When the neck is to blame: Cervicogenic headaches explained
What is a cervicogenic headache?
A cervicogenic headache (CGH) is a type of headache that originates from issues in the neck (cervical spine). The pain may be achy or dull in nature and the intensity can worsen with time. Unlike other headaches that start in the head, this type may be caused by problems in the joints, muscles, nerves, or discs of the neck. The pain is often referred to the head because of the interconnected nerves that run from the neck to the skull.
How is it different from other headaches?
Studies have shown that an incorrect headache diagnosis may occur in more than 50% of cases (Hall, 2007). Unlike migraines or tension headaches, cervicogenic headaches have a clear neck-related cause. They are often triggered by neck movements, prolonged poor posture, or neck pressure.
Migraine and cervicogenic headache (CGH) can both cause pain in the neck and head. However, migraines are often accompanied by an aura and distinctive symptoms such as flickering lights, visual spots, numbness, or pins and needles and sensitivity to smell. These symptoms are typically reversible and last less than 60 minutes (Kirchman, 2006). In contrast, CGH does not present with these aura-related symptoms.”
Symptoms of cervicogenic headache
- Pain that starts in the neck and spreads to the head
- Pain on one side of the head or face
- Stiffness in the neck
- Worsening pain with neck movement
How Physiotherapy Helps in Managing Cervicogenic Headache
Physiotherapy plays a vital role in the treatment and management of cervicogenic headaches (CGH) by addressing the underlying issues in the neck that cause referred pain to the head.Here’s how physiotherapy can help manage cervicogenic headaches:
- Pain management technique
Physiotherapists may use various pain relief techniques, including dry needling, Myofascial release, Ultrasound therapy, electrical stimulation to relieve muscle tension, reduce inflammation, and alleviate pain. - Restoring neck mobility and function
Physiotherapy aims to improve the range of motion and movement patterns in the neck, ensuring that the cervical spine functions optimally, reducing stress on the surrounding structures. - Manual Therapy
Hands-on techniques such as mobilization, soft tissue massage, and manipulation to improve the mobility of stiff cervical joints, reducing pain and alleviating tightness. - Strengthening exercises
Targeted strengthening exercises are prescribed to build neck stability and support the cervical spine, reducing the likelihood of headaches. - Postural correction
Postural assessment and ergonomic adjustments will be conducted to maintain a neutral head and neck alignment, reducing tension and preventing further headaches. - Education and Lifestyle Modifications
Educating patients about headache triggers and offering advice on optimizing workstations, sleeping positions, and daily activities is essential. Adopting lifestyle changes, such as taking frequent screen breaks and avoiding prolonged static postures, can help minimize the occurrence and severity of headache episodes.
Maximize Your Recovery with Rapid Physiocare
Physiotherapy offers a comprehensive approach to managing cervicogenic headaches by addressing both the symptoms and their root cause. Through manual therapy, targeted exercises, posture correction, and patient education, physiotherapy not only alleviates pain but also helps prevent future episodes, improving the overall quality of life for individuals with CGH.
Learn more about our physiotherapy care program and how it can benefit you. If you have any questions, feel free to reach out to us by phone or email—we’re here to assist you!
