Cervicogenic Headache (CGH)

Cervicogenic Headache

Cervicogenic Headache is a secondary headache, chronic in nature, arises mainly from upper cervical joints and perceived over one or more regions of head and face. Incidence of CGH range up to 2.5% among general population & 15% to 20% of patients with chronic headaches. Prevalence of CGH is seen in 30 to 45 years with relatively equal incidence rate among both sexes.

Characteristics of CGH

  • Unilateral
  • Chronic & Episodic pain
  • Ram’s Horn pattern Neck pain
  • Exaggerated by neck movement or posture
  • Tenderness over neck
  • Neck Stiffness & Tightness of neck muscles
  • Diffused shoulder and arm pain

Various cervical pathologies can stimulate nociceptive receptors of the head and neck intern stimulation of trigeminocervical nucleus to cause referred pain to the occiput and eyes.

Causes for CGH

  • C1- C3 Nerve root irritation
  • Upper Cervical Injuries
  • Arthritis
  • Whiplash injuries
  • Tumours & infection of cervical

Risk Population

  • Drivers
  • Hair Stylists
  • Manual Labour
  • Software professionals

Practitioners use holistic approach to treat CGH especially with exercise regimes and manipulation therapy. The exercise regimes need to address strength and flexibility of muscles around the neck, scapulothoracic and shoulder by incorporating strengthening and stretching exercises.

The novel approaches of manipulation therapy had shown excellent recovery for CGH patients by using Headache SNAGS and Upper cervical traction. Incorporation of postural correction and postural stability exercise yielded excellent results among CGH patient.

The novel approaches of manipulation therapy had shown excellent recovery for CGH patients by using Headache SNAGS and Upper cervical traction. Incorporation of postural correction and postural stability exercise yielded excellent results among CGH patient.

Dr.Abhirami (PT)