Headaches & Migraines Specialist

Peak Physical Medicine

Chiropractic & Functional & Regenerative Medicine located in Visalia, CA

If you suffer from headaches or migraines, finding an effective solution to your condition can be difficult, especially when you’re unsure of the underlying cause. At Peak Physical Medicine in Visalia, California, Ruben Garcia, DC, helps patients determine the cause of their headaches or migraines and offers the best options for effective, drug-free relief. To speak with Dr. Garcia about your condition, book an appointment by phone or online today.

Headaches & Migraines Q & A

What is a headache?

A headache refers to pain that occurs in any area of the head. Headaches can appear as sharp, throbbing, or aching pain. Headaches can be broken into two groups: primary and secondary.

Primary headaches are caused by issues relating to the pain structures of the brain. A number of culprits can trigger primary headaches, including:

  • Brain chemistry
  • Nerves surrounding the skull
  • Blood vessels surrounding the skull
  • Muscles in the head and neck


Primary headaches can also be influenced by lifestyle factors like stress, poor posture, and lack of sleep.

Secondary headaches are headaches caused by an underlying condition. Common causes of secondary headaches include:

  • Sinusitis
  • Flu
  • Ear infections
  • High blood pressure
  • Dehydration
  • Concussion


A wide range of conditions can trigger the pain-sensitive structures in the head. Usually, as the underlying cause heals or is treated, secondary headaches clear up on their own.

If you experience a headache that keeps coming back or lasts longer than usual, book an appointment with Peak Physical Medicine to discuss your condition. In rare cases, headaches are a symptom of serious conditions like meningitis and stroke.


What is a tension headache?

A tension headache is the most common headache. Tension headaches are associated with tenderness and sensitivity in the muscles of the head and neck. The exact cause of tension headaches is unknown, but experts believe stress, depression, anxiety, and head injuries are primary causes.


What is a migraine?

Patients who suffer from migraines experience sensitivity to light and sometimes sound with throbbing or pulsing pain that typically affects both sides of the head.

Migraines can occur in four different stages: prodrome, aura, attack, and post-drome. Not all patients who experience migraines go through all four stages. Migraines are often accompanied by nausea, vomiting, vision loss, and mood changes.

Migraines are a type of primary headache. The exact cause of migraines is unknown, but a number of factors are known to trigger symptoms. These include:

  • Hormonal changes
  • Alcohol (especially wine)
  • Caffeine
  • Stress
  • Bright lights
  • Loud sounds


Migraines often appear during childhood or early adulthood and can become so severe that they limit your daily activities. Peak Physical Medicine specializes in drug-free, integrative solutions to migraines.


How are headaches and migraines treated?

A number of effective treatments are available for headaches and migraines. These include:

  • Dietary changes
  • Therapeutic exercises
  • Chiropractic adjustments
  • Posture management


Peak Physical Medicine specializes in treating the underlying causes of headaches and migraines. The team can help you identify your migraine and headache triggers and develop a plan to minimize or eliminate your flare-ups.

To find out which treatment is right for your headache or migraine, book an appointment at Peak Physical Medicine today by phone or online.