Cranial and Facial Pain Relief is offered to relief one or more of the following symptoms:


There are three types of headaches: Tension type headache, Cervicogenic headache and Migraine. Headaches are a common cause of pain and suffering that can limit completion of daily tasks. The symptoms can vary from pulsating pain to constant tension and throbbing. Visual changes and dizziness can be debilitating and prevent you from doing much of anything. Often times, the root cause is musculoskeletal in origin and can be successfully treated by physical therapy.

Tension Type Headache (TTH) can be either episodic or chronic (> a month). Chronic headaches can be present for 30 minutes to 7 days straight. They also meet at least 2 of the following criteria: bilateral location, non-pulsatile pressure, mild or moderate pain, and does not increase with physical activity. TheraWays physical therapist will use a combination of joint and soft tissue mobilization/manipulation, trigger point release, and postural and relaxation exercises to decrease pain before utilizing a cervical and scapular strengthening program to prevent future headaches.

Cervicogenic Headache can often present with a headache accompanied by dizziness. This often results from upper cervical joint impairments and trigger points in the cervical and cranial muscles. Spinal manipulation, upper cervical mobilization, trigger point release, deep neck flexor endurance exercise will be used to decrease pain and dizziness. Therapeutic exercise will focus on restoring balance and proprioception as well as stabilizing the upper cervical spine to minimize future impairments.

Migraines are often treated with pharmacology but the addition of physical therapy can be beneficial. Physical therapists perform a full assessment to determine any possible cranio-cervical impairments that may be worsening migraine symptoms and limiting the effect of medication. Spinal manipulation, upper cervical mobilization, trigger point release, and postural education can improve outcomes and reduce both frequency and intensity of migraines.

Cranial & Facial Pain Relief is offered to relief one or more of the following symptoms:

TMJ Dysfunction: 

There is a close relationship between the temporomandibular joint, masticatory (chewing) system and cervical spine. Poor cervical posture or cervical pathology can also result in increased tone and trigger points in both jaw and cervical musculature because of changes in biomechanics. The resulting hypertonicity of specific muscles, including the masseter and temporalis, leads to myofascial pain. It is important that patients with orofacial pain receive a systematic and well-rounded approach to fully dissolve their chronic history of pain. Therapists are in a unique position to partner with dentists and successfully manage dysfunction of the TMJ.

At TheraWays we are aware that effective treatment of the TMJ and surrounding areas is achieved through joint mobilization, myofascial techniques, dry needling and exercise. Since it can be connected with cervical area, manipulation to cervical spine can improve jaw movements and opening. We assess musculature of the cervical spine including the sternocleidomastoid, paraspinals, suboccipital musculature and upper scapular musculature for trigger points as they easily refer pain to the face and TMJ. TheraWays can play an active role along with dentists to effectively incorporate a multi-disciplinary approach to promote the long term effects.

Dizziness & Vertigo: 

Majority of people over 70 years old report problems with dizziness/balance and related falls. Young adults can also suffer from Dizziness and Vertigo. In medical setting one third of vertigo/dizziness is related to vestibular pathology. Benign paroxysmal positional vertigo (BPPV) is responsible for over 20% of all reports of dizziness. Disequilibrium and vertigo can also be caused by unilateral vestibular hypofunction (UVH), bilateral vestibular hypofunction (BVH) or a central vestibular disorder (CVD). Regardless of age, patients who experience dizziness report disability that reduces their quality of life.

BPPV occurs when previously stationary otoconia become displaced into the semicircular canals. Unilateral vestibular hypofunction is most commonly caused by vestibular neuronitis and Meniere’s disease. Bilateral vestibular hypofunction is often the result of ototoxicity from certain antibodies. Other causes of vestibular dysfunction can include head trauma, migraines and cerebellar lesions. Patients with vestibular problems experience a range of symptoms including vertigo, postural instability, oscillopsia, and ataxia.

If BPPV is found to be the cause of the dizziness, patients will be treated with the appropriate repositioning maneuver, such as the Epley maneuver. Vestibular rehabilitation for other diagnoses includes gaze stability exercises, balance and gait exercises. Patients show significant improvement after performing vestibular adaptation and substitution exercises. Patients may also be instructed in habituation exercises to treat dizziness and nausea provoked by environments or positions. In older adults with dizziness but no documented vestibular deficits, gaze stability exercises in addition to standard balance rehabilitation reduced fall risk.

Cranial & Facial Pain Relief Can Be Achieved At TheraWays 

  • Headaches
    • Cervicogenic headaches
    • Tension type headaches
    • Migraines
  • Concussions post auto accidents or abuse
  • Jaw pain
  • Jaw clicking and popping
  • Dizziness/Vertigo
  • Referred Pain
  • Post-Surgical