Pattern screening
History, timing, triggers and symptom review to decide whether conservative care fits or medical referral should come first.
BookHeadache assessment + cervical care in Midtown Manhattan
Headache & Migraine Treatment in Midtown NYC
Evaluation at 389 Fifth Avenue for tension headaches, cervicogenic patterns and neck or upper-back factors that may overlap with migraine-like symptoms. Care begins with screening and includes referral when another provider is more appropriate.
Tension + cervicogenic patterns
389 Fifth Ave
Aetna / BCBS / Cigna / UnitedHealthcare
Why patients book
Start with the headache pattern, not the label
Headaches are not interchangeable. Sinar reviews the location, frequency, timing and triggers of symptoms, then examines cervical and thoracic mobility, suboccipital and upper-trapezius tension, posture and whether neck movement reproduces the familiar pattern.
Migraine may coexist with neck pain, but it is a neurologic condition and may require medical management. The purpose of the evaluation is to identify an appropriate musculoskeletal contribution without treating every headache as a neck problem. For more clinical context, read Sinar's guide to headaches and chiropractic care in NYC.
Services
Care paths for headache patterns
Cervical + thoracic care
Joint assessment, adjustment or mobilization when restricted neck or upper-back motion contributes to the familiar headache pattern.
BookART / soft tissue
Precise soft-tissue contact with movement for suboccipital, upper-trapezius and posterior cervical restriction found on examination.
BookGraston / IASTM
Instrument-assisted soft-tissue care for selected areas of chronic tension when the examination supports its use.
BookPosture + rehab
Guidance for screen position, thoracic movement, commute habits and workday breaks that influence accumulated neck load.
BookReferral when needed
Clear direction to medical or emergency evaluation when symptoms do not belong in conservative musculoskeletal care.
BookWhat happens next
First visit sequence
01
History
Review frequency, location, timing, triggers, associated symptoms, prior diagnoses and changes from the usual pattern.
02
Examine
Assess cervical and thoracic motion, soft tissue, posture and whether movement reproduces the familiar symptoms.
03
Treat or refer
Begin appropriate hands-on care and guidance, or direct the patient to medical assessment when the presentation calls for it.
04
Reassess
Track headache frequency, intensity, neck mobility and tolerance for work or training without promising a set outcome.
Insurance
Accepted plans visible before booking
Sinar Treatments accepts Aetna, Blue Cross Blue Shield, Cigna and UnitedHealthcare. Workers comp accepted.
Verify your benefits with the office before your first visit.
Frequently asked
Headache & migraine care FAQ
Short answers for patients deciding whether a Midtown chiropractic evaluation is an appropriate next step.
Can a chiropractor treat every headache or migraine?
No. Migraine is a neurologic condition, and some headaches require medical care. Sinar evaluates whether joints, soft tissue or posture may be contributing and refers when the pattern is outside conservative musculoskeletal care.
Which headache patterns may involve the neck?
Tension-type and cervicogenic headaches commonly involve cervical or upper-back structures. Symptoms can overlap with migraine, so the history and examination matter more than a self-applied label.
What can care include?
When appropriate, care may include chiropractic adjustment or mobilization, ART, soft-tissue care, Graston / IASTM and guidance for screen position, movement breaks and daily loading.
When should I seek medical care first?
Seek prompt medical evaluation for a sudden severe headache, a headache after significant injury, or a headache with fever, vision changes, weakness, numbness, confusion or other new neurologic symptoms.
Where is the office, and do you take insurance?
Sinar is at 389 5th Avenue, Suite 302, New York, NY 10016. The practice accepts Aetna, Blue Cross Blue Shield, Cigna and UnitedHealthcare; verify benefits with the office.
389 Fifth Avenue, Suite 302
Book a headache evaluation in Midtown.
Near Bryant Park, Grand Central, NoMad, Murray Hill and Fifth Avenue office corridors.