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Headaches and migraines in Redmond, OR

A clear look at what sets your headaches off.

A tight band around your head, sore neck and shoulders, or throbbing pain on one side. We look at your neck, posture and triggers, then plan care.

Illustration of a standing figure used to show where pain is felt
Where it hurts: the head and neckThe full body map

The short answer

Tension headaches, the most common type, feel dull or squeezing, like a tight band, and often come with sore neck and shoulder muscles. Migraine brings throbbing pain, usually on one side, often with nausea or sensitivity to light and sound. Here in Redmond, a plan can combine chiropractic care, trigger point injections and guided rehab.

Are headaches changing your plans?

Frequent headaches can cost you workdays, sleep and weekends. You may reach for pain relievers more often, skip the gym, or plan around the time of day the pain tends to arrive.

How do we look at headaches?

Your exam looks at how your neck moves, how you hold your head and shoulders, and what tends to trigger an episode. When the neck and posture are part of it, chiropractic adjustments for headaches can be where your plan begins.

What is going on

Tension headaches and migraines explained

A tension headache usually affects both sides of the head, often starting at the back and spreading forward, with tight shoulders, neck or jaw. Migraine is a health condition with headaches that keep coming back, often throbbing on one side, and it can bring nausea, aura and sensitivity to light, sound and smells.

What is actually happening

  1. Tension builds

    Stress, poor sleep or holding your head and neck in one position builds tension.

  2. Pain sets in

    Neck and shoulder muscles tighten, and a dull, squeezing headache follows.

  3. A trigger sets it off

    With migraine, triggers such as skipped meals or bright light can start an episode.

Who this usually affects

  • Desk workers and long-distance drivers
  • People with tight neck and shoulder muscles
  • Anyone whose headaches follow posture strain or poor sleep
  • People with migraine who want to learn their triggers

When it is something else

  • A headache after a head injury
  • A first-ever severe headache, or one that is sudden and explosive
  • Headache with fever, a stiff neck and vomiting
Note

Get a medical check first for any new or changing headache pattern, especially if you are over 50.

When posture correction is planned, your neck can be measured again on X-ray as the plan goes on.

Is this what you feel?

What each headache type feels like

Where the pain sits and what comes with it help tell the types apart.

Your list

of 8

Bring your list to the evaluation; it helps us start in the right place.

Book an evaluation

Why it happens

Common headache triggers

Headaches often have a trigger you can learn to spot.

  1. Posture and neck strain

    Holding your head and neck in one position for long periods, at a screen or behind the wheel, is linked to tension headaches. The shoulders, neck and jaw tighten, and the headache settles in.

  2. Stress and anxiety

    Emotional stress is a common trigger for both tension headaches and migraine episodes. Tension headaches are also linked to anxiety and depression.

  3. Sleep and meals

    Too much or too little sleep, skipped meals and low blood sugar can all bring on a migraine episode. Regular sleep and meal times are among the habits that help prevent them.

  4. Food, drink and caffeine

    Alcohol, caffeine withdrawal and foods such as chocolate, certain cheeses and MSG can trigger migraine for some people. Drinking enough water also matters.

  5. Lights, smells and hormones

    Bright or flashing lights, strong smells, motion sickness and hormonal changes can start a migraine episode. Migraine is more common in women.

Illustration of a standing figure used to show where pain is felt
The cause in view lights its part

How we treat it

Headache treatment in Redmond

Headache care at our clinic follows an exam of your neck, posture and headache pattern. A plan can combine chiropractic adjustments, Chiropractic BioPhysics posture correction, trigger point injections for tight muscle knots and guided rehab for neck and shoulder strength.

A trigger point chart of the upper back and shoulder muscles on a treatment room wall at Advanced Pain Solutions

01 · Chiropractic first

Chiropractic adjustments

Adjustments for stiff joints in the neck and upper back, planned around your posture and headache pattern.

About chiropractic adjustments
  1. 02Chiropractic BioPhysics

    Digital X-rays measure your neck's curve and head position, giving a baseline and a target for posture work.

  2. 03Trigger point injections

    A small amount of local anesthetic, often lidocaine mixed with saline, placed into a tight knot in the neck or shoulder.

  3. 04Guided rehab

    Neck, shoulder and posture exercises coached in the clinic, with a short home routine.

All of your options

Headache care, option by option

Your provider explains which of these fit your headache pattern, and why.

OptionUsed forAt our clinic
Chiropractic adjustments and CBPNeck stiffness and posture strain behind tension headachesOffered here
Trigger point injectionsTight muscle knots in the neck and shouldersOffered here
Guided rehabNeck and shoulder strength and better posture habitsOffered here
Sleep, meal and trigger habitsFewer migraine episodes for some peopleAdvice at your visit
Migraine medicinesTreating episodes and preventing them, prescribed by a doctorTalk with your doctor
Emergency careA sudden, severe or unusual headache with warning signsCall 911
General information, not advice

Offered hereNot offered here

What to expect

Headache care over time

Headache patterns change over weeks, so the plan moves in steps.

  1. Your first visit

    We talk through your headache pattern and triggers and examine your neck and posture.

  2. The first weeks

    The treatments in your plan, plus small changes to sleep, screen time and meals.

  3. Building strength

    Coached neck and shoulder exercises, kept up at home between visits.

  4. Staying ahead

    Your diary shows which triggers matter most for you, and your plan adjusts around them.

How often headaches come, and how they respond, varies widely from person to person.

Can it wait?

When a headache needs a 911 call

Do not wait

Get urgent care today if

  • A sudden, explosive or violent headache
  • The worst headache of your life, even if you often get them
  • Slurred speech, a change in vision, weakness, confusion or loss of balance
  • A headache with fever, a stiff neck, nausea and vomiting
  • A headache after a head injury
  • A headache that keeps getting worse over 24 hours

Go to urgent care or an emergency room, or call 911.

While it settles

During a flare-up

Call 911 or go to the nearest emergency room for a sudden, explosive headache. Seek medical help right away for the other signs.

Cost and payment

What headache care costs

Your care

Prices are not posted online.

Your cost depends on the treatments in your plan and how many visits it includes, such as adjustments, injections and rehab.

Pay over time
Costs are reviewed with you at your consultation, and financing is available through Cherry.

In patients' own words

5.0 · 216 Google reviews

I came to Advanced Pain Solutions with daily migraines. After a few weeks of treatment, I actually had 3 straight days without a headache! This hasn't happened in over a year!! Many thanks to Dr. Kent and all the staff who are kind, supportive, and welcoming.

Susan N.Headaches and migraines

...APS took x-rays and set me up with a personalized care plan for ten weeks....

Andrea A. Headaches and migraines

A patient's story

Individual results vary.

See all reviews on Google
Dr. Kent Rookstool, DC, founder of Advanced Pain Solutions
Dr. Kent Rookstool, DCDoctor of Chiropractic and founder
Dr. Kevin Lewis, DC, chiropractor at Advanced Pain Solutions in Redmond
Dr. Kevin Lewis, DCDoctor of Chiropractic

Who you will see

Who you will see for headaches

Chiropractic BioPhysics posture work is planned by our Doctors of Chiropractic. Trigger point injections are given by our nurse practitioner or another medical provider, and medical assistants coach the neck exercises.

Dr. Kent Rookstool, DC, Doctor of Chiropractic and founder · Dr. Kevin Lewis, DC, Doctor of Chiropractic

Book a visit with our team

Getting here

The drive from Bend

From downtown Bend, the clinic is about 24 minutes (16.6 miles) north on Highway 97.

1020 SW Indian Ave Ste 100, Redmond, OR 97756 · (541) 923-6024
Mon to Thu 9 AM to 6 PM

  1. BendHighway 97 · 16.6 mi24min
  2. SistersHighway 126 · 19.6 mi30min
  3. PrinevilleHighway 126 · 18.4 mi22min
  4. TerrebonneHighway 97 · 6.5 mi11min
  5. Eagle Crest ResortHighway 126 · 6.1 mi13min
Drive time from the clinic, no traffic

Your first visit

Schedule Your Headache Evaluation

Share a brief note about where it hurts, what sets it off and how long it has been going on. We will evaluate your symptoms, discuss your goals, and explain which options may fit.

  1. Request a time

    Call (541) 923-6024. Mornings or afternoons, Monday to Thursday.

  2. Understand what is driving it

    We look at how your pain behaves, what movements trigger it, and what tissues may be involved.

  3. A clear plan

    We walk you through what we find in plain language and outline next steps that match your goals.

Pay over time
Cherry financing. No hard credit checks.
No referral
No referral is needed.
Hours
Mon to Thu 9 AM to 6 PM

Book by phone

Prefer to talk it through first?

Call (541) 923-6024Directions and hours

Questions

Common headache questions

Still unsure? Call (541) 923-6024, Monday to Thursday.

Can neck problems cause headaches?

Yes. Holding your head and neck in an awkward position is linked to tension headaches, which often start at the back of the head with tight shoulder, neck or jaw muscles. A head injury can also bring on tension headaches. Your exam checks how your neck moves and how you hold your head at work and at rest.

What is the difference between a tension headache and a migraine?

A tension headache is usually a dull, squeezing pain on both sides of the head. A migraine is more often throbbing, on one side, and it can come with nausea, vision changes or sensitivity to light and sound. Moving around tends to make a migraine worse.

What can I do at home during a migraine?

Rest in a quiet, dark room, put a cool cloth or ice pack on your forehead, and drink plenty of fluids, especially if you are vomiting. Small amounts of caffeine early in an episode may help some people.

When are migraines considered chronic?

Chronic migraine means headaches from migraine on at least 15 days a month for more than three months. People who have migraine episodes once a week or more are usually prescribed treatment to prevent them, so talk with your doctor if your headaches have reached that point.

Should I keep a headache diary?

Yes. Write down when each headache starts, how long it lasts, what you ate, how you slept and what you were doing. Those notes help you and your providers spot patterns and build a plan around your triggers.

Can taking pain relievers often cause more headaches?

It can. Rebound headaches often come from overusing pain medicine for migraine or tension headaches, which is why they are also called medicine overuse headaches. Taking pain medicine more than 3 days a week on a regular basis can bring them on, so tell your provider how often you take it.

Advanced Pain Solutions

Find out what is behind your headaches.

A neck, posture and trigger review at your first visit.

Mon to Thu 9 AM to 6 PM · 1020 SW Indian Ave Ste 100, Redmond