Cervicogenic headache

Headache referred from structures in the neck, often one-sided.

Overview

Cervicogenic headache is pain referred to the head from the upper neck joints, muscles or nerves. It is typically one-sided, linked to neck movement or posture, and responds to treatment directed at the neck.

Symptoms

  • One-sided headache starting from the neck
  • Pain triggered by neck movement or sustained posture
  • Reduced upper-neck mobility
  • Tenderness over the upper neck joints

Causes

  • Upper cervical joint dysfunction
  • Sustained postures and muscle overload
  • Previous neck injury

Treatment

  • Manual therapy to the upper neck
  • Neck mobility and deep-neck strengthening
  • Posture and ergonomic advice
  • Headache education