Visit our Location
Give us a Call
Office Hours
Monday - Thursday:
7:30AM-10AM & 3PM-6PM

Headaches are among the most common — and most underdiagnosed — injuries following a motor vehicle accident. The compressive and shear forces of a rear-end or side-impact collision produce three distinct injury mechanisms that all manifest as head pain: cervicogenic headache from upper cervical ligament disruption, post-concussion headache from mild traumatic brain injury (mTBI), and cervicogenic vertigo from disrupted proprioceptive input at the atlantoaxial and atlanto-occipital joints.
These are structural and neurological injuries — not ordinary tension headaches. Distinguishing between them requires a thorough clinical examination and objective documentation, not symptom management alone.
Dr. Justin Luneburg, DC, FPSC(C) — Iowa's only Fellowship-trained primary spine care chiropractor — specializes in diagnosing and documenting post-collision cervicogenic headache, mTBI/post-concussion syndrome, and cervicogenic vertigo for both clinical recovery and personal injury purposes.
When headaches, dizziness, or cognitive symptoms develop after a car accident, they typically stem from one or more of these injury mechanisms:
Cervicogenic Headache: Upper cervical ligament injuries — particularly at C1-C2 and C2-C3 — cause referred pain into the occiput, temples, and behind the eyes. CRMA quantifies upper cervical instability and translational defects that underlie these headaches, providing objective documentation of the structural cause.
Post-Concussion Syndrome / mTBI: Even without loss of consciousness, the acceleration-deceleration forces of a car accident can produce mTBI. Cognitive fog, light and sound sensitivity, sleep disruption, and persistent headache are hallmark symptoms. Dr. Luneburg documents these findings using standardized concussion assessment protocols and links them causally to the accident mechanism.
Cervicogenic Vertigo / Dizziness: Proprioceptive signals from the upper cervical spine normally inform the vestibular system about head position. When upper cervical ligaments are disrupted by whiplash, this input is corrupted — producing dizziness, imbalance, and positional vertigo that can persist for months post-injury.
Causation-Linked Documentation: Each examination finding, imaging analysis, and clinical assessment is documented to establish a clear causal chain between the accident mechanism and your neurological and cervical symptoms — documentation your attorney needs to support your personal injury claim.

Post-collision headache and dizziness present in distinct clinical patterns depending on the underlying injury mechanism:
Cervicogenic headache: Unilateral or bilateral head pain that originates at the base of the skull (suboccipital region) and radiates forward — often described as a "band" or "pressure" sensation. Pain is reproducible with cervical range of motion testing and upper cervical palpation. Onset may be immediate or delayed 24-72 hours post-collision as tissue inflammation develops.
Post-concussion headache: Diffuse, persistent head pain accompanied by cognitive fog ("brain fog"), difficulty concentrating, irritability, sleep disturbance, and heightened sensitivity to light (photophobia) and sound (phonophobia). May coexist with cervicogenic components.
Cervicogenic vertigo: Episodes of dizziness or imbalance triggered by head position changes — particularly turning the head or looking up. Associated with neck pain and a sensation of the room spinning or "floating." Distinct from BPPV (benign paroxysmal positional vertigo) in that it originates from upper cervical proprioceptive disruption rather than the inner ear.
Convergent symptoms: In many post-collision patients, cervicogenic headache, mTBI, and cervicogenic vertigo occur simultaneously — each reinforcing the others. Accurate diagnosis of all three components is essential for complete clinical management and comprehensive personal injury documentation.
Whether your headaches and dizziness began immediately after a car accident or developed over the following weeks, here's what your evaluation and care looks like:
Comprehensive Neurological Examination: Dr. Luneburg performs a thorough neurological and orthopedic examination including cranial nerve testing, upper cervical motion palpation, balance and coordination assessment, and standardized concussion screening (SCAT) to accurately classify your headache and vestibular symptoms.
Computerized Radiographic Mensuration Analysis (CRMA): Upper cervical X-rays are analyzed for atlantoaxial and atlanto-occipital instability, angular dysmotion, and translational defects — objective imaging findings that establish the structural basis of your cervicogenic headache and vertigo for insurance and legal documentation.
mTBI / Post-Concussion Documentation: When concussion is clinically indicated, Dr. Luneburg provides formal post-concussion evaluation with standardized assessment tools, a written narrative linking the mTBI to the accident mechanism, and documentation that satisfies the clinical and legal standards required in personal injury cases.
Impairment Rating & Causation Narrative: At maximum medical improvement, Dr. Luneburg provides AMA Guides-compliant impairment ratings and written causation narratives linking your cervical and neurological injuries to the collision — the documentation your attorney needs to resolve your claim.
If headaches, dizziness, or cognitive symptoms are affecting your life after a car accident, call (515) 777-1014 or request an appointment online.
Ready to experience relief from your headaches and migraines? Take the first step towards a pain-free life by scheduling your appointment today. Our dedicated team is committed to providing personalized care to help you regain your quality of life. You can also request a free consultation to explore how chiropractic care can benefit you.

Monday: 7:30AM-10AM & 3PM-6PM
Tuesday: 7:30AM-10AM & 3PM-6PM
Wednesday: 7:30AM-10AM & 3PM-6PM
Thursday: 7:30AM-10AM & 3PM-6PM
Friday: CLOSED
Saturday & Sunday: CLOSED
© Copyright 2026 Veloce Solutions LLC | All Rights Reserved
Schedule your next