Migraine
Migraine-Related Neck Pain
Understanding neck pain as a primary symptom of migraine, not just a structural problem.
The Neurological Connection
Neck pain is frequently a direct symptom of migraine rather than a separate structural issue. It is driven by brainstem overactivity irritating the nerves that serve the neck, specifically the upper cervical C2/C3 and suboccipital pathways via the trigeminal nucleus.
This migraine-related neck pain may precede a headache, coincide with an attack, or persist as a dull ache between migraine events. Because the pain is generated by central nervous system sensitization, it is typically not visible on an MRI or X-ray, leading many patients to be dismissed or misdiagnosed with "just tension" or mechanical strain.
Responsive to Migraine Treatment
When neck pain is a manifestation of migraine disease, it is highly responsive to comprehensive migraine treatment. By addressing the underlying central nervous system overactivity, we can often resolve chronic neck tension that has failed traditional physical therapy or chiropractic adjustments.
Our Treatment Approach
At Creekside Physical Medicine, we evaluate your neck pain through the lens of neurology and biomechanics simultaneously.
- Osteopathic manipulative treatment (OMT) targeting the cervical spine
- Peripheral nerve blocks (e.g., occipital nerve blocks) to disrupt pain signals
- Targeted physical therapy and manual techniques
- Medication management focused on central nervous system regulation
- Vagus nerve neuromodulation to lower baseline excitability
- BOTOX® injections for chronic cervical tension and migraine
Find Relief from Migraine-Related Neck Pain
Stop treating just the muscles. Let us evaluate your neck pain in the context of your full neurological profile.