Understanding Cervicogenic Headaches: When Neck Pain Turns into a Headache Headaches can be incredibly bothersome and disruptive, but not all headaches are the same. One type that many people might not be familiar with is the cervicogenic headache. This article aims to shed light on cervicogenic headaches What is a Cervicogenic Headache? A cervicogenic headache is a type of headache that originates from issues in the neck or cervical spine. Unlike other headaches, such as tension or migraine headaches, cervicogenic headaches are caused by problems in the neck rather than issues in the head itself. Causes Cervicogenic headaches often stem from conditions or problems affecting the neck and upper spine. Some common causes include: 1. Neck injuries: Trauma, whiplash, or accidents can damage the neck and lead to cervicogenic headaches. 2. Poor posture: Sitting hunched over a computer or phone for extended periods can strain the neck, resulting in headaches. 3. Arthritis: Degenerative changes in the cervical spine can lead to pain that radiates to the head. 4. Muscle tension: Tight neck muscles, often due to stress or poor ergonomics, can trigger cervicogenic headaches. 5. Herniated discs: Discs in the neck may bulge or herniate, causing nerve irritation and headache. Symptoms The symptoms of cervicogenic headaches can mimic those of other headaches, making them sometimes challenging to diagnose. However, there are some common signs to look out for: 1. One-sided pain: Cervicogenic headaches typically affect one side of the head or face. 2. Neck pain: Pain or discomfort in the neck, especially on the same side as the headache. 3. Restricted neck movement: Difficulty in turning or tilting the head due to neck stiffness. 4. Pain triggered by movement: Cervicogenic headaches can be provoked or worsened by certain neck movements or positions. Treatment Fortunately, cervicogenic headaches can be managed and treated. Here are some common approaches: 1. Physical therapy: A physical therapist can help improve neck posture, strengthen muscles, and reduce pain through exercises and stretches. 2. Medications: Over-the-counter pain relievers or prescription medications may be recommended to manage pain and inflammation. 3. Lifestyle changes: Ergonomic adjustments, stress reduction techniques, and maintaining good posture can help prevent cervicogenic headaches. 4. Ultrasound guided dry needling sessions to resolve trigger points. 4. Injections: In some cases, nerve block injections or Botox injections, pulsed radiofrequency of nerves can provide relief. 5. Surgery: In very severe cases, surgery may be necessary to correct structural issues in the cervical spine. Conclusion Cervicogenic headaches may be unfamiliar to many, but they are a real and treatable condition. If you experience persistent one-sided headaches accompanied by neck pain or discomfort, it's essential to consult with a pain specialist for a proper diagnosis and personalized treatment plan. By addressing the root causes and seeking appropriate care, you can manage or even eliminate cervicogenic headaches and improve your overall quality of life. Dr Priya Rathi MD, DNB, FCPM, FIAPM Chronic Pain Specialist