropractic, 2025). northport-chiropractor.com
Post-traumatic migraines. Impact can dysregulate trigeminovascular/autonomic systems; attacks may include throbbing pain, nausea, and light/sound sensitivity. Improving cervical mechanics, reducing muscle tension, pacing activity, and normalizing sleep/hydration help (Premier Care Chiropractic, 2024). premiercarechiro.com
Post-concussive headaches. Rapid acceleration/deceleration can injure the brain and cervical tissues even without a direct head strike. Medical clearance comes first; then, graded cervical care addresses neck drivers once safe (Cascade Spine & Injury Center, 2023). Cascade Spine and Injury Center
How El Paso Back Clinic treats the root causes
Our integrated plan pairs chiropractic adjustments with soft-tissue care, targeted rehab, and sensible self-care. When indicated, we coordinate neuromusculoskeletal imaging and provide documentation support.
1) Cervical/Thoracic Adjustments (manual or instrument-assisted)
Specific adjustments restore segmental motion, reduce facet irritation, and refine alignment—especially at the upper cervical spine—helping reduce headache frequency and intensity (Dr. Toth Chiropractic, n.d.; North Port Chiropractic, 2025). drtoth.com+1
2) Soft-Tissue Therapy
Myofascial release and trigger-point techniques deactivate common referral sources (suboccipitals, SCM, scalenes, upper traps), reduce guarding, and help adjustments “hold” (Brookdale Health, n.d.). brookdalehealth.com
3) Cervical Traction/Decompression (as indicated)
For patients with nerve irritation or axial loading, gentle traction can create more space, reduce pressure, and improve local circulation—often easing cervicogenic and tension-type triggers (Premier Care Chiropractic, 2024). premiercarechiro.com
4) Corrective Exercise & Postural Retraining
We rebuild deep neck-flexor endurance, scapular stability, and thoracic mobility to support healthy mechanics during driving and desk work. This approach lowers relapse risk and extends results (Premier Care Chiropractic, 2024; Lutz Chiropractic, 2025). premiercarechiro.com+1
5) Education & Self-Care
Micro-breaks, workstation tweaks, sleep and hydration routines, and gradual activity protect progress and reduce flare-ups (Cascade Spine & Injury Center, 2023). Cascade Spine and Injury Center
Our integrated process (what to expect)
1) History & red-flag screen. We document the crash mechanics (rear-end, side-impact, headrest position), immediate/delayed symptoms, prior headache history, medications, sleep, and work demands. Red flags trigger urgent medical referral (Cascade Spine & Injury Center, 2023). Cascade Spine and Injury Center
2) Neuromusculoskeletal exam.
Cervical/thoracic range of motion and segmental joint testing
Soft-tissue palpation for tender bands and trigger points
Headache triggers (posture, screen/drive time, sleep)
3) Imaging when indicated. If neurological findings, trauma severity, or stalled progress suggest deeper structural issues, we coordinate X-ray/MRI/CT as appropriate (El Paso Back Clinic & Dr. Alex Jimenez resources on headaches/whiplash) (El Paso Back Clinic, n.d.; Jimenez, n.d.). El Paso Back Clinic® • 915-850-0900+1
4) Diagnosis & plan. We identify dominant drivers—such as joint dysfunction, muscle guarding, nerve irritation, migraine physiology, or mixed—and match them with precise interventions (Dr. Toth Chiropractic, n.d.; Brookdale Health, n.d.). drtoth.com+1
5) Documentation & care coordination. For personal-injury cases, we prepare clear chart notes, imaging findings, and progress metrics and coordinate with primary care, specialists, and (if needed) legal teams (El Paso Chiropractic, 2025). Synergy Chiropractic
A local advantage: Dual-scope leadership and community-specific care
El Paso Back Clinic is part of the care ecosystem led by Dr. Alexander Jimenez, DC, APRN, FNP-BC, whose dual training in chiropractic and nurse-practitioner care informs our evaluation, imaging decisions, and case management. This dual-scope perspective supports accurate diagnosis, timely referrals when required, and practical documentation for auto-injury cases (El Paso Back Clinic; Dr. Alex Jimenez sites). El Paso Back Clinic® • 915-850-0900+2El Paso, TX Doctor Of Chiropractic+2
Suggested timeline (example—your plan will be individualized)
Reassess ROM, headache frequency/intensity, and disability scores (Premier Care Chiropractic, 2024; Lutz Chiropractic, 2025). premiercarechiro.com+1
Weeks 6–12: Stabilize & prevent
Maintain adjustment frequency as needed
Progress strength/endurance; add job- or sport-specific tasks
Build a prevention kit: mobility sequence, ergonomic playbook, flare-control plan (Premier Care Chiropractic, 2024). premiercarechiro.com
When to start: Many patients benefit from evaluation within the first 1–2 weeks after a crash; don’t wait for headaches to “just go away.” Early care reduces the risk of chronic pain (Premier Care Chiropractic, 2024). premiercarechiro.com
Practical home strategies you can start today
Screens at eye level. Keep ears over shoulders; set a 20–30-minute break timer (Cascade Spine & Injury Center, 2023). Cascade Spine and Injury Center
Warm before, cool after. Brief heat before mobility to relax tissue; short ice intervals after workload spikes (Brookdale Health, n.d.). brookdalehealth.com
Hydration and sleep. Even mild dehydration and poor sleep raise headache intensity; aim for consistent routines (Premier Care Chiropractic, 2024). premiercarechiro.com
Ease into cardio. Short, easy walks improve circulation without provoking flares (Premier Care Chiropractic, 2024). premiercarechiro.com
Know your triggers. Track links between posture, stress spikes, and headache intensity; adjust positions and add micro-breaks (Cascade Spine & Injury Center, 2023). Cascade Spine and Injury Center
Local pages you may find helpful
Headaches | El Paso Back Clinic — overview of head pain and whiplash links, plus when to seek medical evaluation. (El Paso Back Clinic, n.d.). El Paso Back Clinic® • 915-850-0900
Chiropractic Improves Driving Posture & Health — how neck alignment supports safer, more comfortable driving. (El Paso Back Clinic, 2025). El Paso Back Clinic® • 915-850-0900
Chiropractic + Nurse Practitioner Care After Accidents — how our team coordinates dual-scope care. (El Paso Back Clinic, 2025). El Paso Back Clinic® • 915-850-0900
Bottom line
Headaches linger after car accidents because a sudden impact can injure soft tissues, disrupt cervical alignment, and irritate nerves. At El Paso Back Clinic, we target those root causes with precise adjustments, soft-tissue care, traction when appropriate, and stepwise rehabilitation—backed by clear documentation and coordinated referrals when necessary. Most importantly, your plan is built around your exam findings, goals, and life in El Paso (El Paso Chiropractic, 2025; El Paso Back Clinic, 2025). Synergy Chiropractic+1
Emotional Driving & How El Paso Back Clinic Heals the Mind–Body Divide
Introduction
Driving is more than a mechanical task. When strong emotions—anger, grief, stress, excitement—take over, driving becomes risky. Emotional driving occurs when your attention is diverted from the road toward internal feelings. This impairs focus, slows reaction time, and can lead to serious crashes (Lawyer Don, n.d.; Car Accident Help, n.d.).
At El Paso Back Clinic, under the care of Dr. Alexander Jimenez, DC, APRN, FNP-BC, we see many patients who, after an auto accident or work injury, also report being emotionally shaken before or during the event. The clinic’s integrative model doesn’t just treat symptoms—it aims to heal both the physical damage and the emotional stress behind it. By doing so, El Paso Back Clinic helps people drive (and live) more safely and fully.
What Exactly Is Emotional Driving?
Emotional driving refers to operating a vehicle while strong emotions distract from safe driving. These emotions may be:
Anger or road rage
Sadness or grief
Stress or anxiety
Over-excitement
Even positive feelings, if overwhelming, can reduce awareness of surroundings. The brain only has so much capacity for processing, so when so much is going on emotionally, it can’t give full attention to driving (Pintas & Mullins, n.d.; Car Accident Help, n.d.).
Why It’s Dangerous
Here’s how emotional driving leads to danger:
Delayed reactions: A driver under stress or emotional overload may take longer to brake or swerve.
Impaired judgment: Anger or anxiety can lead to risky choices, such as speeding, tailgating, and ignoring traffic signals.
Tunneled attention: Emotions narrow attention, making it easier to miss hazards (Lawyer Don, n.d.).
Physical symptoms: Stress causes muscular tension (especially in neck/shoulders), elevated heart rate, and poor posture—all of which reduce control and focus while driving (Genesis Medical, n.d.; Spine Clinic Salem, n.d.).
How Emotional States Also Affect Injuries
When injuries happen (auto accidents, sports injuries, work accidents), emotional states often worsen the physical situation:
Tense muscles around injured areas slow healing.
Anxiety or stress can cause inflammation to persist.
Poor sleep and unresolved emotional stress weaken immune response and recovery (Denver Chiropractic, n.d.; HelloNote, n.d.).
In El Paso Back Clinic, many patients with motor vehicle injuries arrive not only with physical symptoms like whiplash or back pain but also emotional distress—panic, fear, or anger. These get documented, addressed, and integrated into treatment.
El Paso Back Clinic’s Dual-Scope & Integrative Approach
Dr. Jimenez has a special position: he’s both a Doctor of Chiropractic and a Board-Certified Nurse Practitioner (FNP-BC). This allows him to diagnose using medical tools and treat with chiropractic, integrative medicine, and other modalities. (a4m.com)
Key Components of Care at El Paso Back Clinic
Advanced imaging & diagnostics: X-rays, MRI, ultrasound, where needed, to see not just the injury but also how the nervous and musculoskeletal systems are impacted. (El Paso, TX Doctor Of Chiropractic)
Chiropractic adjustments: To restore spinal alignment, relieve nerve compression, and reduce tension.
Integrative medicine: Nutrition, functional medicine assessments, and lifestyle changes to address systemic stress. (El Paso, TX Doctor Of Chiropractic)
Acupuncture, massage, and soft tissue work: These help relax the body, reduce inflammation, and promote emotional calm.
Rehabilitation and exercise therapy: Customized programs to restore strength, flexibility, and better body awareness.
Legal & Injury Case Documentation
For patients injured in auto accidents or work incidents, the clinic provides:
Coordination of care with legal and insurance entities
Follow-up care plans that cover both physical injury and emotional well-being
How This Care Helps With Emotional Driving
When someone uses El Paso Back Clinic’s services, here’s how it helps reduce the risk of emotional driving:
Reduced pain and tension → Less physical distraction or discomfort when driving.
Improved emotional regulation (through integrative methods) → Less reactive driving, more stable mood.
Better sleep and recovery → More alertness, sharper reflexes.
Holistic awareness of how stressors (work, injury, emotional trauma) are influencing both mind and body.
Patient Scenario (Hypothetical but Based on Clinic Observations)
Maria, a patient in El Paso, is in a car accident. She has neck pain (whiplash) and lower back strain. She also reports feeling extremely anxious when thinking of driving again. At El Paso Back Clinic:
She receives imaging confirming soft tissue damage and alignment shifts.
Chiropractic adjustments relieve spinal tension and reduce nerve irritation.
Dr. Jimenez assesses her nutrition and stress levels and recommends changes to reduce inflammation.
Massage and acupuncture help her relax and sleep better.
She is coached in breathing, mindfulness, and coping techniques, so when she must get back in the car, she’s calmer and more aware.
Over weeks, Maria notices less pain, less anxiety when driving, better posture, and fewer physical flares when emotional stress arises.
Practical Tips to Use Before Driving
Even outside of clinic visits, patients are encouraged to:
Take a few minutes of deep breathing before starting the car
Stretch neck, shoulders, and back to release tension
Recognize emotional state: avoid driving when feeling overwhelmed, if possible
Use mindfulness or brief meditation when stressed
Make sure you rest well: fatigue makes emotional driving worse
Conclusion
Emotional driving is a hidden risk on El Paso roads and everywhere. Strong emotions steal attention, slow responses, and make driving dangerous. But at El Paso Back Clinic, the combined chiropractic, medical, integrative, and rehabilitative care led by Dr. Alex Jimenez offers a powerful solution. By addressing both body and mind, reducing pain and stress, improving sleep, and providing tools for emotional self-regulation, patients gain safety, health, and resilience.
For folks in El Paso, committing to this kind of holistic treatment isn’t just about recovery—it’s about preventing future accidents and driving with confidence, clarity, and control.
Could individuals who are having headaches with neck pain need emergency treatment or need to get started with sustained physical therapy?
Headaches and Neck Pain
Headaches and neck pain are two very common symptoms. They often occur together and signal common health issues, including fatigue, sinus headaches, and migraines. The combination can also occur due to serious health issues such as a concussion or meningitis. Causes of headaches with neck pain range from various causes, such as not getting enough sleep, having the neck in an awkward position, or having a hangover, to life-threatening issues like fluid buildup in the brain. It is recommended that individuals see a healthcare provider as soon as possible to rule out any life-threatening issues. Discuss the symptoms of neck pain with headache, what can cause these symptoms, and discuss treatment and prevention.
Symptoms
Symptoms are similar to what they feel like when they occur alone. Headache can present as:
A feeling of fullness in the head
Head soreness
Sharp head pain
Throbbing head pain
Pounding head pain
Neck pain can present as:
Pain in the back of the neck
Pain and/or aching of the upper back and/or shoulders
Associated Symptoms
Additional symptoms are common. Symptoms associated with headaches and neck pain include:
Neck stiffness
Trouble concentrating
Exhaustion or sleepiness
Aching throughout the body
Nausea
Dizziness
Vertigo – feeling like the room is spinning.
Photophobia – discomfort when looking at bright lights.
A feeling of numbness or tingling down the arm
Generally, associated symptoms suggest a more severe cause and can help a healthcare provider make a diagnosis.
Emergency Help
New symptoms of headache or neck pain can indicate a serious condition. If you develop these symptoms together, get prompt medical attention.
Causes
There are a variety of medical conditions that can cause headaches and neck pain. Both of these conditions are caused by irritation of sensory nerve fibers. Sometimes, head or neck pain can spread to other areas because the sensory nerves of these structures are so close together. (Côté P. et al., 2019) Additionally, a medical condition like an infection can affect the other due to proximity. Causes of headaches with neck pain include:
Headaches
Sinus headaches, tension headaches, and cervicogenic headaches are usually associated with head pain, but they can also involve neck pain. (Côté P. et al., 2019)
Migraine
Migraines are commonly associated with headaches and often cause neck pain as well.
In addition, they can cause nausea and body aches.
Fatigue
Being tired commonly leads to temporary headaches and neck pain until thorough rest is achieved.
Alcohol Consumption and/or a Hangover
For many, drinking can trigger a headache.
This is a common migraine trigger, but it can also trigger headaches for those who don’t have migraines.
Muscle Strain
Prolonged or recurrent positions that strain the neck muscles, like lifting or sitting at a desk, can cause aching or pain that involves both the head and neck. (Houle M. et al., 2021)
Injuries
Trauma such as whiplash or falling can cause soreness in the head and neck.
Bruises or other injuries may be present.
Severe injuries can cause damage to the skull, brain, spine, spinal nerves, or spinal cord.
Concussion
A concussion often causes trouble concentrating, persistent headaches, and neck pain.
Usually, these symptoms improve within a few weeks after a mild concussion.
Meningitis
Inflammation or infection of the lining around the brain and spinal cord causes pain or tenderness in the head, back, and neck.
Neck stiffness and fever are commonly associated symptoms.
Pinched Nerve
Arthritis is a common cause of pressure on spinal nerves.
A pinched nerve in the upper spine can cause pain in the head and neck and tingling down the arm.
Herniated Disc
Degenerative arthritis or trauma can cause a spinal disc to press on a nerve and possibly on the spinal cord.
This may cause loss of sensation or weakness of the arm.
Subarachnoid Hemorrhage
This is a serious condition caused by bleeding of a blood vessel in the brain.
Irritation and inflammation can cause severe head and neck pain, possibly with seizures and loss of consciousness.
Hydrocephalus
Fluid can accumulate around the brain, causing pain-inducing pressure.
Causes include obstruction of cerebrospinal fluid flow due to brain tumors, brain infections, or congenital malformations. (Langner S. et al., 2017)
Increased Intracranial Pressure
Pressure on the brain and the brain’s blood vessels can cause pain.
Causes of pressure within the skull include hydrocephalus, head trauma, brain tumors, or swelling from a stroke.
Severe cases can cause lethargy or loss of consciousness.
Brain or Spine cancer
Cancer of the brain or within the spine can cause pain affecting the head and neck, often with other symptoms, like loss of vision.
Treatment
Talk to a healthcare provider about the following treatments. Treating headaches with neck pain includes methods that address symptoms and methods that treat the underlying cause. The medications used for headaches with neck pain often reduce both symptoms, but this depends on the cause. Treatments that can relieve both headaches and neck pain when they occur together include:
Getting proper sleep to alleviate fatigue.
Rest and rehabilitation after a concussion or another injury.
Physical therapy to keep muscles flexible and relaxed.
Fluids for meningitis treatment and antibiotics for bacterial meningitis.
Surgical procedures for a tumor or subarachnoid hemorrhage.
A surgical procedure to relieve hydrocephalus.
Headache Treatment
You can do a few things to relieve your headaches, and although they won’t directly take away your neck pain, your headache relief might also decrease your neck pain. These include:
Avoiding loud noises
Cranial massage
Applying gentle cranial pressure
Avoiding bright lights as much as possible
Using specialized migraine sunglasses
Neck Pain Treatment
Some treatments that can specifically treat neck pain include:
Injury Medical Chiropractic and Functional Medicine Clinic
Knowing whether a serious problem is causing headaches and neck pain can be difficult. The more dangerous conditions don’t necessarily cause more severe pain. This is why getting medical attention is crucial if you have these symptoms together. If you frequently have both headaches and neck pain, it can have a substantial impact on your quality of life. There are ways to manage the symptoms, including preventative measures such as physical therapy, exercises, and avoiding triggers. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.
Tension Headaches
References
Côté, P., Yu, H., Shearer, H. M., Randhawa, K., Wong, J. J., Mior, S., Ameis, A., Carroll, L. J., Nordin, M., Varatharajan, S., Sutton, D., Southerst, D., Jacobs, C., Stupar, M., Taylor-Vaisey, A., Gross, D. P., Brison, R. J., Paulden, M., Ammendolia, C., Cassidy, J. D., … Lacerte, M. (2019). Non-pharmacological management of persistent headaches associated with neck pain: A clinical practice guideline from the Ontario protocol for traffic injury management (OPTIMa) collaboration. European journal of pain (London, England), 23(6), 1051–1070. https://doi.org/10.1002/ejp.1374
Houle, M., Lessard, A., Marineau-Bélanger, É., Lardon, A., Marchand, A. A., Descarreaux, M., & Abboud, J. (2021). Factors associated with headache and neck pain among telecommuters – a five days follow-up. BMC Public Health, 21(1), 1086. https://doi.org/10.1186/s12889-021-11144-6
Langner, S., Fleck, S., Baldauf, J., Mensel, B., Kühn, J. P., & Kirsch, M. (2017). Diagnosis and Differential Diagnosis of Hydrocephalus in Adults. Diagnostik und Differenzialdiagnostik des Hydrozephalus beim Erwachsenen. RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin, 189(8), 728–739. https://doi.org/10.1055/s-0043-108550
Petersen, S. M., Jull, G. A., & Learman, K. E. (2019). Self-reported sinus headaches are associated with neck pain and cervical musculoskeletal dysfunction: a preliminary observational case-control study. The Journal of manual & manipulative therapy, 27(4), 245–252. https://doi.org/10.1080/10669817.2019.1572987
What type of concussion tests are there to help establish the extent of head injuries and help assess improvement during recovery?
Concussion Tests
A concussion is a temporary change in brain function that occurs from a traumatic brain injury or TBI. It can cause problems with thinking and mood and can take weeks to years to heal. Concussion tests are done after a suspected head injury and are also used after diagnosis to assess healing progress. They are noninvasive tests that measure brain functions. Several tests vary in how they are given and what they measure.
Tests
A mild or moderate traumatic brain injury can cause damage to the brain that is not detectable with brain imaging tests. However, the damage can cause serious symptoms, including headaches, emotional changes, difficulty concentrating, and memory problems. (Haider M. N. et al., 2021) The effects of a concussion can be hard to describe, but concussion testing can help identify and quantify these changes. For individuals who don’t have time to heal or experience further brain injuries while recovering, the effects can be prolonged and worsen. This is one reason why concussion testing is vital to get a diagnosis and follow medical recommendations to avoid further injury to the brain. Diagnosis can help set goals, adjust, and assess how the effects improve over time. With improvement, individuals can participate in rehabilitation and follow their doctor’s instructions for gradually returning to work, school, and other activities.
Measurements
Concussion tests can measure subtle aspects of brain function, like visual or auditory perception and response speed (Joyce A. S. et al., 2015). The damage sustained can impair these abilities, like slow decision-making. A traumatic brain injury can be associated with serious injuries, like a skull fracture, swelling, bruise, or bleeding in the brain. These injuries can be detected with imaging tests and often require surgery or other interventions. Brain damage from bleeding or swelling would cause focal neurological symptoms and signs, including partial vision loss, numbness, and weakness. Individuals can have a concussion along with detectable brain injuries or in the absence of detectable brain injuries.
Types of Tests
There are several types of concussion tests. Individuals may have one or more of these, depending on the standard test that is used in their school, sports league, or by their doctor. These can include:
Online Checklists
Several different online checklists are available for concussion screening.
These tests may include questions about symptoms and are often used as self-tests but are not intended to replace an evaluation by a medical professional.
Baseline and Post-Injury Tests
Many schools and sports leagues conduct preseason skill measurements, including memory tests or tests of speed and accuracy, either in an interview form or with computer testing.
Individuals might be asked to retake the test that is used as a comparison if they have experienced a traumatic brain injury.
Standardized Assessment of Concussion – SAC
This five-minute test can be done on the sidelines after a sports injury or later.
It evaluates orientation, immediate memory, neurologic function, concentration, and delayed recall. (Kaufman M. W. et al., 2021)
King-Devick Concussion Test
This two-minute test can be performed on the sidelines after a sports injury or later to assess language, eye movement, and attention. (Krause D. A. et al., 2022)
Post-Concussion Symptom Scale
This test includes 22 questions involving neurocognitive factors, including difficulty concentrating or remembering, physical symptoms like headaches and dizziness, and emotional symptoms like sadness or irritability. (Langevin P. et al., 2022)
Sport Concussion Assessment Tool – SCAT
This test includes an on-field assessment noting concussion symptoms, memory assessment using Maddocks questions (a short list of specific questions), Glasgow Coma Scale (GCS), and cervical spine assessment.
An off-field assessment involves the evaluation of cognitive, neurological, balance, and delayed recall. (Kaufman M. W. et al., 2021)
Buffalo Concussion Physical Examination – BCPE
A modified physical examination that assesses neck tenderness and range of motion, head, jaw, and face abnormalities, eye movements examination, and coordination. (Haider M. N. et al., 2021)
After a concussion, individuals will also have a physical examination, including a full neurological examination, in a doctor’s office.
Results
A doctor will diagnose based on symptoms, physical examination, and concussion test results. For example, for individuals who have broken several bones and are taking powerful pain medications, concussion test results can be abnormal even if they did not experience a concussion. The results of concussion testing can be compared with results before the head injury. Often, baseline testing is required for participation in certain sports leagues at professional and amateur levels. A low score can indicate that head injury has impaired brain function. Sometimes, testing can be done within a few hours of the head trauma and then again a few days later. Responses of individuals who did not have measurements taken before a head injury can be compared with the average results of people their age.
Injury Medical Chiropractic and Functional Medicine Clinic
Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.
Lumbar Spine Injuries in Sports: Chiropractic Healing
References
Haider, M. N., Cunningham, A., Darling, S., Suffoletto, H. N., Freitas, M. S., Jain, R. K., Willer, B., & Leddy, J. J. (2021). Derivation of the Buffalo Concussion Physical Examination risk of delayed recovery (RDR) score to identify children at risk for persistent postconcussive symptoms. British journal of sports medicine, 55(24), 1427–1433. https://doi.org/10.1136/bjsports-2020-103690
Joyce, A. S., Labella, C. R., Carl, R. L., Lai, J. S., & Zelko, F. A. (2015). The Postconcussion Symptom Scale: utility of a three-factor structure. Medicine and science in sports and exercise, 47(6), 1119–1123. https://doi.org/10.1249/MSS.0000000000000534
Kaufman, M. W., Su, C. A., Trivedi, N. N., Lee, M. K., Nelson, G. B., Cupp, S. A., & Voos, J. E. (2021). The Current Status of Concussion Assessment Scales: A Critical Analysis Review. JBJS reviews, 9(6), e20.00108. https://doi.org/10.2106/JBJS.RVW.20.00108
Krause, D. A., Hollman, J. H., Breuer, L. T., & Stuart, M. J. (2022). Validity Indices of the King-Devick Concussion Test in Hockey Players. Clinical journal of sport medicine: official journal of the Canadian Academy of Sport Medicine, 32(3), e313–e315. https://doi.org/10.1097/JSM.0000000000000938
Langevin, P., Frémont, P., Fait, P., & Roy, J. S. (2022). Responsiveness of the Post-Concussion Symptom Scale to Monitor Clinical Recovery After Concussion or Mild Traumatic Brain Injury. Orthopaedic journal of sports medicine, 10(10), 23259671221127049. https://doi.org/10.1177/23259671221127049
For individuals dealing with headaches, can utilizing self-care techniques help ease symptoms?
Headaches Self Care
There are different self-pain-relieving approaches to ease headache-related pain that use non-medication options. While headache self-care pain-relieving techniques can help temporarily, they are recommended to help ease headache symptoms until professional treatment is available. Individuals are encouraged to try multiple strategies to find the right treatment regimen that works for them, which is usually a process of trial and error. Self-care headache relief maneuvers can include temple massages, breathing exercises, exercise, or applying a cold pack to the head.
Self-Care Relief
Commonly used for tension headaches or migraine, a few examples of self-care techniques include (Espí-López G. V. et al., 2016)
Massaging the temples, neck, or scalp with the hand, fingers, or a massage tool.
Applying a cold pack to the affected area.
Heat can be used on the affected area, like a headband or a hot shower.
Compression such as a handkerchief or belt wrapped tightly around the head or pressing firmly on the painful area.
Compression is more commonly utilized in migraineurs versus scalp massage in people with tension headaches. This is often due to the throbbing sensation caused by a migraine versus a tension headache, which feels like a tight grip or band around the head.
Individuals with cluster headaches are more likely to utilize unique approaches, such as covering one ear, rotating the head, shallow breathing, moving around, or closing the nostril on the same side as the head pain.
Various scientific studies support the potential benefit of these complementary therapies. However, individuals should talk with a healthcare provider to choose the best strategy for their headache type and their unique needs/goals. Working with a chiropractic team can help expedite healing. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop a customized treatment plan through an integrated approach to treating injuries and chronic pain syndromes, improving flexibility, mobility, and agility, relieving pain, and helping individuals return to normal activities. If other treatments are needed, Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, and rehabilitation providers to provide the most effective treatments.
Tension Headaches and Chiropractic Care
References
Espí-López, G. V., Zurriaga-Llorens, R., Monzani, L., & Falla, D. (2016). The effect of manipulation plus massage therapy versus massage therapy alone in people with tension-type headache. A randomized controlled clinical trial. European journal of physical and rehabilitation medicine, 52(5), 606–617.
Millstine, D., Chen, C. Y., & Bauer, B. (2017). Complementary and integrative medicine in the management of headache. BMJ (Clinical research ed.), 357, j1805. https://doi.org/10.1136/bmj.j1805
For individuals who suffer from migraine headaches, can incorporating physical therapy help decrease pain, improve mobility, and manage future attacks?
Migraine Physical Therapy
Cervicogenic migraine headaches can cause pain, limited motion, or confusing symptoms like dizziness or nausea. They may originate from the neck or cervical spine and be called cervicogenic headaches. A chiropractic physical therapy team can assess the spine and offer treatments that help improve mobility and decrease pain. Individuals may benefit from working with a migraine physical therapy team to perform treatments for specific conditions, quickly and safely relieving pain and returning to their previous level of activity.
Cervical Spine Anatomy
The neck is comprised of seven stacked cervical vertebrae. The cervical vertebrae protect the spinal cord and allow the neck to move through:
Flexion
Extension
Rotation
Side bending
The upper cervical vertebrae help support the skull. There are joints on either side of the cervical level. One connects to the back of the skull and allows motion. This suboccipital area is home to several muscles that support and move the head, with nerves that travel from the neck through the suboccipital area into the head. The nerves and muscles in this area may be a source of neck pain and/or headaches.
Symptoms
Sudden motions can trigger symptoms of cervicogenic migraine, or they may come on during sustained neck postures. (Page P. 2011) The symptoms are often dull and non-throbbing and may last several hours to days. Symptoms of cervicogenic migraine headache may include:
Pain on both sides of the back of the head.
Pain in the back of the head that radiates to one shoulder.
Pain on one side of the upper neck that radiates to the temple, forehead, or eye.
Pain in one side of the face or cheek.
Reduced range of motion in the neck.
Sensitivity to light or sound
Nausea
Dizziness or vertigo
Diagnosis
Tools a physician may use may include:
X-ray
MRI
CT scan
Physical examination includes neck range of motion and palpation of the neck and skull.
When first visiting a physical therapist, they will go through medical history and conditions, and questions will be asked about the onset of pain, symptom behavior, medications, and diagnostic studies. The therapist will also ask about previous treatments and review medical and surgical history. Components of the evaluation may include:
Palpation of the neck and skull
Measures of neck range of motion
Strength measurements
Postural assessment
Once the evaluation is completed, the therapist will work with the individual to develop a personalized treatment program and rehabilitation goals. Various treatments are available.
Exercise
Exercises to improve neck motion and decrease pressure on cervical nerves may be prescribed and may include. (Park, S. K. et al., 2017)
Cervical rotation
Cervical flexion
Cervical side bending
Cervical retraction
The therapist will train the individual to move slowly and steadily and avoid sudden or jerky movements.
Postural Correction
If forward head posture is present, the upper cervical spine and the suboccipital area could compress the nerves that travel up the back of the skull. Correcting posture may be an effective strategy for treatment and can include:
Performing targeted postural exercises.
Utilizing a supportive neck pillow for sleep.
Using a lumbar support when sitting.
Kinesiology taping may help increase tactile awareness of back and neck position and improve overall postural awareness.
Heat/Ice
Heat or ice may be applied to the neck and skull to help decrease pain and inflammation.
Heat can help relax tight muscles and improve circulation and may be used before performing neck stretches.
Massage
If tight muscles are limiting neck motion and causing head pain, a massage can help improve mobility.
A special technique called suboccipital release loosens the muscles that attach the skull to the neck for improved motion and decreased nerve irritation.
Manual and Mechanical Traction
Part of the migraine physical therapy plan may involve mechanical or manual traction to decompress the neck’s discs and joints, improve motion in the neck, and decrease pain.
Joint mobilizations may be used to improve neck motion and manage pain. (Paquin, J. P. 2021)
Electrical Stimulation
Electrical stimulation, like electro-acupuncture or transcutaneous neuromuscular electrical stimulation, may be used on the neck muscles to decrease pain and improve headache symptoms.
Therapy Duration
Most migraine physical therapy sessions for cervicogenic headaches last about four to six weeks. Individuals may experience relief within a few days of starting therapy, or symptoms may come and go in different phases for weeks. Some experience continued migraine headache pain for months after starting treatment and use techniques they learned to help control symptoms.
Injury Medical Chiropractic and Functional Medicine Clinic specializes in progressive therapies and functional rehabilitation procedures focused on restoring normal body functions after trauma and soft tissue injuries. We use Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility and mobility Fitness Training, and Rehabilitation Systems for all ages. Our natural programs use the body’s ability to achieve specific measured goals. We have teamed up with the city’s premier doctors, therapists, and trainers to provide high-quality treatments that empower our patients to maintain the healthiest way of living and live a functional life with more energy, a positive attitude, better sleep, and less pain.
Chiropractic Care For Migraines
References
Page P. (2011). Cervicogenic headaches: an evidence-led approach to clinical management. International journal of sports physical therapy, 6(3), 254–266.
Headache Classification Committee of the International Headache Society (IHS) (2013). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia : an international journal of headache, 33(9), 629–808. https://doi.org/10.1177/0333102413485658
Rana M. V. (2013). Managing and treating headache of cervicogenic origin. The Medical clinics of North America, 97(2), 267–280. https://doi.org/10.1016/j.mcna.2012.11.003
Park, S. K., Yang, D. J., Kim, J. H., Kang, D. H., Park, S. H., & Yoon, J. H. (2017). Effects of cervical stretching and cranio-cervical flexion exercises on cervical muscle characteristics and posture of patients with cervicogenic headache. Journal of physical therapy science, 29(10), 1836–1840. https://doi.org/10.1589/jpts.29.1836
Paquin, J. P., Tousignant-Laflamme, Y., & Dumas, J. P. (2021). Effects of SNAG mobilization combined with a self-SNAG home-exercise for the treatment of cervicogenic headache: a pilot study. The Journal of manual & manipulative therapy, 29(4), 244–254. https://doi.org/10.1080/10669817.2020.1864960
For individuals suffering from neck pain and headaches, can craniosacral head massage therapy help provide relief?
Craniosacral Therapy
Craniosacral therapy is a gentle massage to release fascia or connective tissue network tension. The therapy is not new but has gained new attention because of the public interest in natural pain treatments and therapies. Studies are limited, but clinical research is ongoing to see if the therapy can become a mainstream treatment option. The therapy aims to alleviate the symptoms of various health ailments and conditions, including:
By relieving compression in the lower back, head, and spinal column, cerebrospinal fluid circulation is restored, and the body rhythms within the nervous system are reset. This provides pain relief, lowers stress, and improves overall well-being.
The focus areas are those along the fascia, the connective tissue that holds organs, blood vessels, bones, nerve fibers, and muscles in place. By working this tissue through gentle-pressure massage, practitioners help to calm the fight-or-flight response by relaxing the sympathetic nervous system. The symptoms will determine what areas of the body necessitate craniosacral therapy. Individuals with headaches will be given a head or neck massage. Other areas involved in craniosacral therapy include: (Heidemarie Haller, Gustav Dobos, and Holger Cramer, 2021)
Back
Around the spinal column.
Other areas like the joints or muscles.
The pressure applied during craniosacral therapy is light and not the same as a deep tissue massage.
The parasympathetic and sympathetic nervous systems control various body responses.
The parasympathetic nervous system supports proper rest and digestive functions, and the sympathetic nervous system regulates the body’s fight-or-flight response. (Cleveland Clinic. 2022)
Therapy Techniques
The massage techniques used in craniosacral therapy rely on low pressure intended to be as gentle as possible. The fingertips are often used to avoid applying too much pressure. Healthcare providers work the areas between the skull and the bottom of the spine to identify and reset imbalances within the body and the cerebrospinal fluid. If there is an imbalance in cerebrospinal fluid, the massage therapist will reposition the individual or press on the area to release and/or increase circulation. The techniques work to improve the body’s ability to regulate physiological responses. (Heidemarie Haller et al., 2019) During and after the session, individuals may experience different sensations, including: (Biodynamic Craniosacral Therapy Association of North America, 2024)
Relaxation.
Feeling like being in a meditative state.
Sleepiness.
Energized.
Feeling a sense of warmth.
Deeper breathing.
Feeling the body is straighter and taller.
Individuals Who Should Not Receive Craniosacral Therapy
Craniosacral therapy is considered safe; however, some individuals should avoid it or consult a healthcare provider before trying it. Those recommended not to receive the treatment include individuals with the following ailments or disorders:
Concussion or other traumatic brain injuries.
Blood clots.
Brain swelling.
Brain aneurysm – a blood-filled bulge in a blood vessel in or around the brain.
Conditions that cause cerebrospinal fluid buildup.
Treatment
Craniosacral therapy is offered by several healthcare providers, including:
Craniosacral therapy licensed massage therapists
Physical therapists
Occupational therapists
Osteopaths
Chiropractors
These professionals know how to perform the massage technique correctly.
Tension Headaches
References
Haller, H., Lauche, R., Sundberg, T., Dobos, G., & Cramer, H. (2019). Craniosacral therapy for chronic pain: a systematic review and meta-analysis of randomized controlled trials. BMC musculoskeletal disorders, 21(1), 1. https://doi.org/10.1186/s12891-019-3017-y
Haller, H., Dobos, G., & Cramer, H. (2021). The use and benefits of Craniosacral Therapy in primary health care: A prospective cohort study. Complementary therapies in medicine, 58, 102702. https://doi.org/10.1016/j.ctim.2021.102702
Biodynamic Craniosacral Therapy Association of North America. (2024). What is a session like? https://www.craniosacraltherapy.org/what-is-a-session-like-
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
