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  4. 5 Signs Your Migraines May Be Caused by an Upper Cervical Misalignment
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Conditions
Mar 10, 2026
•
2 min
•
Dr. Hoefer

5 Signs Your Migraines May Be Caused by an Upper Cervical Misalignment

Chronic migraines that do not respond to medication may have a structural cause. Here are five signs your migraines could be related to an upper cervical misalignment.

5 Signs Your Migraines May Be Caused by an Upper Cervical Misalignment

Author

Dr. Hoefer

Dr. Hoefer

Spine Whisperer

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Migraines affect millions of people, and for many, traditional treatments only provide temporary relief. If you have been dealing with chronic migraines that do not respond well to medication, the root cause may be structural, specifically a misalignment in your upper cervical spine.

1. Your Migraines Started After a Head or Neck Injury

Car accidents, sports injuries, falls, and even childhood bumps can shift the atlas vertebra out of its optimal position. This misalignment can take months or even years to produce symptoms, which is why many people do not connect their migraines to a past injury.

2. You Experience Neck Pain or Stiffness Along with Migraines

When the upper cervical spine is misaligned, the surrounding muscles often tighten to compensate. This creates a cycle of tension and pain that can trigger or worsen migraines.

3. Medications Only Provide Temporary Relief

If you find yourself cycling through medications without lasting improvement, it may be because the medications are addressing the symptoms rather than the underlying cause. Upper cervical misalignment creates ongoing brainstem irritation that no medication can correct.

4. You Have Sensitivity to Light, Sound, or Smells

These sensory sensitivities are hallmarks of brainstem involvement. When the atlas is out of position, it can put pressure on the brainstem, leading to an overactive sensory response during migraine episodes.

5. Your Posture Is Noticeably Uneven

One shoulder higher than the other? Head tilting to one side? These are visible signs of a spinal imbalance that often originates at the upper cervical level. When corrected with the Blair Technique, many people see their posture improve along with their migraine frequency.

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