Migraine & Headache Treatment in Dayton | NUCCA Upper Cervical Care

Living with recurring migraines or chronic headaches can affect nearly every part of your day. You may have tried medications, injections, lifestyle changes, or other approaches, only to find that the headaches continue to return.
At Vital Health Wellness Center, Dr. Greg Goffe takes a different approach by evaluating whether upper cervical biomechanics may be one contributing factor in your headache or migraine pattern. Using the NUCCA technique, he focuses specifically on the relationship between the head and upper cervical spine and how dysfunction in this area may influence the sensory information being sent to the nervous system.
Looking Beyond Headache Symptoms
Migraine is a complex neurological condition, and there is rarely a single explanation for every patient. Medications can play a role in migraine treatment by addressing neurological and biochemical mechanisms involved in migraine. However, medication does not directly address a biomechanical problem when one is present in the upper cervical spine.
NUCCA upper cervical care approaches the problem from this different perspective.
Dr. Goffe is one of approximately 10 chiropractors in Ohio currently practicing the NUCCA technique and has more than 35 years of experience with upper cervical care. NUCCA is a specialized chiropractic approach that uses detailed analysis to evaluate the relationship between the head and upper cervical spine and determine the direction and characteristics of an individualized correction.
Standard MRI and CT imaging can be extremely valuable for identifying structural abnormalities associated with disease, injury, or other pathology. NUCCA analysis looks at the upper cervical region from a different perspective by evaluating biomechanics and providing information used to plan a precise correction.
The Upper Cervical Connection to Headaches and Migraines
The upper cervical spine has an important neurological role. The joints and small muscles surrounding the base of the skull and first two cervical vertebrae provide the brain with a continuous stream of sensory information about head position and movement.
There is also an important anatomical connection between the upper cervical spine and the neurological pathways involved in headache.
When upper cervical mechanics are not functioning normally, altered joint and muscle input may contribute additional sensory or pain-related input into this system. For patients who have an upper cervical component to their headaches, improving cervical biomechanics may help reduce one potential source of this input.
How NUCCA Approaches the Upper Cervical Spine
The goal is not simply to provide temporary relief from headache symptoms. The correction is intended to improve the biomechanical relationship of the head and upper cervical spine.
For some patients, addressing this biomechanical component may complement other approaches to migraine management and, when upper cervical dysfunction is a significant contributing factor, may become an important part of their long-term management.
Not Every Recurring Headache Is a Migraine
Not every recurring headache is a migraine. Tension-type and cervicogenic headaches can also involve cervical structures, and some patients experience more than one headache type. An appropriate evaluation begins by considering the patient’s headache pattern and whether cervical dysfunction may be contributing.

Can Posture and Daily Activities Affect the Upper Cervical Spine?
Prolonged computer work, sustained head positions, repetitive activities, previous injuries, and other physical stresses can influence cervical muscle tension and movement patterns.
For someone already susceptible to headaches or migraines, these factors may place additional stress on the upper cervical region.
As part of the evaluation, Dr. Goffe looks beyond where the patient feels pain to determine whether upper cervical biomechanics may be contributing to the headache pattern.
The objective is not to assume that every headache originates in the neck, but to identify whether a correctable biomechanical component appears to be present.
Headaches and Migraines Can Begin Earlier Than You Think
Migraine can begin well before adulthood, including during the preteen and teenage years.
Dr. Goffe has extensive experience caring for children and adolescents, with pediatric patients representing approximately 25-30% of his practice. When a young patient experiences recurring headaches or migraines, an upper cervical evaluation can help determine whether a biomechanical component may be present.
Parents are often unaware that upper cervical assessment is an available option. Dr. Goffe hears something similar from many adult patients who have experienced headaches for years: they simply wish they had learned about this approach sooner.
Frequently Asked Questions
How is NUCCA different from traditional chiropractic care?
Can NUCCA help if my MRI or CT scan is normal?
How could a problem in my neck contribute to a headache or migraine?
Do all migraine patients have an upper cervical problem?
Why consider NUCCA after years of migraine treatment?
Does NUCCA replace medical migraine treatment?
Explore a Different Approach to Headaches
If migraines or chronic headaches continue to interfere with work, family activities, sleep, exercise, or everyday life, it may be worthwhile to determine whether the upper cervical spine is contributing to the problem.
At Vital Health Wellness Center, Dr. Greg Goffe combines decades of experience with the precision of NUCCA upper cervical care to evaluate this often-overlooked biomechanical component of headaches and migraines.


