When recurring headaches keep interrupting work, exercise or time with people you care about, you want a clearer understanding of what may help – not another approach that manages the pattern without explaining it.
At Breakthrough Pain & Performance in Shiremoor, Sam uses relevant neurological and movement testing to explore the factors that may be contributing to your difficulties. The aim is to identify a useful next step towards greater comfort, confidence and capability.
18 years’ clinical experience | Diagnostic First Session | Free on-site parking | Shiremoor, serving Newcastle and North Tyneside
You plan your day around the possibility of another headache. Concentrating at a screen, travelling or joining in with family activities can feel harder than it should.
You may already have a diagnosis and a treatment plan, yet still have questions about accompanying neck tension, jaw discomfort or movement restrictions. Previous treatment may have helped some parts of the problem without giving you the understanding or confidence you wanted.
The painful area can be one part of a wider picture. An individual assessment helps us explore what is relevant to you, without assuming that everyone with the same headache label needs the same approach.
Medication and other healthcare approaches can play an important role in headache and migraine care. There is a separate layer of assessment – movement and neurological responses – that many people with recurring headaches have never had explored. That is what the Diagnostic First Session looks at, alongside whatever care you are already receiving.
Functional neurology and P-DTR use a brain-based approach. Sam selects relevant tests, applies an appropriate treatment input where indicated, then immediately retests the response. This process can happen several times during a session.
When a specific finding changes on retesting, you and Sam can see that the response changed in the room. That is different from demonstrating a lasting change in headache frequency or severity, which requires follow-up over time.
Think of the process as peeling an onion. We begin with your history, the activities that matter to you and appropriate assessment. Findings guide the next step, rather than a fixed routine based only on where you feel pain.
An initial functional change is a starting point. Where ongoing work is appropriate, the focus is on checking progress and building function, strength and confidence towards your goals. Further care is recommended only when it makes sense for your findings and priorities.
Your 60-minute session begins with your history, current medical care, the pattern of your difficulties and what you want to get back to doing.
Sam carries out appropriate neurological and movement assessment and explains the findings in plain English.
Where appropriate and where time allows, treatment begins during the session, followed by immediate retesting.
You receive one clear initial action or piece of guidance based on what the assessment showed, a written report prepared following the session and provided before your Breakthrough Debrief, and an included 30 to 40 minute Zoom findings call.
The findings call gives you time to discuss the report, ask questions and consider the next step. There is no obligation to continue.
Seven years of daily headaches had left one client worrying about whether he could cope with work or exercise. He was off work and had stepped back from tennis and running.
By his day-60 review, he was back at work, training in the gym and returning to sport. His records describe playing tennis and running without the flare he had previously feared. Earlier in the programme, he had reported milder headaches and exercises becoming easier.
Headaches and jaw symptoms still needed work, especially as the demands on him increased. But he was doing more of the things that had felt out of reach, building capacity while treatment continued.
From daily headaches to returning to work and sport
For another client, migraines were taking away days she wanted to spend living her life. Before starting treatment, she had reported six migraines in the first seventeen days of a month and dreaded waking to find another one beginning.
Around ten weeks after her first session, she reported one major migraine during the whole of October and one day spent in bed. During the school half-term, she did not lose a single day to bed, compared with at least three days in previous breaks.
For her, that was time back to enjoy rather than recover through. She described feeling dramatically better. Smaller headaches had still occurred and work continued, with progress reviewed alongside her existing medical care.
A half-term to enjoy, without days lost in bed
Meaningful progress is personal. We agree what matters to you and review how you are managing those activities over time, as well as what changes during assessment.
These experiences are individual and are not evidence that another person’s headaches or migraines will respond in the same way.
The clinic is at 47 Dukesfield, Shiremoor, Newcastle, NE27 0DR, with free on-site parking. Diagnostic First Sessions are available for people from Newcastle, North Tyneside and surrounding areas we genuinely serve.
If your headaches are new, changing, worsening or not yet assessed, contact your GP for appropriate medical advice. Sam will discuss your history and whether a Diagnostic First Session is suitable. This service does not replace medical diagnosis or specialist headache care.
No. Continue prescribed treatment unless the clinician responsible for it advises otherwise. Bring details of your current care and medication to your session.
No. Retesting can show that a particular functional response changed during the session. Sustained improvement must be assessed through follow-up, including your symptoms and the activities you can manage.
Yes, where appropriate and where time allows. The £100, 60-minute Diagnostic First Session combines history, appropriate assessment and treatment with immediate retesting. The written report and included Zoom findings call help you understand the findings and options.
Sam responds the same day, usually within the hour, and aims to arrange sessions in the same week, subject to availability. Sending a booking request does not confirm an appointment or take payment.
Call 999 or go to A&E for a sudden, extremely painful headache, or a headache with symptoms such as weakness, problems speaking, confusion or loss of vision. For other concerning or worsening symptoms, seek advice from your GP or NHS 111.
Call or text Sam directly: 07921 818285
Tell Sam what has been happening and what you want to get back to doing. If recurring headaches are restricting your life and you want to explore whether this approach is appropriate, your Diagnostic First Session gives us time to listen, assess what is relevant and discuss an appropriate way forward.
Call or text Sam directly: 07921 818285
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