We have abandoned
the conventional neck care model and created a revolutionary approach to exercise and treatment of the cervical spine.
It is scientifically based, and unlike any other. 
World renown cervical spine authority  
Dr. Scott Haldeman,
President of the Neck Task Force
explains why.

The “classic model” of neck care which Dr. Haldeman
refers to involves patients performing general neck
exercises in a number of different directions of movement
for the purpose of stretching and strengthening  the neck.
We do none of this, as advised.
We have replaced “general” neck exercise with
a “specific” pain relieving neck exercise.
Our new paradigm uses only
one exercise,
in one “centralizing” direction,
for the sole purpose of
relieving symptoms.


S. Haldeman, MD, PhD, DC.
President,  Neck Task Force Report
The largest review of cervical research ever conducted  (>31,000 studies).
“One thing that became very clear to us is that the
classic model we use in clinical practice doesn’t work.  We tend as clinicians to see a person with neck pain, try to diagnose the cause of the problem, prescribe treatment, and hope the patient has no more pain. 
What we found is that this model just doesn’t fit the evidence”. 
(The BackLetter, Vol. 23, No. 2, 2008)
G. Jull, PhD   A Randomized Controlled Trial of
Exercise and Manipulative Therapy for Cervicogenic
Headache Specific cervical exercise had significantly reduced headache frequency and intensity, and the neck pain and effects were maintained”.
(Spine 2002;27:1835-43).

E. Hurwitz, DC, PhD   Treatment of Neck Pain:  Noninvasive Interventions:  (359 articles reviewed, 170 admissible)  “Our best evidence synthesis suggests that therapies involving manual therapy and exercise are more effective than alternative strategies for patients with neck pain”.
(Spine 2008;33:4S,S123-S152)


Relief of symptoms with one “centralizing” exercise brings not only significant relief in most cases, but predictive and immediate relief.

N. Holt, MD   Headache Institute of Texas 
San Antonio, TX
“We spend our days systematically reducing and often abolishing patients’ symptoms, typically on the first visit.  Over 5 years and 1,800 patients, our patients have been able to capitalize on the life-changing opportunity this new system affords”.

R. Lockett, DO  Orthopedic Injury Management - Pain Management Experts   St. Petersburg, FL.
“As a pain management physician, I have marveled at the immense success achieved within minutes without drugs, needles, or knives.  No other method of treatment has given my patients such great success”.


A.  Johnson, PT, Cert. MDT  Carle Spine Institute Urbana, IL
"It’s amazing to watch your worst headache/migraine sufferers knock out their symptoms in minutes, often on the first visit”.
G. Jull, PhD   A Randomized Controlled Trial of
Exercise and Manipulative Therapy for Cervicogenic
Headache.  A multicenter study was conducted to
determine the effectiveness of a low-load cervical
exercise program for cervicogenic headache.  The
treatment period was 6 weeks with follow-up
assessment after treatment, then at 3, 6, and 12
months.  The study included 200 participants. 
CONCLUSION:  At the 12 month follow-up assess-
ment, specific cervical exercise had significantly reduced headache frequency and
intensity, and the neck pain and effects were maintained (P< 0.05 for all).  Exercise can reduce the symptoms of cervicogenic headache, and the effects are  maintained.
(Spine 2002;27:1835-43).

1. PAIN RELIEVING EXERCISE PROGRAM

    (PREP)
    One specific neck exercise designed to
    decrease or  abolish  symptoms  when
    needed.  Over  200 PREP’s  are        
    available  to relieve  symptoms. Finding 
    the one  “centralizing”  exercise for each
    patient is  our  job.  Performing  that
    exercise  regularly  to bring relief is the
    patient’s job.

American Headache Institute
Head, Neck, & Facial Pain
Treatment Centers
Treatment - PREP (Pain Relieving Exercise Program)
     Call Us
(248) 841-1543
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