Your Migraines Keep Coming Back. Here's Why Painkillers Are Making It Worse.
If you're managing recurring migraines with medication, you may be caught in a cycle that's keeping them going. Learn why the neck is often the real source — and what actually helps.
You know the drill. The familiar pressure builds behind one eye. You find the darkest room in the office, take two Panadol, and wait. An hour later, you’re functional again — until it comes back three days later.
If your migraines are showing up this predictably, there’s something important you should know: frequent use of painkillers can actually increase the frequency of headaches over time. It’s called medication overuse headache, and it traps a lot of people in a cycle they don’t realise they’re in.
But that’s not the main thing we want to talk about. The bigger question is — why do the migraines keep coming back in the first place?
Your Neck Is Probably Part of the Story
Not all migraines are the same. A significant portion of what people call "migraines" — especially those that start at the base of the skull, come with neck stiffness, and are triggered by poor sleep or long hours at a desk — have a strong cervicogenic component.
Cervicogenic means the pain is originating from the cervical spine (your neck), not just from inside your head.
Here’s the mechanism: the top three joints of your neck share nerve pathways with the nerves that supply your face, scalp, and forehead. When these joints are misaligned or restricted — which is extremely common in people who sit at a desk, look at a screen, or carry tension in their shoulders — the nerves in that area become sensitised and irritated.
The result is a headache that feels like it’s starting in your temples or behind your eyes, but is actually being driven by what’s happening in your neck and upper back.
Why This Matters for Your Treatment
If the source is cervicogenic, anti-inflammatory painkillers aren’t solving anything structural. They’re just turning down the volume on a signal your body keeps sending because the underlying problem hasn’t changed.
Chiropractic care addresses the specific joints in the upper cervical spine that are creating the nerve irritation. When those joints are properly aligned and moving freely, the nervous system quiets down — and for many patients, headache frequency drops significantly or resolves entirely over a course of care.
We’re not saying all migraines are a neck problem. Some are primarily hormonal, vascular, or neurological — and those need different management. But a proper assessment will tell you which category you’re in. And if there’s a structural component being missed, it’s worth knowing.
Signs Your Headaches May Have a Cervical Root
- ✓Pain starts at the base of your skull or upper neck before spreading forward
- ✓Your headaches are worse after long periods at a desk or sleeping in a bad position
- ✓Your neck feels stiff or restricted, especially on the side where the headache is
- ✓Pressing on certain spots in your neck or shoulders reproduces or worsens the headache
- ✓You’ve had a whiplash injury or any past neck trauma, even years ago
Any of these ring a bell? It’s worth getting assessed.
What We Do at ChiroPlus
We start with a thorough evaluation of your cervical spine alongside your full headache history. If the joints are contributing, we’ll identify exactly which levels are involved and develop a care plan that addresses the source — not just the symptom.
Many patients who’ve been managing migraines for years find that chiropractic care, sometimes combined with soft tissue therapy on the surrounding muscles, reduces both the frequency and severity of their episodes significantly.
If you’re tired of managing around your headaches instead of actually getting on top of them, come in for an assessment. We’re at IOI Conezion, Putrajaya.
Book online at chiropluscc.com or WhatsApp us directly.
References
- Jull G, et al. "A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache." Spine. 2002;27(17):1835-1843.
- Bogduk N, Govind J. "Cervicogenic headache: an assessment of the evidence on clinical diagnosis." The Lancet Neurology. 2009;8(10):959-968.
- Headache Classification Committee of the International Headache Society. "ICHD-3." Cephalalgia. 2018;38(1):1-211.