Understanding Migraines
As upper cervical chiropractors in Graham, Washington, we have worked with many individuals navigating the challenges that come with migraines.
Migraines are a neurological condition commonly associated with recurring, moderate to severe head pain. While often described as a “bad headache,” migraines are far more complex and can involve multiple systems in the body.
They affect a significant portion of the population—estimated at nearly 1 in 6 Americans—and have been documented throughout history for thousands of years.
Who Experiences Migraines?
Migraines can affect people of all ages, but patterns have been observed:
- They often begin during adolescence
- They may increase in frequency during middle age
- Women are more commonly affected than men
- Hormonal changes can play a role
Genetics and lifestyle factors may also influence how migraines present from person to person.
Common Migraine Symptoms
Migraine episodes can include a wide range of symptoms beyond head pain:
- Pulsating or throbbing sensation, often on one side
- Increased discomfort with physical activity
- Episodes lasting from hours to several days
- Nausea or vomiting
- Sensitivity to light, sound, or smell
- Visual or sensory disturbances (aura)
These symptoms can vary greatly between individuals and even from one episode to another.
The Four Phases of a Migraine
Migraines often progress through four stages, though not every person experiences all of them.
1. Prodrome Phase
This early stage can occur hours or even days before a migraine.
Common signs include:
- Changes in mood
- Food cravings
- Sensitivity to light or sound
- Neck stiffness
2. Aura Phase
Some individuals experience neurological changes before the headache begins.
These may include:
- Visual disturbances (flashing lights, zigzag lines)
- Tingling or numbness
- Speech or coordination difficulties
3. Headache Phase
This is the most recognizable stage.
It may involve:
- Moderate to severe head pain
- Increased sensitivity to stimuli
- Nausea and fatigue
4. Postdrome Phase
After the headache subsides, many people report lingering effects such as:
- Fatigue
- Brain fog
- Mood changes
Some describe this phase as feeling similar to a “hangover.”
Common Approaches to Migraine Management
Many individuals turn to medications for relief, including:
- Over-the-counter pain relievers
- Anti-nausea medications
- Prescription medications such as triptans or beta-blockers
These approaches are often aimed at managing symptoms during an episode or reducing frequency.
Looking at Function, Not Just Symptoms
At Advanced Spinal Care, the focus is not on treating migraines as a condition, but on evaluating how well the body is functioning—particularly the nervous system.
The upper cervical spine, including the atlas (C1) and axis (C2), plays a critical role in supporting the brainstem and facilitating communication between the brain and body.
When this area is not properly aligned, it may influence how the body coordinates and regulates itself.
A Function-Based Approach with NUCCA Care
Using the NUCCA (National Upper Cervical Chiropractic Association) technique, care is designed to:
- Precisely assess alignment at the top of the spine
- Gently restore structural balance
- Support more efficient nervous system communication
This approach is not focused on treating migraines directly, but on improving overall function so the body can operate more efficiently.
Why This Perspective Matters
When the body is functioning well:
- Communication between systems improves
- The body adapts more effectively to stress
- Regulation and coordination become more efficient
Rather than focusing solely on symptoms, this approach emphasizes the importance of the system that controls and coordinates the entire body.
Take the Next Step
If you’re looking for a different perspective—one that focuses on how your body is functioning rather than chasing symptoms—it may be time to explore NUCCA care.
At Advanced Spinal Care, we evaluate alignment and nervous system function to help you better understand how your body is operating.
Schedule a consultation today to learn more about this approach and how it supports long-term health and function.

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Dr. Craig Lapenski at Advanced Spinal Care, in Graham, Washington is one of 27 Board Certified NUCCA Doctors worldwide. His clinic serves the highest quality upper cervical care in the Pacific Northwest. Dr. Lapenski also serves a number of patients who are out of state including Alaska, Arizona, California, Hawaii, Kansas, Montana, Nevada, New York, and more! He is uniquely trained to correct problems in the upper cervical spine (upper neck). This vital area is intimately connected to the central nervous system and problems in this area have been shown to be an underlying cause of a variety of different health problems, including migraines, headaches, fibromyalgia, vertigo, neck pain, back pain, and more. More information can be found on our website at https://www.nuccawashington.com/

