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Headache Treatment in Jacksonville, FL

Headache Care at a Jacksonville Injury Clinic

East Coast Injury Clinic focuses on headaches that follow an injury and headaches that come from the neck. That includes headaches after a car crash or work injury, cervicogenic headaches referred from the upper neck, and headaches that come with a concussion. Our medical doctors (MDs) and advanced practice registered nurses (APRNs), chiropractic neurologists (chiropractors with post-graduate training in neurology), physical therapists and vestibular rehabilitation specialists evaluate the cause and work from one shared record.

What we do not do: we are not a migraine or headache specialty center. If your exam suggests migraine, cluster headache, new daily persistent headache or another condition that needs specialty medical care, we explain what we found and refer you to your primary care doctor or a neurologist. We can still help with neck and muscle problems that add to your headaches.

You can be seen at our Southside clinic on Deerwood Park Blvd or our North Jacksonville clinic on N Main St. Call (904) 513-3954 to schedule.

Headaches at a Glance

  • A cervicogenic headache is head pain referred from structures in the neck, often the joints of the upper cervical spine.
  • A sudden, severe headache that peaks within about a minute (a thunderclap headache) is a medical emergency. Call 911.
  • Headache is a common symptom after a concussion, and a concussion can happen without hitting your head.
  • Manual therapy and exercise have modest research support for cervicogenic and tension-type headaches.
  • After a car crash, Florida PIP requires initial treatment to begin within 14 days of the accident (Fla. Stat. 627.736).

Chiropractic and Physical Therapy in Jacksonville, FL

East Coast Injury Clinic is a chiropractic and injury clinic in Jacksonville, FL, providing chiropractic care and injury treatment. From auto accident injuries and spinal misalignments to chronic pain and neurological rehabilitation, our team delivers compassionate, personalized care. Our Jacksonville team is here to guide you every step of the way as you work toward relief and better mobility.

Clinician using a handheld therapy device on a patient's shoulder

Types of Headaches We Evaluate

Headaches After an Injury

  • Post-traumatic headache: a headache that starts after a crash, a blow to the head or a work injury. It can look like a tension-type headache or a migraine and may come with neck pain, dizziness or trouble concentrating. Our guide to headaches after a car accident covers the common types and ER warning signs.
  • Headache with whiplash: the fast back-and-forth motion of a crash can strain the muscles, ligaments and facet joints of the upper neck and trigger headaches at the base of the skull.
  • Concussion-related headache: headaches, light and noise sensitivity, dizziness and brain fog after a head injury. Our concussion care team evaluates these symptoms together.

Headaches From the Neck

  • Cervicogenic headache: usually one-sided, starts in the neck or back of the head, spreads toward the forehead or eye, and gets worse with neck movement or long periods in one position. It often comes with reduced neck motion. See neck pain.
  • Tension-type headache: a pressing or tight band around the head, often linked to muscle tension in the neck and shoulders, stress and poor sleep. For tight neck and shoulder muscles, physical therapy may include dry needling for trigger points.
  • Occipital neuralgia: sharp, shooting or electric pain from the base of the skull over the scalp, from irritation of the occipital nerves.

Migraine, Cluster Headache and Other Headache Disorders

Migraine is a neurological condition that usually needs diagnosis and medication management by a primary care doctor or neurologist. Research support for spinal manipulation in migraine is limited. Cluster headache and new daily persistent headache (NDPH) also need specialty medical care. For these conditions, our role is evaluation and referral. If neck pain or muscle tension adds to your headaches, we may treat those contributors alongside your medical care.

What Causes Injury-Related Headaches?

When a Headache Is an Emergency

Call 911 or go to the ER for a headache that comes with any of the following:

  • Sudden, severe onset that feels like the worst headache of your life, or a headache that peaks within about a minute
  • Fever, a stiff neck or a rash
  • New weakness, numbness, vision loss or double vision, trouble speaking, confusion, a seizure or facial drooping
  • A headache after a head injury that keeps getting worse, or comes with repeated vomiting, unusual drowsiness, one pupil larger than the other or loss of consciousness
  • Neck pain with dizziness, double vision or trouble swallowing, which can be a sign of an injury to an artery in the neck (cervical artery dissection)
  • A head injury while you take blood thinners

These may be signs of bleeding in or around the brain, meningitis, a stroke or another emergency. Don’t wait for a clinic appointment.

See a medical provider promptly for a new headache after age 50, a change in your usual headache pattern, headaches that wake you from sleep, headaches that change with lying down or standing up, headaches brought on by coughing or straining, or a new headache during pregnancy or after giving birth.

Signs Your Headache May Come From the Neck

  • Pain that starts in the neck or at the base of the skull and spreads forward
  • Headaches that are usually on the same side
  • Pain brought on by certain neck movements, or by holding your head in one position, such as at a desk or behind the wheel
  • Stiffness or reduced motion when you turn your head
  • Pain or pressure behind one eye along with neck tightness

How We Evaluate Headaches

  1. History and headache pattern. We ask when the headaches started, where the pain begins, how often it happens and what helps. A simple headache diary is useful. Bring a list of the medications you have tried.
  2. Medical and neurological exam. An MD, APRN or chiropractic neurologist screens for red flags and checks strength, reflexes, sensation, coordination, eye movements and balance.
  3. Neck exam. We check neck motion, the upper cervical joints and the muscles at the base of the skull for signs of a cervicogenic source.
  4. Concussion and balance testing. For dizziness or visual symptoms after an injury, videonystagmography (VNG) records eye movements to help assess the inner ear and balance system, and eye tracking may be used as part of a neurological assessment.
  5. Imaging referral when needed. A CT or MRI is ordered when your history or exam calls for it. We do not have imaging on site, so we refer you and review the results with you.
  6. PIP Emergency Medical Condition (EMC). After a car crash, our MDs and APRNs can determine whether you had an EMC for Florida PIP. That finding is a clinical judgment based on your exam, and we cannot promise one in advance.

Headache Treatment Options

Your plan depends on the type of headache, your exam and your goals. It may include:

  • Chiropractic care. For cervicogenic and tension-type headaches, our chiropractors may use spinal manipulation or mobilization, including the low-force Activator Method, after red flags are ruled out. Your chiropractor explains the benefits and risks of neck adjustments first.
  • Physical therapy and therapeutic exercise. Deep neck flexor and upper back strengthening, posture work and a home program designed to reduce how often headaches return.
  • Soft-tissue treatment. Myofascial release for tight muscles at the base of the skull and across the shoulders.
  • Concussion care and vestibular rehabilitation. After a concussion, a short period of relative rest is generally followed by a gradual return to light activity, guided by symptoms. Vestibular rehabilitation may help dizziness and balance problems.
  • Interventional pain management. For headaches that continue despite conservative care, a visiting interventional pain physician may evaluate you for procedures such as occipital nerve blocks or treatment of the upper cervical facet joints.
  • Medication review and coordination. Our medical providers review your medications and coordinate with your primary care doctor or neurologist.
  • Post-accident psychiatry. After a car crash, anxiety and poor sleep can make headaches harder to manage. Our psychiatrist sees car accident patients in person in Jacksonville or by telepsychiatry.

These treatments are designed to reduce headache frequency and intensity and to restore function. Many patients report steady progress, and individual results vary.

East Coast Injury Clinic building and entrance

Recovery and Your First Headache Visit

What Recovery Can Look Like

Care usually moves in phases: rule out red flags and find the source, calm the pain, restore neck motion, then build strength and habits that may help keep headaches from returning. Your provider re-examines you at set points and tracks headache frequency and intensity.

An honest note: headaches often have more than one cause, and recovery takes time. Some injury-related headaches settle in weeks, and some last longer. If your headaches do not follow the pattern we expect, we will tell you and refer you to the right specialist.

Your First Visit

Call (904) 513-3954. Our front desk asks how the headaches started, verifies your coverage and schedules you with the right provider. Bring a photo ID, your insurance or claim information, any crash report or workers’ compensation claim number, ER or urgent care paperwork, prior imaging reports, a headache diary if you have one, and a list of your medications.

Headaches After a Car Accident: Florida PIP

Florida PIP pays 80% of reasonable charges for medically necessary care if initial treatment begins within 14 days of the accident. Medical benefits can go up to the $10,000 PIP limit, once a medical doctor, osteopathic physician, PA or APRN makes an Emergency Medical Condition determination. A chiropractor cannot make that finding. Without an EMC, PIP medical benefits are limited to $2,500. For legal questions, talk to an attorney of your choice.

Two Jacksonville Locations

Both clinics are in Jacksonville, Duval County.

  • Southside / Deerwood: 10550 Deerwood Park Blvd, Suite 609, Jacksonville, FL 32256. Off J. Turner Butler Blvd (JTB) between I-295 and Southside Blvd, near St. Johns Town Center. Convenient for Southside, Deerwood, Baymeadows, Arlington, Mandarin, San Jose and the Beaches. Monday to Friday, 9 AM to 6 PM.
  • North Jacksonville: 13453 N Main St, Suite 302, Jacksonville, FL 32218. On N Main St north of I-295, convenient for Northside, Oceanway and the airport area. Monday to Friday, 9 AM to 6 PM.

One phone number reaches both clinics: (904) 513-3954. Both clinics offer the same services, and our front desk will help you choose a location. You can also request an appointment online.

Related care: concussion, whiplash, neck pain, TMJ and jaw pain, chronic pain and car accident injury clinic. Meet our care team.

5/5

Our Satisfied Customers

Roke S.
Roke S.★★★★★
Heather and Ariyana are always welcoming! The staff is unbelievable sweet and thoughtful. Very considerate of everyone and their time. Never ever feels like a gimmick. I truly wish this company could be my family doctor as well! Nothing like healing in the right place, the right time with the right people.
Preeti S.
Preeti S.★★★★★
The sessions are excellent, with a highly skilled and friendly staff. The physical exercise staff, massage, and chiropractic sessions are all great. When I first arrived, I had limited mobility, but thanks to their effective treatments, I already feel a significant improvement in my healing process. I am extremely grateful to each and every one of you.
Elsa L.
Elsa L.★★★★★
This place is amazing! The staff is super friendly. The physical therapists are kind and understanding and helped me heal. The doctors listened to all my concerns! I would highly recommend to anyone who wants to feel better! Bianca is hands down the BEST manual therapist and Bradley was often my PT and is very knowledgeable.
Levi V.
Levi V.★★★★★
The whole staff is AWESOME. Every visit is a 1:1 physical therapy session. The whole staff is professional, knowledgeable and pleasant. They truly listen and care for their patients. I feel like my treatment is in great hands. The organizational culture in this office is superb. Everyone is always happy and get along with each other. Most importantly, they show sincere appreciation and care for every single patient. The office manager is the BEST as well.
Jared G.
Jared G.★★★★★
Absolutely love love love this place. I’ve done treatment here twice now after two car accidents within a year. Dr.V and her team are so sweet, super caring and will absolutely help you with whatever. Bianca is the most sweetest person I’ve ever met in my life, I enjoy all the conversations I get to have with her doing our Manual sessions.
Medical E.
Medical E.★★★★★
I cannot express how helpful this amazing business is! Tried out their Shockwave therapy and I will forever sing its praises. It was immediate relief! The staff is so very kind and knowledgeable the second you walk in the door! Ms Connie was the best person with such a gentle touch for the Shockwave. She explains as she goes and continues to ask if it is feeling okay. Cannot recommend enough! Reach out to them, you will not regret it! ~ Linda G.

Frequently Asked Questions

What kind of doctor should I see for headaches?

Start with emergency care for any red-flag symptoms. For ongoing migraine or other primary headache disorders, a primary care doctor or neurologist usually leads care. For headaches after an injury or headaches that seem to come from the neck, an injury clinic with medical providers, chiropractors and physical therapists can evaluate the source and treat neck-related contributors.

How do I know if a headache is serious?

Call 911 for a sudden, severe headache that peaks within about a minute, a headache with fever and a stiff neck, new weakness, numbness, vision changes, trouble speaking or confusion, or a worsening headache after a head injury. See a provider promptly for a new headache after age 50 or a clear change in your usual pattern.

What is a cervicogenic headache?

A cervicogenic headache is head pain referred from structures in the neck, often the joints of the upper cervical spine. It is usually one-sided, starts in the neck or back of the head, and gets worse with neck movement or sustained postures. Manual therapy and exercise have modest research support for this type of headache.

Can a chiropractor help with headaches?

For cervicogenic and tension-type headaches, chiropractic care combined with exercise may help reduce headache frequency for some people, and individual results vary. Evidence for spinal manipulation in migraine is limited. At our clinic, chiropractic care is paired with a medical evaluation, and we refer to a neurologist when your headaches need specialty care.

Is it normal to have headaches after a car accident?

Headaches are common after a crash and can come from whiplash, a concussion, or both. They may start hours or days later. Get evaluated promptly, and go to the ER for a worsening headache, repeated vomiting, confusion or drowsiness. Florida PIP requires initial treatment to begin within 14 days of the accident.

How long do headaches last after a concussion?

Many people improve over days to weeks, while some have headaches and other symptoms that last longer. After a short period of relative rest, a gradual return to light activity guided by symptoms is generally recommended. Our concussion and vestibular rehabilitation team tracks your progress and adjusts your plan.

Can neck pain cause headaches?

Yes. Problems in the upper neck can refer pain into the head, which is called a cervicogenic headache. Tight neck and shoulder muscles can also contribute to tension-type headaches. Treating the neck may help these headaches.

Do you treat migraines?

Migraine diagnosis and medication management are usually led by a primary care doctor or neurologist, and we refer you when your exam points to migraine. If neck pain or muscle tension adds to your migraines, we may treat those contributors alongside your medical care. We do not treat cluster headache or new daily persistent headache beyond evaluation and referral.

What should I bring to a headache appointment?

Bring a photo ID, insurance or claim information, a list of medications you take or have tried, any imaging reports, ER or urgent care paperwork, and a headache diary noting when headaches start, where the pain begins and what helps.

Does Florida PIP cover headaches after a car accident?

Florida PIP pays 80% of reasonable charges for medically necessary care if initial treatment begins within 14 days of the accident (Fla. Stat. 627.736). Medical benefits can go up to the $10,000 PIP limit, once a medical doctor, osteopathic physician, PA or APRN makes an Emergency Medical Condition determination. Without one, PIP medical benefits are limited to $2,500.

How is my headache care paid for?

Most injury care at East Coast Injury Clinic is covered through one of four paths: auto insurance PIP after a car accident, a personal injury attorney’s Letter of Protection, state workers’ compensation for a work injury, or federal workers’ compensation (OWCP or Longshore) if you are a federal or maritime employee. We also see patients under Medicare, Tricare, VA Community Care, and a limited number of private plans. Our front desk verifies coverage before your first visit and explains exactly what is and is not covered for your specific case, so there are no surprises. Call 904-513-3954 or visit eastcoastinjury.com to start.

Where can I get headache treatment in Jacksonville?

East Coast Injury Clinic has two Jacksonville locations: Southside at 10550 Deerwood Park Blvd, Suite 609, Jacksonville, FL 32256, off J. Turner Butler Blvd near I-295, and North Jacksonville at 13453 N Main St, Suite 302, Jacksonville, FL 32218. Call (904) 513-3954 for either clinic.

The information provided on this page is for general educational purposes only and is not intended as medical advice. It does not constitute a diagnosis, treatment recommendation, or substitute for consultation with a qualified healthcare provider. Individual results vary. East Coast Injury Clinic’s services may not be appropriate for every condition or patient. Please consult a licensed healthcare professional to determine whether these services are right for your specific situation. Information provided about insurance, PIP, workers’ compensation, OWCP, or Longshore coverage is general and is not legal advice. For legal questions related to a claim, consult a licensed attorney.

East Coast Injury Clinic | 10550 Deerwood Park Blvd, Suite 609, Jacksonville, FL 32256 | 13453 N Main St, Suite 302, Jacksonville, FL 32218 | 904-513-3954 | eastcoastinjury.com

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