In your first session I will take the time to hear your unique headache journey.  We will delve into your medical history, your headache history, your symptoms, the pattern of your pain, your triggers and any other symptoms unique to your headache. 

 

You will then undergo a precise and controlled assessment of the upper joints in your spine to determine if any of the top three joints in your neck are involved in your headache presentation.   This session should take about an hour.   If we do find that your neck is involved in your headache presentation, the session will also include an initial treatment.  We will then discuss your case and plan a treatment strategy. 

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In your follow up sessions not only will we continue to work on the joints that may be driving your headaches, we may introduce some postural strategies. Strength, flexibility and proprioceptive deficits may also be further assessed and exercises or advice provided to address these if contributing to your symptoms.

 

After 4 or 5 sessions you should be experiencing a measurable reduction in your headaches as well as the symptoms you get with them.  If ongoing treatment is needed, it should be needed less frequently, with the goal of self management.  If there has not been any significant improvement by then, we will discuss alternative strategies and I will assist you with a way forward in consultation with your GP.

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