Maintenance treatments aren't required, but many patients choose to continue at a lower frequency once their symptoms improve. The idea is to support the gains you've made and catch flare-ups early — before a stiff neck turns into a full-blown headache cycle, or before stress builds back into insomnia.

Common maintenance schedules are once every two to four weeks, or seasonally during transitions when symptoms tend to return. Some patients prefer to come in only as needed, for example, when something specific flares up, which works too. Your practitioner will talk through what makes sense for your situation and help you find a cadence that's sustainable.