Your migraines aren't in your head. They're in 2 vertebrae at the top of your neck.

3D imaging finds the misalignment no one else has measured. A gentle correction fixes it. No cracking. No drugs.

27 million Americans suffer from migraines. Most are told it's chronic. It's usually not.

The Problem

They told you it's chronic. They're wrong. It's unmeasured.

You've seen the neurologist. You've tried the triptans. You've kept the headache journal. You've tracked the triggers. You've done the elimination diet. You've had the MRI that came back clean.

Someone handed you another prescription and said it's just how your brain is wired. Live with it. Manage it. Stack the meds.

Here's what none of them measured: the top two vertebrae of your spine. C1 and C2. The junction where your brainstem meets your body. A single millimeter of misalignment there can disrupt the signal to everything above it — and manifest as the exact migraine pattern you've been told is "chronic."

If medication isn't working, it's probably because medication was never the problem.

Philosophy

Neurologists manage migraines.We try to eliminate one of their causes.

Upper cervical chiropractic is a different instrument for a different problem. Instead of dampening the pain signal at the brain, we look at the structural point where the signal starts — and measure whether anything is interfering with it.

01 / Measured

Not guessed. Scanned.

Every correction is built from a 3D CBCT scan of your unique anatomy. No two vectors are the same.

02 / Gentle

Light-force. Non-rotational.

There is no twisting. No cracking. The Blair Technique is one of the gentlest corrections in chiropractic — safe while you're on medication.

03 / Finite

Healing happens between visits.

Our goal is fewer adjustments over time — not a lifelong maintenance plan. Corrections that hold.

The Method

Three steps. No guessing.

01 Understand

Listen first. Examine thoroughly.

A complimentary consultation and full neurological exam. We take the time to understand your migraine history — every provider, every medication, every trigger, every theory you've been given — before we pick up a single instrument.

  • Full migraine history intake
  • Neurological + postural exam
  • Candidacy assessment — honest answers
02 Measure

3D imaging. To the millimeter.

We use advanced CBCT (Cone Beam CT) 3D imaging to map your upper cervical spine with precision that traditional x-rays and most MRIs can't match. The scan tells us exactly where the misalignment is — or if there isn't one, we tell you.

  • Advanced CBCT 3D scan
  • Custom correction vector calculated
  • Plain-English walkthrough of your findings
03 Correct

Gentle. Precise. Measured.

A light-force, non-rotational correction delivered exactly where the scan showed it was needed. No twisting. No cracking. Objective indicators decide when your next adjustment is required — not a pre-set schedule.

  • Blair Technique correction
  • Objective hold testing
  • Fewer visits, longer-lasting results
What Makes This Different

An instrument, not a template.

Most chiropractors were trained on the same 1970s techniques. Upper cervical specialists are a small fraction of the profession — and the ones using 3D imaging to treat migraine patients are smaller still.

CBCT

3D CBCT Imaging

Cone Beam CT maps your upper cervical spine in three dimensions — something traditional 2D x-rays physically cannot do.

BLR

Blair Technique Specialist

Trained in a precise upper cervical method used by fewer than 1% of chiropractors in the United States.

VEC

Custom Correction Vectors

Your adjustment is calculated from your anatomy — not memorized from a textbook template.

MED

Works Alongside Your Neurologist

We don't ask you to stop your medication. We measure the structural piece everyone else missed.

A 3-minute self-check

What kind of headache do you actually have?

11 questions. About three minutes. Built by Dr. Croxford from current headache classification standards.

You'll get a directional read on the type of headache your symptoms most resemble — and an honest answer on whether upper cervical care is worth exploring, or whether a different specialist should look first.

Take the headache quiz → Educational. Not a diagnosis.
Headaches We Help With

If you've been told "it's just chronic" — read this list.

Not every headache has an upper cervical root. But every patient deserves to have it ruled in or out before spending another decade on medication.

Chronic Migraineswith or without aura
Tension Headachesdaily, band-like pressure
Cervicogenic Headachesstarting at the base of skull
Post-Concussion Headachesafter impact or whiplash
Cluster Headachessevere, one-sided, episodic
Medication-Overuse Headacherebound from daily painkillers

We also help with:

Vertigo & Dizzinessincl. Ménière's
Trigeminal Neuralgiafacial nerve pain
Chronic Neck Painthat won't resolve
Post-Concussion Symptomsbrain fog, fatigue
Whiplash / MVAauto accident recovery
Meet Dr. Croxford

10+ years. 250+ hours of advanced training. One specialty.

Dr. Croxford founded Health First Chiropractic in Puyallup to practice the way he believed chiropractic should be done: measured, gentle, specific, and focused on the patient's independence — not the practice's retention rate.

He is a member of the Blair Upper Cervical Chiropractic Society, the ICA Council on Upper Cervical Care, and the Washington State Chiropractic Association. He earned his Doctorate at Sherman College of Chiropractic in Spartanburg, SC — a program nationally recognized for upper cervical training.

Over 250 hours of post-graduate work later, he's one of a small number of Washington chiropractors combining Blair Technique with advanced CBCT 3D imaging — the standard of care for migraine and headache patients who want answers they can measure.

Blair Upper Cervical Society
ICA Council · Upper Cervical
WA State Chiropractic Assoc.
Sherman College Alumni
250+ Hrs Advanced Training
CBCT 3D Imaging Certified
Real Patients · Real Outcomes

Measured results, in their words.

I was among those that were skeptical of seeing a chiropractor, but here I am almost 4 years later and he's the first one I want to see when I get any type of pain in my body. Never realized it all has to do with alignment and adjustment. No pain meds, and if I really need something, OTC Tylenol does just fine. My migraines are very far and few between.
Jana Migraines · 4-year patient · off pain meds
A chiropractor whose main goal is actually curing the problem — not to make sure the patient will be returning for years to come. Dr. Croxford actually takes the time to figure out what the root cause of the issues you are having are and focuses on those in hopes you will no longer need chiropractic work. Within a month and a half I've seen more progress here than I have in the years I've been to others.
Nolan Chronic care — switched from multiple chiropractors
My mom has dealt with chronic vertigo for over 15 years and she is so much better in just four weeks. ENT said no issues with ears. Only has had one episode since she started treatment, whereas before she would get vertigo twice a week at times for 2 to 3 days straight. If you suffer from chronic vertigo this place is amazing.
Julia Chronic vertigo · 15 years → 4 weeks
Your Migraine Assessment

Everything a neurologist didn't do.

No pressure. No upsell. Just a full assessment so you leave with real answers — even if we're not the right fit.

Full migraine history review Every provider, every medication, every trigger theory
Neurological & postural exam Objective baseline — numbers you can track
Upper cervical candidacy screen If C1/C2 isn't the issue, we'll say so directly
Plain-English walkthrough No jargon. No sales pitch. No upsell.
A next-step plan — yours to keep Regardless of where you take it next
Your migraine assessment Complimentary
Book Your Migraine Assessment →
FAQ

Honest answers — the questions migraine patients ask first.

Yes. Upper cervical corrections don't interact with medication. Most patients start care while still on their current prescriptions — triptans, beta-blockers, CGRP inhibitors, Botox, whatever you're on — and taper off with their prescribing doctor as symptoms resolve. We never ask you to stop medication on our recommendation.

Neurologists diagnose and manage migraines — usually with medication, trigger work, or injections. We don't diagnose migraines and we're not trying to replace your neurologist. We measure upper cervical misalignment with 3D CBCT imaging and correct it when it's there. They manage the symptom. We address one possible root cause. Many patients do both.

Most migraine patients report a noticeable change within 2 to 6 corrections. We use objective indicators at every visit — not just how you feel — to measure whether the correction is holding. If there's no measurable change in the first 30 days, we tell you and refer you out. You are not locked into a 6-month plan.

Cluster headaches are neurologically different from migraines, but they share a connection to the upper cervical spine and the trigeminal nerve system. Some cluster patients respond very well to upper cervical work. The only way to know is to measure. If your scan is clear and your exam doesn't suggest upper cervical involvement, we'll tell you honestly.

No. Botox blocks the muscle signals that amplify migraine pain — it's a symptom-dampening tool. Upper cervical work is a structural tool — we're looking at whether C1 or C2 is interfering with brainstem signaling. Patients often use both. They're not competing treatments.

No. The Blair Technique is a light-force, non-rotational correction. It is one of the gentlest methods in chiropractic. You will not hear a "crack." You will not feel a twist. The correction is precise and quiet.

No. Our philosophy is independence, not dependency. "Healing happens between visits — not on the table." The goal is fewer adjustments over time as your body holds its correction longer and longer. We only adjust when objective indicators show it's needed.

The initial migraine assessment is complimentary. We accept most insurance, L&I (Washington work injury), and MVA (auto accident) third-party billing. Cash-pay rates and payment plans are available. We discuss exact numbers transparently at your first visit — no surprise bills.

One Step Forward

If medication isn't working, it's worth measuring what no one has.

A complimentary migraine assessment. No pressure. Real answers — even if we're not the right fit.

Book Your Migraine Assessment — Free →

Or call (253) 256-4818

Book Migraine Assessment — Free