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Dr. Matthew Alch (Chiropractor) BChiroSc, MChiro – Sydney Spinal Care
Meet Dr. Matthew Alch (Chiropractor)
BChiroSc, MChiro
Hi, I’m Dr. Matthew Alch (Chiropractor), a registered chiropractor here at Sydney Spinal Care. If you’re visiting this page, you may be dealing with persistent or recurring headaches that are interfering with your day-to-day life. You’re not alone.
And the good news is, there may be something we can do to help.
Key Benefits
Identify the root cause of tension and cervicogenic headaches
Gentle chiropractic care to relieve neck and back strain that may contribute to headaches
Personalised treatment to help reduce recurrence and improve daily comfort
Let us help you to ease headaches, naturally and safely
Headache Treatment Sydney
Headaches can range from mildly irritating to completely debilitating. They can interfere with your ability to concentrate, work, exercise, or even enjoy simple daily activities.
While headaches have many potential causes, some of the most common ones I see in clinic are related to musculoskeletal issues. Particularly those involving the neck and upper back.
Common Causes of Musculoskeletal-related Headaches
Common causes of musculoskeletal-related headaches include:
- Muscle tension in the neck, shoulders, and upper back
- Joint restrictions or dysfunction in the cervical spine
- Poor posture, especially from prolonged sitting or screen use
- Whiplash or other trauma
- Stress or fatigue that contributes to tension in the upper body
If you experience headaches that start at the base of your skull, radiate to your forehead or behind your eyes, or are accompanied by neck stiffness, there may be a mechanical component to your symptoms.
What Are Common Types of Headaches?
Not all headaches are the same, and identifying the type can help guide the right treatment approach.
- Tension headaches are the most common and are often caused by stress, poor posture, or muscle tightness in the neck and shoulders. They usually feel like a dull, pressing pain on both sides of the head.
- Cervicogenic headaches start from dysfunction in the neck joints, muscles, or nerves. The pain often begins at the base of the skull and can radiate to the forehead or temples, typically affecting just one side.
If you’re unsure which type you’re experiencing, a chiropractic assessment can help identify the underlying cause and determine whether chiropractic care may be suitable.
How Chiropractic Care May Help with Headaches
As a chiropractor, I focus on identifying whether your headaches are linked to issues with your spine, muscles, or nervous system.
If a musculoskeletal cause is contributing to your pain, chiropractic care may help relieve tension, improve movement, and reduce the frequency or intensity of your headaches.
Some of the treatments I may offer include:
- Gentle spinal adjustments to improve joint mobility
- Soft tissue techniques to reduce muscle tightness
- Ergonomic advice, especially if your headaches are posture-related
- Stretching and strengthening exercises to support your neck and shoulders
- Lifestyle recommendations to help manage contributing factors such as stress or prolonged screen time.
What to Expect During Your Visit
When you come to see me for headache treatment, the first step is a thorough assessment. This includes:
- A detailed health history and discussion of your symptoms
- Orthopaedic and neurological tests
- Physical examination of your neck, shoulders, and spine
- Referral for diagnostic imaging if clinically necessary
Once I’ve gathered the relevant information, I’ll explain what I’ve found and whether chiropractic care is appropriate for your situation.
If so, we’ll create a personalised treatment plan together. If I believe another healthcare provider is better suited to assist you, I’ll let you know and refer you accordingly.
Headache Treatment Tailored to You
Every patient is different, which is why I take a personalised approach to care.
Your treatment plan will be based on your symptoms, lifestyle, goals, and examination findings.
Together, we’ll work towards improving your function and helping you get back to doing what you love, without your day being derailed by headaches.
Evidence-Based Care for Headaches
What does the research say?
As a chiropractor, I base my approach on published research and clinical guidelines. While not all headaches are musculoskeletal in nature, some types, such as cervicogenic headaches and tension-type headaches, may respond well to manual therapy.
- A 2022 systematic review published in the journal Chiropractic & Manual Therapies found that manual therapy, including spinal manipulation and mobilisation, may significantly reduce the intensity, frequency, and duration of cervicogenic headaches when compared to usual care or no treatment. Mesa-Jimenez et al., Spine
- The UK Evidence Report (2010) reviewed multiple clinical trials and concluded that manual therapies, such as those used in chiropractic care, offer modest benefit for tension-type headaches, particularly when combined with stretching and postural advice. Bronfort et al., Chiropractic & Osteopathy
- Additionally, an evidence-based guideline published in J Manipulative Physiol Ther supports spinal manipulation as a recommended treatment option for adults with cervicogenic and some tension-type headaches, based on available research. Bryans et al., 2011
While results vary from person to person, these findings suggest that chiropractic care may play a valuable role in managing certain headache types—especially those linked to musculoskeletal dysfunction.
Frequently Asked Questions (FAQs)
Can a chiropractor help with all types of headaches?
Chiropractic care may be beneficial for headaches that are musculoskeletal in origin, such as tension-type headaches or cervicogenic headaches.
Migraines and other neurological headaches should be assessed and co-managed with your GP or other health professionals if needed.
How do I know if my headache is coming from my neck?
If your headache is accompanied by neck stiffness, starts at the base of your skull, or gets worse with neck movement or posture, it could have a mechanical component. A thorough assessment will help determine this.
What happens during a chiropractic adjustment for headaches?
If appropriate, a chiropractic adjustment involves applying gentle, controlled force to specific joints to improve mobility and reduce irritation. It’s not a one-size-fits-all approach. Treatment is always tailored to your needs.
Is chiropractic treatment for headaches safe?
Chiropractic care is generally considered safe when performed by a trained and registered practitioner.
Before any treatment, I’ll walk you through the process, potential benefits, and any risks involved.
How many sessions will I need?
This varies depending on the severity and duration of your symptoms. Some patients feel improvement within a few visits, while others may require a longer treatment plan. We’ll review your progress regularly and adjust your care as needed.
Do I need a referral from my GP?
No referral is needed to see a chiropractor privately. However, if you’re being treated under a Medicare Chronic Disease Management plan, a GP referral is required to access Medicare-funded sessions.
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Why Choose Sydney Spinal Care?
What sets us apart?
- Take advantage of our $99 New Patient Consultation (includes your first chiropractic adjustment as well).
- We’ll provide you with a full assessment of your case to determine if chiropractic can help you
- Our 30+ years experience means that we offer you a tried and true experience, backed by our reputation
- Instant health fund claims available on-site
- We are fully accredited with the Australian Health Practitioner Regulation Agency (AHPRA), as well as members of the Australian Chiropractors Association (ACA).
Our patient-centred approach here at Sydney Spinal Care will make sure you have a great chiropractic experience with us!
Headache Treatment Sydney
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