What Are Cervicogenic Headaches?

Headaches are a very common problem that can have multiple causes, ranging from stress to trauma. To make matters worse, there are MANY different types of headaches. One such type is the “cervicogenic headache” (others include migraines, cluster headaches, etc.)

The main distinction between the symptom s associated with cervicogenic headaches and those associated with migraine headaches are a lack of nausea, vomiting, aura (a pre-headache warning that a headache is about to strike), light and noise sensitivity, increased tearing with red eyes, one-sided head, neck, shoulder and/or arm pain and dizziness. The items listed above are primarily found in migraine headache sufferers. The following is a list of clinical characteristics common in those struggling with cervicogenic headaches:

  • Unilateral (one-sided) head or face pain (rarely is it both sides)
  • Pain is localized or stays in one spot, usually the back of the head, frontal, temporal (side) or orbital (eye) regions
  • Moderate to severe pain intensity
  • Intermittent attacks of pain that last hours to days
  • Pain is usually deep, non-throbbing, unless migraines occur at the same time
  • Head pain is triggered by neck movement, sustained awkward head postures, applying deep pressure to the base of the skull or upper neck region, and/or taking a deep breath
  • Limited neck motion with stiffness

Infrequently, the cervicogenic headache sufferer can present with migraines at the same time and have both presentations making it more challenging to diagnose.

The cause of cervicogenic headaches can be obvious such as trauma (sports injury, whiplash, slip and fall, etc.) or not so obvious like poor posture. A forward head posture can increase the relative weight applied to the back of the neck and upper back as much as 2x-4x normal. There is an intimate relationship between the upper two cervical vertebrae (C1 and C2) and an anatomical connection to the covering of the spinal cord (the dura). The upper three nerves innervate the head, and any pressure upon those nerves can result in a cervicogenic headache.

Doctors of chiropractic are trained to examine, identify and treat these types of debilitating headaches. Chiropractic is a safe and effective method of treatment that should be used before turning to the pill bottle.

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