Weeks 1–2
Pain
Calm the pain down.
Hands-on techniques release the tight muscles at the base of your skull and calm the irritated joints referring pain forward, starting your very first visit.
What We Treat
The tight band that wraps across your forehead by 3pm. The dull ache that starts at the base of your skull and climbs. If it starts in your neck, it can be treated at the source, not just masked with another pill.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
Not every headache starts in your head. Tension-type and cervicogenic headaches, the kind that build gradually rather than strike suddenly, are usually driven by a mix of stiff upper neck joints referring pain forward, tight muscles at the base of the skull, and postural strain that keeps the whole system on edge.
That’s why over-the-counter medication only buys you a few hours: it quiets the pain signal without touching the neck mechanics behind it. A cause-first evaluation checks your neck, posture, and muscle patterns to find what’s actually triggering your headaches, then treats that directly.
You’re the one who pushes through it because dinner still needs to happen and homework still needs checking. Taking care of everyone else has always come first. This is where you finally put yourself on that list too.
The Honest Truth
Nobody regrets starting too early. Every week, someone in our clinic says they regret waiting.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like for tension and cervicogenic headaches.
Weeks 1–2
Pain
Hands-on techniques release the tight muscles at the base of your skull and calm the irritated joints referring pain forward, starting your very first visit.
Weeks 2–6
Prime
Targeted mobility work restores normal glide in the upper neck joints most linked to headache triggers.
Weeks 6–10
Perform
Progressive strengthening for your neck and upper back builds the postural endurance that was missing before the headaches started.
Weeks 10+
Prevent
Workstation setup and daily habits get tested under real conditions before you’re cleared to go all-in: that’s the endpoint, not just another appointment.
Great team of professionals and kind office staff.
Shared by Newton F. · Mid-County PT
Before: wary of another provider that wouldn’t actually listen
After: “A great team of professionals,” in his own words
Questions, Answered
When a headache is tension-type or cervicogenic, meaning it starts in the neck and refers pain forward, physical therapy addresses the actual driver rather than just numbing the pain. A hands-on evaluation checks whether your neck is contributing before we build a plan around it.
Tension and cervicogenic headaches usually build gradually, feel like a band or ache rather than a throb, and often trace back to a specific spot in the neck. Migraines tend to have their own pattern of triggers and symptoms. Part of your evaluation is sorting out which pattern fits so you get the right approach, and a referral if something else is going on.
A full plan for headaches runs through all four phases, Pain, Prime, Perform, and Prevent, typically over 6–10 weeks, depending on how long the pattern has been building. Either way, you get a plan with an endpoint: you’ll always know which phase you’re in and what’s left, not an open-ended string of appointments.
Book Your Visit
Request a time and a real person calls you back, usually within two business hours. No phone tree. No ‘someone will reach out.’ Just a plan.
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Typical response: under 2 business hours
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time. Most people are on the schedule same week.
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