Effect of Atlas Vertebrae Realignment in Subjects with Migraine: An Observational Pilot Study

Dr. Chris Slininger, DC, DCCJP • December 30, 2024

A Research Article by Dr. H. Charles Woodfield 3rd, et al.

Precision Upper Cervical Care Offers Hope for Migraine Sufferers


Migraines are a life-altering condition that often defy conventional treatments. This study explored how precise atlas realignment, a foundational element of upper cervical chiropractic care, can reduce migraine frequency and improve quality of life. The findings offer promising evidence that aligning the atlas vertebra may positively influence the brainstem and neurovascular systems, addressing migraines at their source.


While the study focused on the NUCCA (National Upper Cervical Chiropractic Association) technique, it represents one of several effective upper cervical approaches. At Cerebral Chiropractic Center in St. Petersburg, FL, we use the Advanced Orthogonal technique. This method employs a precision percussive sound wave adjustment, mirroring NUCCA’s principles of analysis and realignment to offer migraine sufferers an equally effective solution.


The observational pilot study involved 11 participants diagnosed with migraines by a neurologist. Each subject underwent an initial evaluation to confirm atlas misalignment. Over eight weeks, participants received care based on the NUCCA method, including precise adjustments and follow-up visits to monitor their alignment. Researchers measured changes in headache frequency, quality of life, and intracranial compliance (a measure of how the brain manages fluid pressure). Results were collected at baseline, week four, and week eight to assess the impact of realignment on migraine symptoms and overall well-being.


A New Perspective on Migraine Management


This study sheds light on the transformative potential of upper cervical care for migraine sufferers, especially those who struggle to find relief through traditional methods. By correcting atlas misalignment, researchers observed:



  • Fewer Headache Days: Participants reported an average reduction of nearly six migraine days per month by the eighth week. This significant improvement suggests that addressing biomechanical stress in the upper cervical spine can alleviate a major burden for chronic migraine sufferers.
  • Improved Emotional and Physical Well-being: Measures like the Migraine-Specific Quality of Life (MSQL) and Headache Impact Test (HIT-6) revealed marked improvements. Patients described feeling less restricted in their daily lives, showing that atlas realignment’s benefits extend beyond physical relief to emotional and mental health.
  • Encouraging Long-Term Potential: Two participants extended their participation to 24 weeks, maintaining or even enhancing their improvements over time. These outcomes hint at the possibility of sustained relief with ongoing care.


While the study’s results on intracranial compliance were mixed, the notable symptom relief and enhanced quality of life suggest that atlas realignment may support better neurovascular function and brainstem regulation. This pilot study paves the way for further research, offering hope for non-invasive, drug-free migraine management.


Read the Full Article


To fully explore the methods and conclusions discussed, check out Dr. Woodfield’s paper, Effect of Atlas Vertebrae Realignment in Subjects with Migraine: An Observational Pilot Study. Access the article here for a complete understanding of this important work.

A Groundbreaking Approach to Migraine Relief


For patients in St. Petersburg, FL, seeking effective migraine relief, the Advanced Orthogonal technique provides a precision-focused, non-invasive solution. By realigning the atlas vertebra, this approach reduces biomechanical stress and restores balance to the cranial-spinal system. Advanced Orthogonal’s sound wave adjustment is painless, precise, and tailored to each individual, offering a lasting and natural path to relief without invasive procedures or medication reliance.


Don’t let migraines control your day-to-day life. If you're in St. Petersburg, FL, the Advanced Orthogonal technique at Cerebral Chiropractic Center provides the precision care you need to regain control. Schedule your consultation today and discover how upper cervical care can make a difference.


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