Migraine Headache for 41 years, disappears with a specific neck correction.

Signs and Symptoms: Throbbing migraine headache for 41 years.

Type of Trauma: Cannot recall any.

Adjustments: Specific multiple corrections over the cervical spine, guided by the CBCT scan.

Outcome: The migraine headache and the neck stiffness was resolved in 6 visits within 3 months periods.

A woman in her mid-50s came to the Headache and Neck Clinic seeking support for chronic migraine headaches she had lived with for over 40 years. Her symptoms included regular throbbing migraines often triggered by chocolate and cheese, accompanied by persistent neck stiffness. She had relied on prescribed migraine medication for years.

Although she could not recall any significant injury, her clinical presentation suggested the need for further investigation. A Cone Beam CT (CBCT) scan was recommended to gain a clearer understanding of her upper cervical spine.

There is an incomplete arcuate foramen at the lateral and anterior aspect of the Left C1 TVP, near the superior articular facet of the C1.

There is a complete arcuate foramen at the left C1 posterior arch.

There is an incomplete arcuate foramen at the right C1 posterior arch.

This is an example of the bilateral arcuate foramen at the posterior arch of C1.

The clinical significance of the arcuate foramen at C1 is that it could potentially compress or disturb the vertebral arteries mechanically, and it can affect the function of the vertebral artery. Vertebral arteries are one of the two major blood vessels that transfer the blood to the brain. Therefore if the blood supply is hindered at the place of the vertebral arteries, it can lead to a number of health issues and one of it is a headache. (Also can lead to a back pain, insomnia and more).

Also, her left C2~C4 facet joints are heavily degenerative. They were almost fused.

These findings may disturb local blood flow and nerve function at the level of the craniocervical junction—a region that plays a critical role in head and neck function.

Care Approach

After careful analysis, a course of targeted, low-force adjustments was initiated using instrument-assisted methods—no twisting or cracking was involved. The care plan was informed entirely by her imaging and examination findings.

The Outcome

• After just three visits, the patient began to notice significant relief.

• By her sixth visit, her migraines and neck stiffness had resolved.

• An unexpected bonus—her hip discomfort, previously unmentioned, also improved.

Why This Case Matters

This example highlights the value of thorough imaging and precise care planning in addressing complex or long-standing symptoms. CBCT imaging helped uncover critical details that would not have been visible on standard X-rays, allowing for a more informed and individualised care approach.

Every case is unique, and results may vary. If you're dealing with ongoing headaches or neck concerns, we’re here to help explore whether your upper neck may be playing a role.