Manual therapist rotating female patient head to side while applying pressure to shoulder and forehead
Contents
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.
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
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
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.
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
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
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
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
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
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
Neurologic screen (myotomes, dermatomes, reflexes)
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
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
Weeks 0–2: Calm & restore motion
Tolerance-based cervical/upper-thoracic adjustments
Soft-tissue release (suboccipitals/SCM/scalenes/upper traps)
Gentle traction/decompression if indicated
Heat before movement; brief ice after activity spikes
Micro-breaks every 20–30 minutes; sleep/hydration reset
(Brookdale Health, n.d.; Dr. Toth Chiropractic, 2025). brookdalehealth.com+1
Weeks 2–6: Re-educate & strengthen
Deep neck-flexor endurance; scapular stability
Thoracic mobility drills; desk/driver posture coaching
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
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
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
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
Brookdale Health. (n.d.). How can chiropractic adjustments relieve tension headaches from accidents?. brookdalehealth.com
Brookdale Health. (n.d.). Auto injury treatment for headaches. brookdalehealth.com
Cascade Spine & Injury Center. (2023, August 28). Navigating the road of headaches after a car accident. Cascade Spine and Injury Center
El Paso Back Clinic. (n.d.). Headaches. El Paso Back Clinic® • 915-850-0900
El Paso Back Clinic. (2025, September 27). Chiropractic improves driving posture and health. El Paso Back Clinic® • 915-850-0900
El Paso Back Clinic. (2025, June). Chiropractic and nurse practitioner care after accidents. El Paso Back Clinic® • 915-850-0900
El Paso Chiropractic / Synergy Health Solutions. (2025, October 2). Headaches after car accidents: Chiropractic in El Paso. Synergy Chiropractic
Jimenez, A. (n.d.). Whiplash injuries. El Paso, TX Doctor Of Chiropractic
Jimenez, A. (n.d.). Headaches and treatment. El Paso, TX Doctor Of Chiropractic
North Port Chiropractic. (2025, February 3). How chiropractic care can help relieve headaches after an auto accident. northport-chiropractor.com
Premier Care Chiropractic. (2024, October 7). Chronic pain after a car accident. premiercarechiro.com
Premier Care Chiropractic. (2024, July 24). How long after a car accident should you see a chiropractor?. premiercarechiro.com
Wellness Chiropractic Care. (n.d.). Headaches after a car accident. wellnesschiropracticcare.com
Professional Scope of Practice *
The information on "Post-Accident Headaches in El Paso and Treatment" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.
Blog Information & Scope Discussions
Welcome to the wellness blog of El Paso Back Clinic, where Dr. Alex Jimenez, DC, FNP-C, a board-certified Family Practice Nurse Practitioner (FNP-C) and Chiropractor (DC), presents insights on how our team is dedicated to holistic healing and personalized care. Our practice aligns with evidence-based treatment protocols inspired by integrative medicine principles, similar to those found on dralexjimenez.com, focusing on restoring health naturally for patients of all ages.
Our areas of chiropractic practice include Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Functional Medicine Treatments, and in-scope care protocols.
Our information scope is limited to chiropractic, musculoskeletal, physical medicine, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somato-visceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and functional medicine articles, topics, and discussions.
We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.
Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.*
Our office has reasonably attempted to provide supportive citations and has identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.
We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol; therefore, to discuss the subject matter above further, please feel free to ask Dr. Alex Jimenez, DC, APRN, FNP-BC, or contact us at 915-850-0900.
We are here to help you and your family.
Blessings
Dr. Alex Jimenez, DC, MSACP, APRN, FNP-BC*, CCST, IFMCP, CFMP, ATN
email: coach@elpasofunctionalmedicine.com
Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico*
Texas DC License # TX5807
New Mexico DC License # NM-DC2182
Licensed as a Registered Nurse (RN*) in Texas & Multistate
Texas RN License # 1191402
ANCC FNP-BC: Board Certified Nurse Practitioner*
Compact Status: Multi-State License: Authorized to Practice in 40 States*
Graduate with Honors: ICHS: MSN-FNP (Family Nurse Practitioner Program)
Degree Granted. Master's in Family Practice MSN Diploma (Cum Laude)
Dr. Alex Jimenez, DC, APRN, FNP-BC*, CFMP, IFMCP, ATN, CCST
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