Your headache pattern
Describe where the pain starts, how often it occurs and whether the pattern has changed.
Serving Oxford at our Shelton office
Discuss your headache pattern and any accompanying neck symptoms. At your first visit in Shelton, Dr. Dalfino will review your symptoms and discuss which treatment options may fit your findings.

Understand the condition
Keep a short record of when headaches start, where you feel them and when neck discomfort occurs. Share any previous headache assessment.
Describe where the pain starts, how often it occurs and whether the pattern has changed.
Note whether certain positions or movements accompany the head pain.
Discuss vision changes, nausea, dizziness, injuries and all medications with your clinician.
Your evaluation
Record when an episode begins, where you first feel it and whether neck discomfort is present at the same time. Include how long it lasts and anything you have already discussed with a clinician. A headache can have several causes. Share any prior headache evaluation and ask whether a neck assessment or another medical evaluation is the appropriate next step.
Explain what you would like to do more comfortably, whether that means work, sleep, exercise or everyday tasks. Your goals help focus the conversation.
Meet Dr. Dalfino →Care planning
Dr. Dalfino reviews the headache pattern and neck symptoms together. The visit can help determine whether a neck evaluation or another medical assessment is appropriate.
Call 911 or seek emergency care for a sudden extremely severe headache, or headache with new weakness, trouble speaking, confusion, loss of vision, or fever and a stiff neck. A severe headache following a head injury also needs urgent medical assessment.
Questions before your Shelton visit
No. Neck discomfort can accompany more than one headache type. A history and examination help determine whether further medical evaluation is needed.
No. Cervicogenic headache and migraine are different diagnoses, although symptoms may overlap. Continue any prescribed headache care and discuss changes with your treating clinician.
Record when headaches happen, where they begin, how long they last and any associated symptoms. Include what you were doing and any medications you took.
Related care
General educational resources. These organizations do not endorse this practice or its services. Individual recommendations require an examination.
Directions
Coming from Oxford? Our Shelton office is about a 25-minute drive from central Oxford. Use the directions below to check the drive from your address before you head out.
Get directions from Oxford to the Shelton office

Your next step
Tell Dr. Dalfino what hurts, how it affects your day and what you want to get back to. Your consultation and examination help identify what may be contributing to your symptoms and whether our care is appropriate for you.
Consultation, examination, report of findings and first treatment when appropriate.
Schedule My New Patient Visit