What We Treat

Headaches treatment in Slidell.

You take something at the first sign, before it owns the whole afternoon. The tight band at the base of your skull by 2pm. A lot of head pain starts in the neck, and that is treatable. It starts with an evaluation that looks for the cause, not another guess.

Tension headaches Cervicogenic headaches Neck and jaw tension Talk to a Specialist

Sound Familiar?

Does this sound like you?

  • Reaching for the bottle in your bag before the meeting even starts
  • A tight band from the base of your skull that settles in behind one eye
  • Waking up with it already there, before you’ve done a single thing
  • Turning down the radio and the lights because both make it worse
  • Three hours into the screen, your neck is tight and the ache has started
  • Rubbing the same knot under your skull, every day, and it never stays gone

Two or more? Keep reading.

Why It Happens

A headache is a symptom. Something is causing it.

A lot of head pain is referred pain. The top joints of your neck share nerve pathways with the nerves that carry sensation to your face and scalp. When those joints stiffen and the muscles under the base of your skull stay locked down, your brain reads that irritation as an ache behind the eye or over the temple. Hold your head forward of your shoulders at a screen or a windshield for hours and it compounds: the deep muscles that hold your head up fatigue, and the upper traps and the muscles under your skull take the load instead.

That is also why it keeps coming back. Medication does its work on the pain and none of it on the cause, so the pattern resets and waits. Stress adds jaw clenching and shallow breathing on top of tissue that is already irritated. It takes an evaluation that looks for the cause to sort out which one is driving yours: restricted joints in the upper neck, muscle tension and trigger points, how you load your head all day, or a mix. Name the driver and the plan stops being guesswork.

Woman sitting on the edge of her bed holding her head during a headache

The Honest Truth

Nothing about waiting makes a headache smaller.

If you keep waiting

  • The bottle empties faster, and covers less of the day than it used to
  • You start declining things: the loud restaurant, the ballgame, the late shift
  • Your neck stiffens further, which keeps feeding the exact pattern making your head hurt

If you start this week

  • You leave visit one knowing whether your neck is driving this
  • Hands-on work on the upper neck starts before you leave the building
  • You get a plan with an endpoint, phase by phase, not a standing appointment

Nobody regrets starting too early.

How We Fix It

The same four phases. Aimed at your headaches.

Every plan has an endpoint. Here’s what the four phases look like for headaches.

Weeks 1–2

Pain

Calm the pain down.

Hands-on work on the upper neck joints and the muscles under your skull, with functional dry needling where it fits, breaks the pattern. Starting visit one.

Weeks 2–6

Prime

Get your motion back.

Rotation and side bending come back in the stiff upper neck segments, and the deep muscles in front relearn how to hold your head up.

Weeks 6–10

Perform

Make it hold through a full day.

Endurance work for the neck, shoulder blades and upper back, so a long day at a screen or a wheel stops setting the ache off.

Weeks 10+

Prevent

Return better than before.

Your desk, your sleep position and a reset you can do yourself get set up, so the pattern has nowhere to rebuild. That’s the endpoint, not just another appointment.

Questions, Answered

What people ask before booking for headaches.

Usually not, and it’s rarely the first step. Imaging can’t show a stiff joint or a muscle holding tension, and those are the drivers we can actually treat. Scans also turn up wear and tear in people with no pain at all, so a picture doesn’t always point at the cause. We start with a hands-on evaluation, and we screen for the findings that belong with a physician instead. If you do need imaging, we’ll help you get it. You don’t have to wait on a scan to start feeling better.

Not when it’s dosed right, and dosing it is the job. Hurt doesn’t always mean harm, and complete rest tends to leave a neck stiffer and weaker, which sets up the next round. Your evaluation sorts out which movements settle your symptoms and which ones feed them. Then you get those, at a load you can handle, one-on-one with a licensed physical therapist. If something doesn’t feel right, it gets changed on the spot.

You’ll know the shape of your plan after the evaluation, not before it. Care runs through four phases: Pain, Prime, Perform, Prevent. Each phase has a job and a way to know you’ve earned the next one, so you always know where you are and what’s left. That’s a plan with an endpoint instead of an open string of appointments. We’ll tell you what it takes and what it costs before you commit to any of it.

No referral needed. Louisiana is a direct access state, so you can be evaluated by a licensed physical therapist without going through a physician first. We run a benefits check before your first visit, so you know your coverage in advance, and a Good Faith Estimate is available if you’re paying out of pocket. We accept Medicare, Medicaid, Blue Cross Blue Shield, Aetna, Cigna, Humana, UnitedHealthcare, TRICARE, TriWest and Peoples Health, plus workers’ compensation and auto accident claims.

Then we treat the part that belongs to us. Physical therapy doesn’t replace your physician or your medication, and we won’t pretend otherwise. What we can address is the neck stiffness and muscle tension that often ride along with a migraine and make it easier to set off. Plenty of people have both. Your evaluation tells us how much of your pattern is coming from your neck, and we’ll be straight with you if the answer is not much.

Book Your Visit

Ready when you are.

Request a time and a real person calls you back. No phone tree. No ‘someone will reach out.’ Just a plan.

  • Hours Mon & Wed 8:00am to 6:00pm · Tue, Thu, Fri 8:00am to 5:00pm · Sat & Sun Closed
  • (985) 326-7260 Prefer to talk now? Call us.
  • No referral needed to start

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Alpha Physical Therapy