A concussion is a mild traumatic brain injury (mTBI) caused by a bump, blow, or jolt to the head or by a hit to the body that causes the head and brain to move rapidly back and forth within the skull.
Call 911 or go to the nearest emergency department if a person develops a worsening headache that does not go away, repeated vomiting, convulsions or seizures, increasing confusion or unusual behavior, slurred speech, weakness or numbness, decreased coordination, inability to wake or remain awake, one pupil larger than the other, double vision, loss of consciousness, or an inability to recognize people or places.
Do not schedule a chiropractic appointment in place of emergency medical evaluation.
A concussion is a mild traumatic brain injury (mTBI) caused by a bump, blow, or jolt to the head or by a hit to the body that causes the head and brain to move rapidly back and forth within the skull.
Clinical Context: Immediate medical evaluation by an emergency physician or neurologist is mandatory following any head injury to rule out intracranial hemorrhage, skull fractures, or severe trauma.
Diagnostic Consideration: While a concussion involves transient functional neurological impairment, persistent symptoms often stem from accompanying cervical spine trauma (cervicocranial syndrome) rather than unresolved brain tissue damage.
During a concussive impact, significant biomechanical forces transfer into the upper cervical spine. Correcting Atlas and Axis subluxations supports normal vascular drainage and reduces brainstem traction.
The cranio-cervical junction (where the skull meets the Atlas and Axis vertebrae) is the primary structural crossroads of the central nervous system. When misalignment occurs here, it can create mechanical traction on the brainstem, impede venous drainage, and disturb autonomic balance. Hope Southlake uses calculated 3D digital imaging to gently reposition these vertebrae without any twisting, popping, or cracking.
You completed your initial medical rest, stayed off screens, and were told your brain has recovered. Yet weeks or months later, you know deep down you are not yourself. You feel fatigued by midday, your head feels heavy and tight, and everyday tasks require double the mental effort.
Read Symptom Guide →Related SymptomSince your car accident, you wake up with a dull ache at the back of your head that spreads into your temples. Sudden movements make you dizzy or off-balance, and riding in a car makes you nauseous.
Read Symptom Guide →Related SymptomYour thoughts feel slow, searching for words is frustrating, and reading more than a few pages leaves you exhausted. It feels like a thick haze sits between you and the rest of the world.
Read Symptom Guide →Related SymptomYour neck feels tight, sore, and locked up ever since your head injury. Turning your head triggers a catching pain, and the base of your skull feels constantly bruised or tender to the touch.
Read Symptom Guide →
After suffering from multiple concussions, a serious back injury, and finding no answers in the traditional medical system, Dr. Kramer discovered upper cervical care. This personal journey fueled his passion for bringing precise, individualized care to the Southlake community.
"We understand how discouraging it is to keep searching for answers and still not feel like yourself. You deserve clarity and a precise path forward."
Advanced testing and examination help determine if upper cervical care is right for you.
Start restoring nervous system function and getting your life back.
What does life look like when your nervous system is finally in balance and your symptoms no longer control your calendar?
Wake up without debilitating head pressure or dizziness
Keep commitments to work, family, and social plans
Achieve deep, restorative sleep that recharges your energy
Reduce dependency on endless prescription rescue medications
Don't just take our word for it.
"Dr Kramer was my answer to constant, severe headaches which were caused by my neck. He identified the issue, and got things working properly again. The relief has been incredible. I'm so grateful."
- Stephanie Kabat
"I came in to this office very afraid for my future, because the symptoms I was having were debilitating. After completing my recommended course of initial treatment, I am excited about the future again. Dr Kramer is incredibly knowledgeable."
- Jessica Gilbert
"Dr. Kramer is wonderful. Takes time to listen to your story and comes up with a treatment plan just for you. Patient specialized care that is evidence based. His treatment has helped me tremendously with symptoms others could not change or even bothered to address. Highly recommend his skilled approach."
- Elizabeth Rose

Hope Upper Cervical Spine Center
500 N Carroll Ave Suite 110
Southlake, TX 76092
Phone: (972) 638-0994
Visual tracking and cognitive processing demand high metabolic activity. If cervical misalignment restricts venous outflow, increased intracranial pressure can trigger headaches and visual fatigue.
Hope Southlake does not provide emergency medical services or diagnose, treat, reverse or cure traumatic brain injury. Upper cervical chiropractic care is not a substitute for evaluation or treatment by an emergency physician, neurologist, neurosurgeon, rehabilitation specialist or other qualified medical professional.
Anyone with a new or suspected head injury should seek prompt medical evaluation before considering chiropractic care. Patients with a moderate or severe traumatic brain injury should receive and continue medically directed neurological and rehabilitative care. Upper cervical care may be considered only after the patient is medically stable and when the appropriate treating medical professionals have not identified a contraindication.
When clinically appropriate, upper cervical care may serve as an adjunctive form of care by evaluating whether an accompanying cervical or upper cervical condition may be contributing to certain symptoms. It should not be represented as treatment for the underlying brain injury. Individual responses and outcomes vary, and no specific result is promised or guaranteed.
Do not stop, delay or change medical treatment, rehabilitation or prescribed medication based on information presented on this website. Always consult the appropriate qualified healthcare professional regarding a traumatic brain injury, continuing symptoms and treatment decisions.
Take the first step toward lasting relief and neurological stability. Schedule your consultation with Hope Southlake today.
Upper cervical care is adjunctive and does not replace medical, neurological or emergency care for traumatic brain injury.