Cervicogenic headache is a chronic, hemicranial pain syndrome in which the sensation of pain originates in the cervical spine or soft tissues of the neck and is referred to the head. The prevalence of cervicogenic headache in the general population is estimated to be between 0. Managing and treating headache of cervicogenic origin. Botulinum toxin type a injections in the cervical muscles have. Cervicogenic headache cgh, as the diagnosis suggests, refers to a headache of cervical origin. Clinical reasoning for manual therapy management of tension type. A cervicogenic headache is a common cause of a chronic headache that is often misdiagnosed. Cervicogenic headache cgh is a chronic headache that arises from the atlantooccipital and upper cervical joints and perceived in one or more regions of the head andor face. Organise for an eye check to make sure this is not playing a part in the headaches. Tensiontype and cervicogenic headache pathophysiology diagnosis and management download. Il1 b and tnfa can be involved in the pathophysiology of.
Pdf cervicogenic headache is a relatively common and still controversial form of headache arising from structures in the neck. Pathophysiology, diagnosis, and management contemporary issues in physical therapy and rehabilitation. Cervicogenic headache is a relatively common and still controversial form of headache arising from structures in the neck. Nearly 78% of people will report a tension type headache at least once in their lives and when including cervicogenic headaches this number is undoubtedly higher. Historically, these types of headaches were difficult to diagnose and treat because their etiology and pathophysiology was not wellunderstood. All patients with cervicogenic headaches should be referred to a physiotherapist as well as using this advice leaflet to begin managing the symptoms. Diagnostic criteria have been established for cervicogenic headache, but its. Even today, management of a cgh remains challenging for sports rehabilitation specialists. Tension type headache, cervicogenic headache, pain. The differential diagnosis includes a migraine, hemicrania continua, spondylosis of the cervical spine, and tensiontype headache. While there are many types of headache conditions, tensiontype and cervicogenic headaches are readily treated in physical therapy. Cervicogenic headache wing ftp server university of western. But if its related to a problem in your neck, theres a good chance its a cervicogenic.
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