Headache Treatment After Care | BLVD Wellness Burnaby
Headache Treatment  /  After Care

Headache Treatment After Care

Here's what to expect and how to support your recovery in the days following your session.

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These are general post-treatment guidelines. Always follow the specific recommendations from your treating practitioner.

What to expect

1

Neck soreness or stiffness

Some aching in the upper cervical area for 24–48 hours is normal after gentle manual therapy. The technique uses sustained pressure, not cracking; soreness is usually mild.

2

Symptoms reproduced during treatment

Your therapist may briefly reproduce your headache during assessment. This is intentional: it confirms the correct segment has been identified. The sensation settles immediately when pressure is released.

3

Possible post-session headache

A mild headache after your session is uncommon but can occur. It is not a sign of harm. Your therapist will adjust technique in subsequent sessions if this happens.

4

Gradual improvement over sessions

Many patients notice changes in headache frequency or character before intensity drops. Improvement often builds across sessions 3–6, not always after session 1.

Headache Treatment treatment at BLVD Wellness

What helps and what to avoid

Do this
Return to your normal activities

The Watson Headache Approach relies on your day-to-day response to gauge progress. Maintaining your regular routine between sessions gives your therapist important information about what is changing.

Keep a headache diary

Track each headache: date, time, duration, intensity (1–10), and location. Progress often appears in patterns first: fewer headaches, shorter duration, before intensity drops. This data is essential for your therapist.

Stay well hydrated

Dehydration is one of the most consistent headache triggers. Drink water steadily throughout the day, especially on treatment days.

Use a supportive pillow

A cervical or contour pillow maintains proper upper neck alignment during sleep. Poor sleep positioning can undo daytime progress.

Do your prescribed exercises

Specific neck positioning and strengthening exercises prescribed by your therapist reinforce the improvements made in session. Do not substitute with generic stretches.

Avoid this
No self-manipulation of the neck

Do not crack your own neck during your course of treatment. This interferes with the precise upper cervical corrections your therapist is making.

No prolonged looking down

Extended screen time, reading in bed, or sustained phone use loads the upper cervical spine. Break it up; set a reminder to change position every 20-30 minutes.

Do not sleep on your stomach

Stomach sleeping holds the neck in end-range rotation for hours. Sleep on your back or side with your prescribed pillow support.

No alcohol on treatment day

Alcohol is a reliable headache trigger and disrupts sleep quality, both of which work against your recovery.

No heavy bags on one shoulder

Asymmetric shoulder loading creates tension that refers directly into the upper neck and head.

What to expect over time

Weeks 1–2 (2x per week)

Your therapist identifies the specific cervical segments contributing to your headaches. Symptom reproduction during sessions is expected and guides treatment. Begin your headache diary now.

Weeks 3–4 (1x per week)

Changes in headache pattern begin to emerge: fewer episodes, shorter duration, or reduced intensity. These shifts are early signs the brainstem is desensitizing. Report any changes to your therapist.

Session 6 review

A structured review assesses progress. Most patients have experienced meaningful, lasting change in headache frequency and intensity by this point. Treatment continues or adjusts based on response.

Long-term

With ongoing posture awareness, prescribed home exercises, and ergonomic adjustments, most patients maintain results without regular treatment. Periodic check-ins as needed.

These are general expected outcomes. Everyone responds differently depending on the nature and duration of their condition, their overall health, and how consistently they follow their home program.

When to contact us
  • Sudden, severe "thunderclap" headache: go to Emergency immediately
  • Headache with fever, stiff neck, and light sensitivity (possible meningitis)
  • Completely new vision changes, speech difficulties, or one-sided weakness that appear after treatment and are not part of your usual migraine pattern: go to Emergency
  • Headaches significantly worsen after 4–5 sessions with no change in pattern whatsoever
  • A new headache that is clearly different in character from your usual pattern
Call 604-364-1626  ·  Email hello@blvdwellness.ca

Common questions

This is intentional and diagnostically valuable. The Watson Headache Approach uses gentle sustained pressure to identify which exact cervical segment refers your headache. Reproducing, and then lessening, your pain during treatment confirms the right segment has been found. The reproduction settles immediately once pressure is released.

The standard protocol is two sessions per week for the first two weeks, then one session per week for the following two weeks, six sessions total, followed by a review. By session six, most patients have experienced significant changes in headache frequency and intensity.

A daily log tracking when headaches occur, how long they last, intensity (1–10), and location. Progress often appears in patterns before pain fully resolves: fewer episodes, shorter duration. Your diary gives your therapist objective data to assess whether treatment is working and what to adjust.

Yes, as needed. One important caution: using pain medication more than 2–3 times per week can cause medication-overuse headache, which compounds the problem over time. Discuss your current medication use with your therapist.

Yes, and it is usually a good sign. A change in character (different location, shorter duration, less intensity) is often the first indication treatment is working. Note it in your diary and mention it at your next session.

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