A cervicogenic headache is another name for a headache that originates from the neck. These headaches typically occur due to damage to one or more joints, muscles, ligaments or nerves of the top three vertebrae of the neck. The pain associated with this condition is an example of referred pain (i.e. pain arising from a distant source – in this case the neck). This occurs because the nerves that supply the upper neck also supply the skin overlying the head, forehead, jaw line, back of the eyes and ears. As a result, pain arising from structures of the upper neck may refer pain to any of these regions causing a cervicogenic headache.
What are common symptoms?
Constant, dull ache;
Pain normally located at the back of the head, behind the eyes, or temple;
Pain is usually greater on one side;
Pain is typically irritated by neck movements or prolonged positions (i.e. sitting at a computer with poor posture);
There is typically tenderness at the upper part of the neck just below the base of the skull along with local muscle tightness.
How can physiotherapy treat my headache?
Manual (hands-on) therapy can improve mobility of stiff joints;
Soft tissue release will relieve muscle tension;
Exercise to improve posture and range of motion;
Acupuncture for pain relief.
Most patients with this condition heal quickly and have a full recovery with appropriate physiotherapy treatment. Recovery time varies from patient to patient depending on compliance with treatment and severity of injury. Physiotherapy treatment for patients with this condition is vital to hasten the healing process, ensure an optimal outcome and decrease the likelihood of injury recurrence.
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