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Are you tired of waiting 6 months to see a specialist only to have them give you another medication that may or may not work?

Our innovative approach to migraine relief focuses on the cause, not just a temporary cover up. In our office, we do not treat you like a number, we see you as an individual and we are interested in your specific case. We discuss lifestyle, diet, medications and examine the entire neck region. We are looking for a potential choking point of fluid/blood flow, disruption in nerve signaling, muscular imbalances and trigger points.

We have had too many patients come to us after YEARS of traditional therapy (medications, Botox and even surgery) that provided them little to no relief. The doctors in our office understand the severe/debilitating nature of migraines and we will work with you one-on-one every step of the way.


Patient-Centered Treatment

We are not a patient mill. We are focused on helping you achieve your highest quality of life. That is why we take our time with every patient and recognize your unique situation. Prior to providing you with any treatment or recommendations, you will sit down with the doctor to go over your medical history and be evaluated thoroughly using our 7-step protocol.


"Adjusting the upper neck is a missing link in healthcare"


- Dr. Damadian, Inventor of the MRI​

The Importance of the Upper Neck and Migraines

The upper neck is the area of your spine where the Cranium meets the first vertebrae, Atlas (C1).  It is a critical area for blood and nerve flow to and from the brain. Recently, there have been several studies conducted by both the field of medicine as well as the field of chiropractic regarding the correlation between Migraines and dysfunction of the upper neck.


Dr. Scott Rosa, an Upper Cervical Chiropractor, has been conducting research with Dr. Raymond Damadian, a Medical Doctor and inventor of the MRI, and what they have discovered could give those who suffer from migraines the answer that they have been searching for. By using upright MRI’s, Blood Flow and CSF studies, they believe they have found one of the major causes of migraine headaches.

Dr. Rosa and Dr. Damadian have provided studies with images to show how the upper neck misalignment is affecting the flow of spinal fluid as well as blood flow. What is more impressive is that Dr. Rosa has also provided images after adjusting the upper neck that show a complete reversal of the condition.


Dr. Damadian has even stated publicly that adjusting the Atlas (C1) is a missing link in health care. While chiropractors, who specialize in the correction of the upper neck, have always had great success with migraine sufferers, this new research can pinpoint the exact reason why.

Some of the signs of migraine related to neck pain/dysfunction include:

  • tightness and stiffness in the neck

  • a reduced range of neck movement

  • headaches that worsen when you apply pressure to certain parts of the neck

  • pain located on one side of the head only

  • pain that spreads from the back of the head and neck up to the front

  • headache pain behind the eyes


What are your options?

The current migraine treatments have been limited to pain medication, anti-depressants, and now Botox injections. While these methods may reduce the suffering of the patient, they are only temporary and do not get to the root cause of the migraines. Most current treatment focuses on the changes going on in the brain, but if the problem is starting in the Cervical spine, or neck, these treatments may only be moderately effective, and in some cases not effective at all.There has not been much help or relief at getting to the true cause of this condition, until now...

How Our Doctors Can Help

With the newfound research and ability to correct upper cervical misalignments, we are giving new hope to individuals suffering from this debilitating condition.

Pierce Upper Cervical Chiropractic uses a revolutionary healthcare procedure that focuses on the Upper Cervical Spine. This procedure identifies subtle misalignments of the top vertebrae in the neck and corrects them using a light-force instrument adjustment. These corrections have led to the restoration of fluid flow and relief from migraines.

But don't take our word for it... Atlanta Migraine Treatment

It’s Time To Try Something Different

Patient Testimonials


I was experiencing terrible migraines and missing lots of work before a friend referred me to Pierce Chiropractic Center. After seeing neurologists and having MRIs done with no root cause, Dr. Culig was able to identify and fix my problems. I’ve been migraine free and medication free for months now thanks to the excellent care I’ve received at Pierce Chiropractic!


  • Rachel C.



One of my colleagues became tired of seeing me struggle with migraines and sinus headaches so he made me an appt with Dr. Randy Culig. After my initial visit with Dr. Culig I was impressed with him, his office staff, and his office so I decided to return for my follow up. That was about 8 visits ago and I have been amazed with the results in such a short amount of time. He was able to decipher that what I thought were sinus headaches were actually originating in my back muscles. A few adjustments and no more problems. My migraines have slowed in both severity and recurrence. Thanks Dr. Culig.

  • Dennis P.

I’ve been seeing Dr. Culig for a few months now. When I began with Pierce I had a migraine about once a week. To date, I haven’t had one in 6 weeks; 100% credit goes to this treatment. Dr. Culig’s constant attention to your case and how to resolve it is no less part of the success than the method itself. Could not recommend more highly.

  •    Mackenzie R.

For 10 years I dealt with debilitating migraines. I went to several doctors before seeing Dr. Culig. The migraine headaches that I had been suffering from for several years completely went away! Staying under continual care gives me the peace of mind that I am decreasing my chances of ever having a migraine again.

  • Lyndsay B.

I went to Dr. Culig seeking help for neck pain. Thanks to him, I learned that being out of alignment in my upper cervical spine was not only causing the neck pain, but also the migraines I had been having since age 13. I am now pain free all the way around. Dr. Culig's treatment method is evidence-based. His approach is safe and gentle. He is a thoughtful, caring and dedicated professional. I recommend him without reservation.

  • Kristin D.


Frequently Asked Questions and How to Prepare for Your Initial Visit

Can I receive your treatment if I have herniated discs?


Yes, our adjustments are provided to the Upper Cervical spine, C1 and C2, which are the only segments in the spine without a disc in between them. Furthermore, our adjustments are very gentle and safe, without any twisting of the neck. When you have disc herniations, you want to avoid any rotatory/twisting manipulations to the neck because these can tend to “sheer” the discs and could make the problem worse.

Can I receive your treatment if I have had neck fusion/surgery?


This depends on the extent of the surgery and when it was done. We typically like to wait at least 6 months after the surgery was done prior to providing any treatment. After 6 months, you could come in for an evaluation and we will determine if our treatment is right for you. We have had several successful post-surgical cases due to our focus on the C1-C2 area, which is typically not an area that will be touched by a surgeon unless necessary.


Can this treatment make my Migraine worse?


Although there is a chance that ANY treatment can make a condition worse, we take all necessary precautions prior to giving any treatment to the neck. Our approach is very conservative and precise, we begin slowly and see how each patient responds and then we adapt our care from there.

Do the corrections hurt?


No. The adjustments are very gentle and precise utilizing 1/8”-1/4” depth with no twisting or cracking of the spine.

How is this different from general chiropractic?

Upper Cervical Care is a specialty within the Chiropractic profession that requires several additional certifications and endless study outside the general chiropractic education. This is because we are dealing with such an important area that is vastly different both anatomically and physiologically from the rest of the spine below. Our procedure requires a 3-dimensional x-ray analysis that provides us with an extremely specific line of correction that is unique to you. With this line of correction, we are able to correct your C1-C2 misalignment utilizing a precise, light-force instrument assisted adjuster. This does not involve any forceful manipulation of the neck.


How do I know that I am a candidate for Upper Cervical Care?


If your migraines are related to dysfunction in the neck you will have one or more of the following symptoms:

  • tightness and stiffness in the neck

  • a reduced range of neck movement

  • headaches that worsen when you apply pressure to certain parts of the neck

  • pain located on one side of the head only

  • pain that spreads from the back of the head and neck up to the front

  • headache pain behind the eyes

What should I do to prepare for my initial visit?

1. Do not drink caffeine or smoke 12 hours prior to your visit


2. Answer the following questions as they pertain to your Migraines: How often? How long do they last? What makes them better or worse?  When do you get them? Where do you feel the pain? What does the migraine/headache feel like? Who else in your family gets them?


3. Make a list of all current medications

4. Bring any imaging that you may have had from previous doctor visits such as; MRI, CT, X-rays etc.

5. Please come with any questions that you might want to ask the doctor. Remember, there is no such thing as a bad question, especially when it comes to your health. 

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