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Chiropractor for headaches

What a chiropractor can and can't do for headaches & migraines, warning signs that need a medical doctor, and questions to ask before you book.

What the evidence says

Some headaches start in the neck (cervicogenic headaches). NCCIH reports that spinal manipulation may help some people with this type of headache, while evidence for migraine is limited (NCCIH).

See a medical doctor or call 911 first if you have:

The worst headache of your life, a headache with fever and stiff neck, confusion, or a headache after a head injury.

What happens at the first visit

Expect a health history, a physical exam focused on your spine and joints, and a discussion of a treatment plan. X-rays aren't needed for most people with uncomplicated pain. Ask why if they're recommended.

Questions to ask

Keep a headache diary

Before your visit, note when headaches start, how long they last, what you were doing and anything that helps. It helps any clinician tell neck-related headaches apart from migraine or tension-type headache.

What treatment may involve

Care for neck-related headaches can include manipulation or mobilization of the upper neck, soft-tissue work and posture or strengthening exercises. Ask how progress will be measured, for example fewer headache days.

When a chiropractor is not the right first stop

New headaches after age 50, headaches that change pattern, or headaches with neurological symptoms should be checked by a medical doctor first.

This page is general information, not medical advice. Medical review: a licensed reviewer slot is reserved; this page has not yet been reviewed by a licensed clinician. Last checked 21 Oct 2026.