Mitigating Migraines

Headaches come in various forms, each with its own distinct characteristics and triggers. Among the most common types are migraines, cluster headaches, and tension headaches. While they may share some similarities, understanding their differences is crucial for effective management and relief.


Migraines are intense, throbbing headaches often accompanied by nausea, vomiting, and sensitivity to light and sound and they can last for several hours to days. They are believed to be caused by abnormal brain activity affecting nerves, chemicals, and blood vessels in the brain. Triggers can vary widely from person to person, including stress, hormonal changes, certain foods, and environmental factors. Many people experience an “aura” beforehand which are sensory disturbances that can include a variety of symptoms. These can include a sensitivity to light, sound, smells, and even taste. Most commonly, people will get flashes of light, blind spots, or tingling in their hands or face 5-60 minutes before the onset of pain.


Relief from migraines is typically provided in one of two ways: medications and/or lifestyle changes. Many people are helped by over-the-counter medications but others may be better helped by prescription medications. Lifestyle changes include managing stress and avoiding known triggers.

Cluster headaches are excruciatingly painful headaches that occur in cyclical patterns or clusters, often around the same time of day or year. They are thought to be related to abnormalities in the hypothalamus, the part of the brain that controls body temperature, hormones, and sleep. With cluster headaches there is no aura and pain tends to be centered behind the temple and eye on one side; these headaches occur most often in males in their 40s and 50s. Triggers can include alcohol consumption, high altitudes, and certain foods.


Cluster headaches are best relieved by oxygen therapy, though there are other options. Oxygen therapy is the inhalation of 100% oxygen over a 15-minute period, usually administered at a neurology office. Other methods include prescription medications, nerve blocks, and lifestyle changes.


Tension headaches are characterized by a dull, aching pain and pressure around the forehead, temples, and back of the head—often referred to as the hat band distribution. Tension headaches tend to last 30 minutes to a few hours—very rarely will these last for days. They are usually caused by muscle tension in the neck and scalp, which can result from stress, poor posture, or anxiety.


Relief from tension headaches is wide-ranging. Over-the-counter medications like acetaminophen (Tylenol) and NSAIDs (ibuprofen) are among the most common solutions. Other effective methods include relaxation techniques, heat, and massage therapy.


Prevention for all three kinds of headaches includes avoiding triggers such as limiting alcohol and caffeine consumption and smoking cessation. Additionally, maintaining a regular sleep schedule, staying hydrated, having good posture, and regular exercise can help you avoid these. And of course, seeking chiropractic care and massage therapy for tension relief and spinal alignment is a great way to prevent headaches.



Understanding the differences between migraines, cluster headaches, and tension headaches is essential for effective management and prevention. While each type may require specific treatment approaches, chiropractic care and massage therapy can play a valuable role in relieving tension, promoting relaxation, and enhancing overall well-being. By incorporating these holistic approaches into your headache management plan, you can work towards finding relief and enjoying a better quality of life. Come visit your local Buffalo chiropractors and massage therapists at Peak Performance and tell your providers if you suffer from headaches!


Bethany Wolcott

D’Youville Chiropractic ‘26

Prenatal Massage

By S21 GMB • October 27, 2025
8 Reasons You Should Get a Massage During Pregnancy

Pelvic Floor Physical Therapy

By S21 GMB • October 20, 2025
The Importance of Pelvic Floor Physical Therapy

Cubital Tunnel Syndrome: When Your Funny Bone Isn’t So Funny

By S21 GMB • October 13, 2025
We’ve all hit our “funny bone” before — that zinger of tingling pain shooting down your arm that you shake out. But when that sensation starts happening without bumping your elbow, it might not be so funny anymore. You could be dealing with something called Cubital Tunnel Syndrome — a condition that gives your ulnar nerve a bit too much attention for comfort.  Let’s break down what’s going on inside that elbow of yours, what causes this pesky problem, how to treat it, and what you can do to keep your funny bone feeling more “fun” than “numb.”

Sleeping Positions: Protecting Your Spine While You Snooze

By Solution21 Team • October 6, 2025
We all know that a good night’s sleep can make or break your day. But what many people don’t realize is that the position you sleep in plays a huge role in how rested—and pain-free—you feel when you wake up. The way you lie in bed can either support your spine and muscles or set you up for stiffness, discomfort, and even long-term issues. As chiropractors and massage therapists, we see the effects of poor sleep posture every day. The good news? With a few simple tweaks, you can protect your spine, reduce strain, and get the most out of your nightly rest. In this post, we’ll break down the best ways to sleep on your back and side, why stomach sleeping isn’t your spine’s best friend, and how the right pillow can make all the difference. 

10 Things You Didn’t Know About Inflammation

By Jun Sanchez • September 29, 2025
(And Why It’s Not Always the Villain)

Tendinitis vs. Tendinosis: What’s the Difference?

By Jun Sanchez • September 22, 2025
If you’ve ever had nagging elbow pain after a long weekend of yard work, or your Achilles tendon screaming at you after ramping up your mileage too quickly, you may have heard the term “tendinitis” tossed around. It’s the go-to explanation for tendon pain—but here’s the plot twist: not all tendon pain is actually tendinitis. Sometimes, it’s tendinosis. While the names sound almost identical, these conditions are very different. Understanding which one you’re dealing with is key to proper treatment, preventing reinjury, and speeding up recovery. Let’s break it down in a way that makes sense (no medical degree required). 

Game Day Gains: Staying Active and Healthy While Cheering on the Bills

By S21 GMB • September 15, 2025
The start of the Buffalo Bills football season is one of the best times of the year in Western New York. Whether you’re in the stands at Highmark Stadium or packed into a living room with family and friends, there’s nothing quite like the energy of game day. But let’s be honest—football watching usually comes with hours of sitting, bottomless snacks, and more than a few high-calorie treats. Here’s the good news: you don’t have to sacrifice your health to enjoy the game. With a few smart tweaks, you can cheer on Josh Allen and the team while also supporting your own body. Below are fun, evidence-based tips for staying active and healthy all football season long.

The Activator: Small Tool, Big Results in Chiropractic Care

By Design Team • September 8, 2025
When most people picture a chiropractic adjustment, they imagine a manual adjustment—the quick, precise movement of a chiropractor’s hands creating that signature “pop.” But there’s another technique that’s just as effective, and in many cases, even more comfortable for patients: the Activator. This method uses a small handheld tool called the Activator Adjusting Instrument to deliver safe, gentle, and targeted adjustments. While it might look simple, this little spring-loaded device packs a powerful punch when it comes to improving spinal health and reducing pain. In this post, we’ll break down what the Activator is, why chiropractors use it, how it works, and who can benefit most from this technique.

6 Things You Didn’t Know About Kyphosis

By S21 GMB • September 1, 2025
When you hear the word kyphosis , you might picture someone hunched over with poor posture. But this spinal condition is a lot more interesting—and more common—than most people realize. Kyphosis happens when there’s an exaggerated forward rounding of the upper back. While a little rounding is normal, too much can cause pain, stiffness, and even affect breathing in severe cases. The good news? With the right awareness and care, many people can manage it effectively. Here are six things you may not have known about kyphosis: 

Visceral Massage: Supporting the Body from the Inside Out

By Jun Sanchez • August 25, 2025
When most people think about massage, they picture sore shoulders, tight hamstrings, or a knot in the middle of their back. But did you know massage can also target areas inside the body? We’re not talking about bones or muscles this time—we’re talking about your organs. Visceral massage, sometimes called visceral manipulation, is a specialized form of therapy that focuses on releasing restrictions around the organs in your abdomen and chest. This technique may sound a little different than what you’re used to, but it has been shown to help with everything from digestion to chronic pain. Let’s break down what visceral massage is, why it works, and who may benefit. 
Show More