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Headache & Migraine Care in Portland & Hood River

Many headaches are linked to tension and stiffness in the neck and upper back. Chiropractic care may help tension-type and cervicogenic (neck-related) headaches and may be part of a migraine management plan. ALVIS Chiropractic offers headache care at both our Portland and Hood River clinics.

Medically reviewed by Dr. Andrew Alvis, D.C. · Last reviewed

Woman in her mid-30s on the sofa with eyes closed, pressing her fingertips to her temples

What is headaches & migraines?

Headaches come in several types. Tension-type headaches feel like a band of pressure around the head. Cervicogenic headaches start in the neck and are felt in the head, often on one side. Migraines are a neurological condition with throbbing pain, often with nausea and sensitivity to light or sound, and sometimes an aura.

Chiropractic care focuses on the musculoskeletal contributors — neck joints, muscles and posture — that can trigger or worsen tension-type and cervicogenic headaches, and sometimes migraines.

Medical illustration of the skull and upper neck with the muscles at the base of the skull highlighted and pain radiating to the temple
Illustration: neck muscles linked to tension-type headaches

Common symptoms of headaches & migraines

  • Pressure or tightness around the forehead, temples or back of the head
  • Headache that starts at the base of the skull and spreads forward
  • Neck stiffness or reduced motion with headaches
  • One-sided head pain made worse by neck movement or posture
  • With migraine: throbbing pain, nausea, light or sound sensitivity

What causes headaches & migraines?

Tension-type and cervicogenic headaches are commonly linked to sustained screen posture, neck joint stiffness, tight upper-shoulder muscles, stress, poor sleep and jaw clenching. Migraine triggers vary but often include stress, sleep changes, hormonal shifts, skipped meals, dehydration, certain foods and bright light.

When should you see a doctor right away?

Most headaches & migraines is not an emergency, but some symptoms need immediate medical care. Call 911 or go to the nearest emergency room — rather than booking a chiropractic visit — if you have any of the following:

  • A sudden, severe "thunderclap" headache — the worst of your life
  • Headache with weakness, numbness, confusion, trouble speaking or vision loss
  • Headache with fever and a stiff neck
  • Headache after a head injury
  • A new headache pattern after age 50, or headaches that steadily worsen

How chiropractic care may help headaches & migraines

For tension-type and cervicogenic headaches, your doctor looks for neck joint restrictions, muscle tension and posture habits that may be contributing. Care may include gentle chiropractic adjustments to the neck and upper back, posture and workstation advice, and simple exercises. Wellness visits can help some people keep headache frequency down.

For migraines, chiropractic care may help address neck tension that can accompany or trigger attacks. It doesn't replace care from your physician or neurologist.

Services used for headaches & migraines:

What to expect at ALVIS

Care for headaches & migraines at ALVIS Chiropractic follows three simple steps, starting with a free consultation. Nothing is decided until the doctor has heard your story and examined you, and there's no obligation to begin care.

  1. 1Free consultation: tell the doctor about your headaches & migraines — when it started, what makes it better or worse, and your goals.
  2. 2Exam: a hands-on chiropractic exam, with X-rays or other imaging reviewed or referred if needed, to identify the likely source and rule out red flags.
  3. 3Personalized plan: the doctor explains the findings and recommends a plan, which may include chiropractic care, StemWave, home exercises or — in Portland — spinal decompression, or a referral if another provider is a better fit.

At-home tips while you heal

These general tips are safe for most people. Stop anything that clearly worsens your symptoms and ask your doctor what's right for you.

  • Keep a headache diary to spot triggers such as sleep, meals or screen time.
  • Stay hydrated and avoid skipping meals.
  • Raise your screen to eye level and take regular breaks.
  • Try gentle neck stretches and relaxing your jaw and shoulders through the day.

Headaches & Migraines treatment at our locations

Results vary. This page is for education and is not a substitute for a medical evaluation. Healthcare disclaimer.

Headaches & Migraines FAQ

Can a chiropractor help with headaches?

Chiropractic care may help tension-type and cervicogenic headaches, which are often linked to neck stiffness and posture. Your doctor uses gentle adjustments, posture advice and exercises. It's not right for every headache, so your doctor will screen for warning signs and refer you when needed.

Can chiropractic cure migraines?

No. Chiropractic care doesn't cure migraines, which are a neurological condition. For some people, care that addresses neck tension and posture may help as part of a broader migraine plan alongside their physician or neurologist. Results vary.

What is a cervicogenic headache?

A cervicogenic headache is head pain that originates in the neck — from joints, discs or muscles in the upper cervical spine. It's usually one-sided, starts at the back of the head and is often made worse by neck movement or sustained posture.

When should I worry about a headache?

Seek emergency care for a sudden, severe thunderclap headache, a headache with weakness, numbness, confusion, vision loss or trouble speaking, a headache with fever and stiff neck, or after a head injury. New headache patterns after 50 also need medical evaluation.

How can I prevent tension headaches?

Regular sleep, hydration, movement breaks from screens, good workstation setup and managing stress can help prevent tension headaches. Gentle neck and shoulder exercises may help too. Some people also find periodic chiropractic wellness visits helpful.

Last updated . Educational information, not medical advice; individual results vary. Healthcare disclaimer.

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