
Pain & Conditions
Headaches & Migraines

Many headaches originate not in the head itself but in the neck and upper spine. Tension and restricted movement in the neck and upper back can contribute to headaches that start there. Our exam looks at whether the joints and muscles of the neck and upper back are part of your headache pattern. Headaches are also one of the most common complaints following auto accidents and whiplash injuries.
Headaches get talked about as one thing, and they're not. Some belong with your doctor. Some are mechanical, driven by the joints and muscles of the neck and upper back, and those are the ones a chiropractic exam is built to look at. The most common version we see in our Wells Branch office starts low, at the base of the skull, and creeps forward toward a temple or behind an eye. It's usually worse on one side, usually worse after a long stretch of holding your head in one position, and a stiff neck tends to come along with it. What that pattern means is simple enough: the pain shows up in your head while the source sits a few inches lower.
Tension headaches, the kind that feel like a band tightening around your whole head, often have a similar story in the neck and shoulders. Here's the honest boundary, though, because headache advice online is full of promises nobody can keep. We don't treat migraines. Migraine is a medical condition your doctor manages, and it deserves that kind of care. What's true, and much less dramatic, is that plenty of people who live with headaches of any kind also carry real stiffness and muscle tension in the neck and upper back. An exam can tell you whether there's a meaningful neck component to what you're feeling. If there is, it can be worked on alongside whatever your doctor is doing rather than instead of it. If there isn't, you should know that too, and we'll tell you.
So a first visit is mostly about sorting out what kind of headache you're dealing with. Dr. Shelly Hogan and Dr. Nicole Edwards will ask when the headaches started, where in your head they begin, how long they last, what tends to bring one on, and what you've already tried. Then they look at the neck: how far it turns and tilts, which parts are moving poorly, where the muscles at the base of the skull and across the shoulders are tender, and how you carry your head at rest. Your desk and your habits get a look as well, because in a screen-heavy part of North Austin they're one of the most common things we find. You'll get a plain explanation of what turned up before anything is decided.
If the exam points to the neck, care generally involves adjustments to the joints that are moving poorly, hands-on work for the muscles that refer pain upward, and specific changes to how you sit and where your screen lives, so the pattern isn't simply rebuilt each week. Keeping a short record of when headaches hit and what you were doing beforehand is genuinely useful, and we'll ask about it. Our office is at 3407 Wells Branch Pkwy, Suite 625, in Wells Branch, North Austin, with parking right at the door, and Rosamaria on our team speaks fluent Spanish. Book online or call (512) 255-1777.
Headache Patterns We Examine For
- Tension headaches from muscle tightness and stress
- Cervicogenic headaches originating from the neck
- Headaches that begin in the neck or upper back
- Post-traumatic headaches following auto accidents
- Headaches that worsen with posture or screen time
Symptoms You May Experience
- Dull, pressure-like pain around the forehead or temples
- Pain that starts at the base of the skull and radiates forward
- Sensitivity to light, sound, or movement
- Nausea or visual disturbances with migraines
- Headaches that worsen with prolonged screen time or poor posture
- Recurring headaches after a car accident or injury
Our Approach
- Gentle neck adjustments
- Soft tissue therapy to relieve muscle tension
- Posture correction and ergonomic recommendations
- Trigger point therapy
- Lifestyle and stress management guidance
Common Questions
Can a chiropractor help with headaches?
It depends on what's behind them, which is why the exam comes first. Where a headache has a clear neck component, stiff joints, tight muscles, and posture are things chiropractic care is built to work on. Where the headache is a medical condition, that belongs with your doctor. We're not going to promise you a result before anyone has looked at your neck.
Do you treat migraines?
No. Migraine is a medical condition your doctor diagnoses and manages, and we wouldn't claim an adjustment treats it. What we can look at is whether you also have neck stiffness and muscle tension adding to your head and neck pain, which is common. That work sits alongside your medical care, never in place of it.
How do I know if my headache is coming from my neck?
The typical pattern starts at the base of the skull, tends to stay on one side, moves forward toward the temple or behind the eye, and gets worse with certain neck positions or after a long stretch at a screen. A stiff neck usually shows up with it. None of that settles it on its own, which is what the exam of neck movement, tender spots, and posture is for.
What happens at a first visit for headaches?
We take a detailed history of your headache pattern, then look at the neck and upper back: how far it moves, where it's stuck, tender muscles at the base of the skull and across the shoulders, posture, and how you hold your head. You'll hear what we found in plain language before anything is decided. Plan on about 45 minutes to an hour.
I get headaches after long days at the computer. Is that connected?
Often, yes. Hours with your head out in front of your shoulders load the joints and muscles at the top of the neck, and that area can refer pain up into the head. It's one of the most common patterns we see in North Austin. Part of the visit is looking at your workstation, because working on the neck without changing what keeps loading it tends to be a short-lived fix.
How soon can I get in?
Usually quickly. We're open mornings and afternoons Monday through Thursday and mornings on Friday, and we hold time for people who need to be seen soon. Call (512) 255-1777 and tell whoever answers what's going on, and they'll find you the earliest appointment that fits your week.
How often would I need to come in?
That comes out of the exam, not out of a package decided in advance. Care is usually more frequent at the start and eases off as things settle, and we check in as we go. If the headaches aren't responding the way we expected, that's a reason to change the approach or reconsider whether the neck is really the driver, and we'll say so.
Do I need a referral, and do you take insurance?
No referral is needed in Texas, so you can book yourself online or by phone. We accept most major health insurance plans and also take cash, check, and major credit cards. Coverage differs by plan, so call (512) 255-1777 before your visit and we'll check yours with you.
Where are you located, and do you speak Spanish?
Our office is at 3407 Wells Branch Pkwy, Suite 625, in Wells Branch, North Austin, with parking right at the door, and we've been caring for families in this part of town since 1989. We see people from across North Austin, Wells Branch, and Pflugerville. Rosamaria on our team speaks fluent Spanish and can help you from the front desk through your visit.

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Book Appointment (opens in new window)Related Services

Neck Pain
Adjustments and targeted therapy for posture-related, stress-induced, and whiplash neck pain.

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Specialized treatment for whiplash injuries from auto accidents, restoring neck mobility and relieving pain.
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