Upper Cervical Care at Apex Chiropractic
Apex Chiropractic is based in Neptune Beach, serving Jacksonville, Atlantic Beach, Jacksonville Beach, and surrounding communities. Our upper cervical focus includes the craniocervical junction (CCJ), where the skull meets the atlas (C1) and axis (C2). We begin with your history and examination to understand your concerns and discuss whether chiropractic care, further evaluation, or referral is appropriate.
EXPERT DOCTORS WITH ADVANCED TRAINING
Meet our doctors and learn about their upper cervical and pediatric training.
COMPLIMENTARY CONSULTATION
Request a consultation to discuss your concerns and learn about the next steps.
INDIVIDUALIZED ASSESSMENT
Your history and examination guide recommendations for care, imaging when indicated, or referral.
Upper Cervical Evaluation for Your Concerns
Symptoms alone do not identify their cause. We consider the upper neck as part of a broader clinical picture and explain the limits of chiropractic care. Recommendations depend on your findings, health history, and goals. Click on any of the topics below for more information.
CCJ and Upper Cervical Assessment
Evaluation focuses on the relationship between the head and upper neck, movement, and relevant neurological and orthopedic findings. Imaging is considered when clinically indicated; a scan or an alignment finding alone does not establish the cause of symptoms.
Concussion-Related Cervical Assessment
After a concussion or head-and-neck injury, ask whether assessment of associated neck symptoms is appropriate alongside your medical care. Cervical assessment does not replace concussion diagnosis, brain-injury management, or return-to-play guidance from your treating clinician.
Dizziness and Vertigo
Tell us about dizziness, balance concerns, and any associated neck symptoms. Dizziness and vertigo have several possible causes; we do not assume the upper neck is responsible. Your findings may call for medical or vestibular evaluation.
Headaches and Migraine
If headaches occur with neck discomfort or restricted movement, we can discuss a cervical assessment. Migraine and other headache disorders require appropriate diagnosis. We do not promise a cure or assume all headaches arise from the neck.
Pediatric Upper Cervical Care
Parents can discuss their child’s neck movement and musculoskeletal concerns with our doctors. Assessment and any care recommendations must account for age, development, and medical history. Chiropractic care does not replace pediatric medical care, and common childhood symptoms do not by themselves establish an upper cervical problem.
TMJ, Bite Concerns, and Upper Cervical Care
Jaw discomfort, clicking, or bite concerns may occur alongside neck pain or restricted head movement. Learn how we assess the upper cervical part of that picture and coordinate with dental care. Your examination helps guide recommendations for your individual concerns.
Sleep Apnea and Upper Cervical Chiropractic
Explore the relationship between the neck, jaw, and upper airway, and where a cervical assessment may fit alongside sleep care. We evaluate accompanying neck discomfort and movement concerns while your sleep clinician guides diagnosis and treatment. Continue prescribed sleep-apnea care and follow-up with your treating clinician.
Baby Latching and Feeding Difficulties
If your baby continues to struggle with feeding, including after a tongue-tie release, comfortable head positioning and neck movement are worth discussing. Our age-appropriate assessment considers head-turning preference, mobility, and positioning alongside findings from your pediatric and lactation team. Learn how these evaluations can work together to guide the next steps.
Knee-Chest Upper Cervical Approach
Dr. Soriano and Dr. Zifteh have training that includes the Knee-Chest upper cervical approach. Ask how this approach fits your examination findings, what a visit involves, and what alternatives are available. Any recommendation should follow an individualized discussion of suitability, risks, and expected goals.
Request an appointment or contact our Neptune Beach office to discuss your next step.
After a head injury, seek urgent medical care for a worsening headache, repeated vomiting, weakness, confusion, or difficulty staying awake. See the CDC’s concussion warning signs.
Learn About the Upper Neck
Explore Dr. Soriano’s educational guides to alar ligament anatomy, injury, and upper cervical stability and alar ligaments and CCJ development in children. These resources explain anatomy and clinical considerations; they do not diagnose an individual condition.
Planning a visit? Read what to expect at your first appointment.
Meet Your Neptune Beach Chiropractors
Dr. William Soriano and Dr. Vicki Zifteh bring complementary training to Apex Chiropractic. Dr. Soriano focuses on upper cervical biomechanics and CCJ evaluation; Dr. Zifteh has additional training in pediatric and perinatal chiropractic care. Read their biographies and qualifications.
Your Evaluation and Care Plan
EXAMS
Comprehensive exams and health history. For adults and older children, our initial examination includes NeckCare measures of neck range of motion, joint position error, and sensorimotor control.

CBCT & MRI
Referral for CBCT and MRI when clinically indicated

DIT
Digital Infrared Thermography
PATIENT RESOURCES LIBRARY
Individualized guidance for care at home
Visit Apex Chiropractic in Neptune Beach
Find us at 808 3rd St C, Neptune Beach, FL 32266. We welcome patients from Jacksonville and the Beaches. Contact us and get directions, or call (904) 310-4176.


