Headaches present a persistent clinical puzzle for healthcare providers, with overlapping presentations of cervicogenic and tension-type headaches complicating diagnostic and therapeutic decisions. A newly published clinical practice guideline in the Journal of Integrative and Complementary Medicine delivers much-needed, evidence-based guidance for chiropractic and integrative headache management. Developed through an umbrella review of thirty-one systematic reviews and a fifty-seven-member consensus panel, this landmark guideline outlines comprehensive protocols ranging from red-flag triage to hands-on multimodal interventions. For cervicogenic headaches, spinal manipulative therapy emerges with the strongest backing, supported by high-certainty evidence alongside joint mobilization, soft-tissue therapy, and dry needling. Meanwhile, tension-type headache management receives a major update: spinal manipulative therapy is officially endorsed within a multimodal framework, overturning previous restrictive recommendations. Additionally, acupuncture and dry needling earn robust recommendations for tension-type presentations. Clinicians are urged to bypass routine spinal imaging in uncomplicated cases and focus on validated outcome tools like the Headache Impact Test-6. By emphasizing patient-centered, nonpharmacological strategies, this guideline validates the vital role of conservative musculoskeletal interventions in primary headache care while giving clinicians a reliable roadmap to enhance outcomes and elevate standards of patient care.