Headaches and Migraines
Headaches and Migraines: Osteopathic Evaluation and Treatment
Headaches and migraines are among the most frequently reported neurological complaints, affecting individuals across all age groups and professions. For many, these conditions can be persistent, debilitating, and resistant to conventional therapies. At a practice specializing in Osteopathic Neuromusculoskeletal Medicine, we approach headaches and migraines through a comprehensive evaluation of the body’s structural and functional relationships, providing tailored, hands-on care designed to address the underlying causes of pain.
Understanding Headaches and Migraines
Headaches and migraines differ in severity, duration, and underlying mechanisms. Headaches most often present as generalized pressure, tightness, or aching around the scalp, temples, or neck. Migraines, by contrast, are typically characterized by moderate to severe pulsating pain that may be accompanied by nausea, visual disturbances, light sensitivity, and cognitive fog. Both headaches and migraines can significantly disrupt concentration, productivity, and overall wellbeing if left unmanaged.
Common Causes and Contributing Factors
There is no single cause of headaches and migraines; rather, they often arise from a combination of musculoskeletal, vascular, neurological, and lifestyle factors. Common contributors include:
Muscular tension or joint restriction in the neck, back, or cranial bones including the jaw.
Postural imbalance or repetitive strain associated with desk work or device use.
History of whiplash or head injury.
Female hormonal fluctuations.
Stress, fatigue, or sleep disturbances.
Dehydration, dietary triggers, or environmental sensitivities.
When muscles and joint mechanics become imbalanced, they can irritate local nerves and blood vessels, perpetuating cycles of pain that lead to recurrent headaches and migraines.
Who Is Affected
Headaches and migraines affect a broad segment of the population, from teenagers under academic stress to adults managing demanding workloads. While anyone may experience these conditions, migraines are statistically more common during periods of hormonal change in females. Individuals with a history of injury to the head, neck, shoulder or back or with chronic postural strain are also at higher risk for recurrent headaches and migraines.
The Role of Osteopathic Neuromusculoskeletal Medicine
Osteopathic Neuromusculoskeletal Medicine offers a unique and evidence-informed approach to evaluating and managing headaches and migraines. An Osteopathic Physician (DO) trained in this specialty utilizes a detailed physical examination to assess posture, joint mobility, muscular tone, and the function of the nervous system. Through gentle, precise, hands-on techniques—such as soft tissue manipulation, muscle energy treatment, and cranial Osteopathic methods—the goal is to relieve tension and restriction in order to enhance overall neuromusculoskeletal function.
By improving circulation, relieving mechanical stress, and optimizing the body’s self-regulatory mechanisms, Osteopathic treatment can significantly reduce the frequency and intensity of headaches and migraines. Rather than masking symptoms with medication, this approach identifies and addresses the structural and functional sources contributing to discomfort.
Seeking Care for Persistent Symptoms
When headaches and migraines continue despite medication or lifestyle changes, a comprehensive Osteopathic evaluation may provide critical insights. Early intervention helps prevent chronic pain patterns and supports long-term recovery. Patients who receive consistent Osteopathic care often experience improved posture, reduced muscle tension, and fewer flare-ups over time.
Our practice specializes in diagnosing and treating headaches and migraines with a patient-centered, biomechanical approach, ensuring treatment plans are customized to each individual’s needs. If you experience frequent or severe headaches and migraines, we encourage you to schedule a consultation with Dr. Levi. Through structural evaluation and hands-on treatment, our goal is to help you achieve lasting relief and improved quality of life.

