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Headache & dizziness therapy

Specialised therapy for tension-type headaches, symptoms accompanying migraine and dizziness — including vestibular rehabilitation and repositioning manoeuvres.

Who is it for?

Treatment for head and neck pain at Therakura

Treatment approach

We begin with a detailed consultation and examination. This allows us to distinguish whether your symptoms appear appropriate for physiotherapy or should first be assessed by a doctor, neurologist or ENT specialist.

Depending on your condition, we examine the mobility and load capacity of the cervical spine, the neck, shoulder, facial and chewing muscles, posture, breathing and movement patterns, balance and gait stability, eye movements and the interplay between eyes and head, as well as whether dizziness is triggered by certain positions or movements.

Treatment may include manual techniques for the cervical spine and muscles, active exercises, balance, coordination and gait training, gaze stabilisation and eye–head exercises, habituation exercises for movement-related dizziness, and targeted repositioning manoeuvres for confirmed positional vertigo — complemented by a personalised home exercise programme. A headache diary can help to systematically record frequency, duration, accompanying symptoms and possible triggers.

Migraine

For migraine, physiotherapy does not replace medical or drug treatment. It can, however, specifically address accompanying symptoms such as neck tension, movement restrictions, muscle overload or balance problems. Migraine is a neurological condition and should be assessed by a doctor if attacks are frequent, severe or have not yet been diagnosed.

Complementary osteopathic examination

For complex or recurring symptoms, an osteopathic examination can be added. This looks not only at the head, jaw and cervical spine, but also at possible functional connections with the fasciae, nervous system, organs and other body systems. The osteopathic examination complements medical assessment but does not replace it.

Who provides the treatment?

Carine Ludes (Schuttrange) — migraine and tension-type headache therapy. Giuseppina Sagona (Echternach) — examination and treatment of dizziness that is suitable for physiotherapy. Ken Roeser (all locations) — complementary osteopathic examination for complex or recurring conditions.

Duration & fees

Physiotherapy: around 30 minutes, standard rates. Osteopathy: around 60 minutes, standard osteopathy rates — a self-pay service that many supplementary health insurance policies cover in full or in part (see the reimbursement page).

Reimbursement: Physiotherapy with a prescription is reimbursable by the CNS; the complementary osteopathic examination is a self-pay service (many supplementary health insurance policies contribute). All details & insurer links →

Available at these locations

Therakura Schuttrange Therakura Echternach

Your contacts

Carine Ludes Carine Ludes Therapist · Physiotherapist LBDEENFR Giuseppina Sagona Giuseppina Sagona Clinic Lead Echternach · Physiotherapist DEFRITEN Ken Roeser Ken Roeser Managing Director · Osteopath LBDEENFR

Frequently asked questions

Can physiotherapy help with migraine?

Physiotherapy does not treat the neurological condition itself and does not replace medical migraine treatment. However, it can address accompanying neck, jaw or shoulder symptoms, movement restrictions and certain dizziness symptoms.

Can my headache come from my cervical spine?

The cervical spine and the surrounding muscles can play a role in certain types of headache. During the examination, we check whether your familiar symptoms can be influenced by movement, loading or treatment of specific structures.

What is the difference between dizziness and positional vertigo?

Dizziness is an umbrella term for different sensations such as spinning, swaying, light-headedness or unsteadiness. In benign positional vertigo, short attacks of spinning vertigo are typically triggered by certain head positions. It can be examined with specific tests and, if confirmed, treated with repositioning manoeuvres.

Can positional vertigo disappear after just one session?

With clear-cut positional vertigo, a suitable repositioning manoeuvre can sometimes help very quickly. In some cases, several sessions are needed or there are additional balance problems.

What is vestibular rehabilitation?

It consists of individually tailored exercises for balance, gaze stabilisation, eye–head coordination and confidence in movement. It is used in particular for certain conditions or dysfunctions of the peripheral balance system.

Should my dizziness be checked by a doctor first?

If your dizziness is occurring for the first time, is severe, starts suddenly or is unexplained, a medical assessment is advisable. This applies especially if you also notice changes in your hearing, neurological symptoms, cardiovascular symptoms or severe headaches.

When do I need to seek medical help immediately for headaches or dizziness?

Urgent medical assessment is needed for sudden, unusually severe headaches or dizziness combined with paralysis, numbness, speech problems, confusion, double vision, loss of consciousness, marked unsteadiness when walking or persistent vomiting.

What should I bring to my first appointment?

Please bring any existing medical, neurological or ENT findings, relevant imaging, your list of medications and your physiotherapy prescription. A headache or dizziness diary, if you already keep one, can also be helpful.

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