Cervicogenic headache is a type of
headache
Headache is the symptom of pain in the face, head, or neck. It can occur as a migraine, tension-type headache, or cluster headache. There is an increased risk of depression in those with severe headaches.
Headaches can occur as a resul ...
characterized by chronic
hemicranial pain referred to the head from either the
cervical spine
In tetrapods, cervical vertebrae (singular: vertebra) are the vertebrae of the neck, immediately below the skull. Truncal vertebrae (divided into thoracic and lumbar vertebrae in mammals) lie caudal (toward the tail) of cervical vertebrae. In sa ...
or soft tissues within the neck. The main symptoms of cervicogenic headaches include pain originating in the neck that can travel to the head or face, headaches that get worse with neck movement, and limited ability to move the neck.
Diagnostic imaging can display lesions of the cervical spine or soft tissue of the neck that can be indicative of a cervicogenic headache.
When being evaluated for cervicogenic headaches, it is important to rule out a history of
migraines
Migraine (, ) is a common neurological disorder characterized by recurrent headaches. Typically, the associated headache affects one side of the head, is pulsating in nature, may be moderate to severe in intensity, and could last from a few hou ...
and
traumatic brain injuries
A traumatic brain injury (TBI), also known as an intracranial injury, is an injury to the brain caused by an external force. TBI can be classified based on severity (ranging from mild traumatic brain injury TBI/concussionto severe traumatic br ...
.
Studies show that combining interventions such as moist heat applied to the area of pain, spinal and cervical manipulations, and neck massages all help reduce or relieve symptoms. Neck exercises are also beneficial. Specifically, craniocervical flexion, or forward bending of the neck, against light resistance helps increase muscular stability of the head and neck region. This may reduce head and neck pain. It is recommended to seek assistance from trained health professionals, such as physical therapists, who can teach proper techniques and doses of exercise.
With proper treatment, symptoms often resolve in three months.
Mobilization and manipulation namely C1-C2 snag can be utilized. The patient can also perform SelF snag mobilization that can help relieve the pain along with crevico-scapular exercises to treat CGH.
See also
*
NIH classification of headaches: Cervicogenic
*
Barré–Liéou syndrome
References
Headaches
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