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What is the Watson Headache Approach

The Watson Headache Approach was developed by Australian physiotherapist Dr Dean Watson (PHD), of the Watson Headache Institute. It is a manual therapy approach that has been scientifically validated to reduce brainstem sensitivity – the underlying cause of many headache and migraine conditions

The Watson Headache Approach focuses on dysfunction within the upper cervical spine (upper neck) and its role in driving persistent headache symptoms. This approach to treating headaches and migraines is based on physiotherapy manual techniques and neurological sensitivity.

Assessment Method

Through thorough assessments, including manual examination techniques, practitioners identify specific issues contributing to head pain in migraine sufferers. This approach emphasises collaboration among healthcare professionals, such as qualified physiotherapists and physicians, to provide comprehensive care tailored to each individual’s needs.

Tailored Treatment 

Once a diagnosis is established, treatment is customised to address the identified dysfunction. This may include physiotherapy manual techniques like joint mobilisation, soft tissue work, tailored exercise programmes and other advanced manual therapy techniques.

Patient Education

Headache and migraine patients are educated about the connection between upper cervical spine issues and their migraine/headache symptoms, empowering them with strategies for self-management and prevention, such as postural adjustments and stress management techniques. 

The Watson Headache Approach provides a structured, evidence-based framework aimed at long-term relief and improved quality of life for those suffering from primary headaches and migraines.

Scientific Validation of the Watson Headache Approach

The Watson Headache Approach is the only manual therapy approach that has been scientifically validated to reduce brainstem sensitivity – the key driver behind chronic headaches and migraines. Research has shown that dysfunction in the upper cervical spine contributes to a sensitised brainstem, leading to recurring headache and migraine attacks. The Watson Headache Approach directly targets this dysfunction, offering patients a structured, evidence-based treatment plan.

How does this treatment approach help diagnose a headache or migraine condition

The Watson Headache Approach aids in diagnosing migraine and headache conditions by conducting a thorough assessment of the top three spinal segments in the upper cervical spine, focusing on joint mobility, muscle tension, and neurological function.

This initial assessment helps identify any dysfunction or abnormalities that may contribute to headache symptoms. By correlating assessment findings with reported symptoms, practitioners can formulate a specific diagnosis, distinguishing headaches stemming from cervical spine issues from those caused by other factors.

This structured approach ensures a targeted and personalised treatment plan to address the underlying disorder and root cause of headache and migraine conditions and improve the individual’s patient’s life. 

Which headache conditions can the Watson Approach treat? 

Through tailored treatment strategies, the Watson Headache Approach aims to alleviate symptoms and improve the quality of life for headache and migraine attack sufferers. Conditions that can be effectively addressed using the Watson Headache Approach include but are not limited to:

Primary Headache Types 

Cluster Headache

Precise manual therapy techniques assist in reducing headache intensity and frequency.

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Tension-Type Headache  

By addressing cervical spine dysfunction, treatment helps relieve tension headaches and prevent their recurrence.

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Post-Trauma and Cervical-Related Headaches

Chronic whiplash-associated headache 

Manual therapy techniques and targeted exercises may help reduce headache frequency and intensity in individuals with chronic whiplash-related symptoms.

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Cervicogenic headache

By targeting dysfunction in the cervical spine, the Watson Headache Approach aims to alleviate symptoms of cervicogenic headaches which originate from referred neck pain.

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Migraines & Other Conditions 

Vestibular migraine 

Comprehensive treatment strategies may include manual therapy, education on triggers, and self-management techniques to improve symptoms and quality of life.

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Menstrual migraine

The Watson Headache Approach offers tailored interventions to manage menstrual-related migraine symptoms, such as education on hormonal influences and strategies for symptom management during menstrual cycles.

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Ocular Migraine 

Tailored treatment strategies help individuals with ocular migraines by addressing dysfunction in the upper cervical spine that may contribute to visual disturbances.

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Abdominal Migraine 

The Watson Headache Approach may assist individuals with abdominal migraines in children and adults by identifying and treating cervical spine dysfunction that could contribute to nervous system hypersensitivity.  

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Occipital Neuralgia 

By addressing dysfunction in the upper cervical spine, the Watson Headache Approach can help reduce pain associated with occipital neuralgia, which presents as sharp or throbbing pain at the base of the skull and behind the eyes.

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How are treatments carried out in a Watson Headache Clinic? 

Treatment using the Watson Headache Approach typically involves a combination of manual therapy techniques, education, and self-management strategies. Here’s an overview of how treatment is carried out by a Watson Headache Certified practitioner:

Manual Therapy

Treatment often begins with hands-on techniques aimed at addressing dysfunction within the upper cervical spine. This may include:

  • Joint mobilisation to improve joint mobility
  • Soft tissue techniques to release muscle tension 
  • Specific exercises to enhance strength and stability

Unlike traditional spinal manipulation techniques, the Watson Headache Approach does not involve high-velocity thrusts, clicking, or cracking of the neck. Instead, it uses gentle, precise manual therapy techniques to assess and treat the upper cervical spine, reducing brainstem sensitivity in a controlled and effective manner.

Education 

Patients are educated about the relationship between upper cervical spine dysfunction and headache symptoms. They learn about potential triggers, postural habits, and stress management techniques that may contribute to their headaches. Understanding these factors empowers patients to take an active role in managing their condition.

Self-Management Strategies 

Headache sufferers are provided with strategies to manage and prevent headaches on their own. This may include advice on:

  • Ergonomic modifications to improve workspace setup and posture, reducing strain on the neck and upper back
  • Stress management techniques to counteract nervous system overstimulation
  • Postural training to reduce strain on the cervical spine
  • At-home exercises to support treatment progress between sessions

By incorporating these strategies into their daily routine, patients can better control their symptoms and minimise the impact of headaches on their lives.

Follow-Up and Monitoring  

Regular follow-up appointments allow practitioners to monitor progress, adjust treatment as needed, and provide ongoing support to patients. This ensures that treatment remains tailored to the individual’s changing needs and goals.

Overall, the Watson Headache Approach offers a holistic and patient-centred approach to headache management, focusing on addressing the underlying causes of recurring headaches and empowering patients to actively participate in their treatment and recovery.

A Medication-Free & Non-Invasive Treatment 

One of the key benefits of the Watson Headache Approach is that it is completely medication-free and non-invasive. Many headache and migraine treatments rely on pharmaceuticals to manage symptoms, but the Watson Headache Approach focuses on addressing the underlying cause of headaches rather than masking the pain.

By using gentle, hands-on techniques, this approach provides a natural and sustainable solution for individuals looking to reduce their dependence on medication. It is particularly beneficial for those who have experienced limited success with traditional treatments or wish to explore drug-free options for long-term headache relief.

Watson Headache Clinic Brisbane 

Do you have a migraine or headache condition that you can’t get rid of, no matter how many treatments and medication types you’ve tried? Unfortunately most headache and migraine sufferers live with a condition that is misdiagnosed and mistreated. 

The focus of treatment at our clinic is to first identify the root cause of your condition. Once we have determined whether the underlying disorder is related to an overly sensitised brainstem, our main focus is desensitising the brain stem to help settle the neurological disturbances caused by this chemical imbalance.

Treatment at the Brisbane Headache & Migraine Clinic™ is delivered by experienced practitioners trained in the Watson Headache® Approach — including Bertrand Doeuk, a Watson Headache Certified Practitioner and one of only eight Level 4 Clinical Facilitators worldwide. This is the highest level of recognition within the Watson Headache® Institute and reflects extensive training and experience in treating complex headache and migraine conditions.

Once treatment commences, we expect a significant improvement to occur rapidly in 90% of our patients with headache and migraine conditions within the first 5 treatment consultations.

To get to the bottom of your condition, its root cause, and the best way to get your pain-free life back on track, book your initial consultation with Brisbane Headache & Migraine Clinic today. 

Contact us on 1800 HEADACHE to book an appointment with an experienced clinician. 

Imagine a life free of severe headaches and frustration!

Make An Appointment 

Common Headaches Treated in our Clinics

Menstrual Migraine | Migraine With Aura | Cluster Headache | Cervicogenic Headache | Whiplash Associated Injury | Sinus Headache | Chronic Daily Headache | Tension Type Headache | Migraine Headache | Hormonal Headache | Ocular Migraine | Vertigo Cervical Headache | BPPV | Trigeminal Neuralgia | Occipital Neuralgia | Cyclical Vomiting Syndrome | Hemiplegic Migraine | Abdominal Migraine |