Diagnosis and Management of Cervicogenic Headache

Sizer, Phillip S.; Phelps, Valerie; Azevedo, Esteban; Haye, Amy; Vaught, Megan

doi:10.1111/j.1533-2500.2005.05312.x

Cited by 7 publications

(3 citation statements)

References 129 publications

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“…The pain originates in the neck, and develops in the cephalic and/or facial regions. The headache is unilateral and includes cervical pain and dysfunction 3 ) . The source of the pain is not in the head but in the neck.…”

Section: Introductionmentioning

confidence: 99%

Analysis of mechanical properties of cervical muscles in patients with cervicogenic headache

et al. 2017

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[Purpose] This study aimed to compare and analyze the mechanical properties of the upper cervical muscles in patients with cervicogenic headache to identify efficient methods of treatment and diagnosis. [Subjects and Methods] A total of 40 subjects including 20 healthy individuals and 20 patients with cervicogenic headache were selected. A MyotonPRO device was used to measure the tone (Hz), stiffness (N/m), and elasticity (log decrement) of the suboccipital muscles and upper trapezius of the subjects. [Results] There was no significant difference between the 2 groups in the elasticity of the suboccipital muscles and upper trapezius. However, there was a statistically significant difference in tone and stiffness. [Conclusion] This study showed that the tone and stiffness of the suboccipital muscles and upper trapezius in patients with cervicogenic headache had increased compared to healthy subjects.

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Section: Introductionmentioning

confidence: 99%

Analysis of mechanical properties of cervical muscles in patients with cervicogenic headache

et al. 2017

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“…Durch den anhaltenden Input aus der Peripherie kommt es zu einer Sensibilisierung ▀ Tab. [4,20,47], befassen sich mit der Differenzialdiagnose bzw. den überlappenden Symptomen von zervikogenem Kopfschmerz, Migräne ohne Aura und Spannungskopfschmerz.…”

Section: Pathomechanismus Spannungskopfschmerzunclassified

Unterscheiden sich die pathobiologischen Mechanismen von zervikogenem Kopfschmerz von jenen der Migräne und Spannungskopfschmerz?

Taxer¹

2014

manuelletherapie

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Zusammenfassung Zervikogene Kopfschmerzen werden als durch Dysfunktionen in der hochzervikalen Wirbels?ule verursachte Kopfschmerzen beschrieben. Einige medizinische Disziplinen betrachten diese Kopfschmerzform aufgrund unzureichender pathobiologischer Erkl?rungsmodelle kritisch oder halten sie teilweise sogar f?r nicht existent, w?hrend sie die neuromuskeloskeletale Therapie als eigenst?ndige Entit?t anerkennt. Anhand einer systematischen Literaturrecherche reflektiert die vorliegende Arbeit sowohl die g?ngigen Diagnosekriterien als auch die Unterschiede und ?berlappungen von zervikogenem Kopfschmerz zu Migr?ne ohne Aura bzw. Spannungskopfschmerz unter Einbeziehung des tats?chlich vorherrschenden pathobiologischen Mechanismus. Mit der ?berlegung peripherer und zentraler Sensibilisierungsprozesse zeigten sich deutliche ?berschneidungen im Bereich der pathobiologischen Mechanismen von zervikogenem Kopfschmerz, Migr?ne ohne Aura und Spannungskopfschmerz. Daher sollten die Diagnosekriterien um diesen Hintergrund erweitert bzw. angepasst werden. Aus manualtherapeutischer Sicht ergibt sich die m?gliche Behandlung dieser Kopfschmerzarten nach eingehender struktureller Untersuchung und Screening angrenzender Faktoren unter Beachtung der zugrundeliegenden Schmerzmechanismen.

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“…The average age of individuals with this disorder is 42.9 years, and it is four times more common in females than in males (3). Cervicogenic headaches originate from musculoskeletal disorders of the upper cervical spine, and factors such as age, gender, and occupation can influence their prevalence (4). In recent years, physiotherapy has been identified as an effective treatment for this type of headache (4), and the use of educational methods such as pain neurophysiology education (PNE) has been suggested for managing pain associated with musculoskeletal disorders (5).…”

Section: Introductionmentioning

confidence: 99%

Investigating the Effect of Pain Neurophysiology Education in the Treatment of Cervicogenic Headache: A Randomized Clinical Trial

Ghasemi

Naji

Najafi

et al. 2023

Middle East J Rehabil Health Stud

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Background: Cervicogenic headaches that stem from musculoskeletal disorders of the upper cervical spine are among the most common types of chronic headaches. In recent years, physiotherapy has emerged as a potential treatment for this type of headache. Objectives: Given the emphasis on educational methods such as pain neurophysiology education (PNE) for musculoskeletal pain, the aim of this study is to investigate the effect of PNE in treating cervicogenic headaches. Methods: This study was a single-blind clinical trial. A sample of 30 participants with cervicogenic headache was divided into two groups using the block method: An experimental group of 15 participants and a control group of 15 participants. Experienced physiotherapists provided conventional physiotherapy for 10 sessions, and the experimental group also received pain neurophysiology education for four additional sessions. Pain severity, disability, and pain catastrophizing information were collected using the visual analog scale, headache disability index, and pain catastrophizing scale, respectively, at the beginning of the study, after the study, and at the one-month follow-up. Statistical analysis was conducted using SPSS software version 22, and the significance level was set at 0.05. Results: A significant difference was observed in pain intensity assessment at different times (P < 0.001), headache disability index (P = 0.003), and pain catastrophizing (P < 0.001). The time-by-group interaction was significant for pain intensity (F = 49.051; P < 0.001; ηp2=0.637) and pain catastrophizing (F = 25.528; P < 0.001; ηp2=0.477); however, there was no significant difference in disability (F = 1.781; P = 0.178; ηp2=0.060). Conclusions: Pain neurophysiology education can have a positive effect on pain reduction, as well as the attitude and knowledge of individuals who experience pain in the short term.

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Diagnosis and Management of Cervicogenic Headache

Cited by 7 publications

References 129 publications

Analysis of mechanical properties of cervical muscles in patients with cervicogenic headache

Analysis of mechanical properties of cervical muscles in patients with cervicogenic headache

Unterscheiden sich die pathobiologischen Mechanismen von zervikogenem Kopfschmerz von jenen der Migräne und Spannungskopfschmerz?

Investigating the Effect of Pain Neurophysiology Education in the Treatment of Cervicogenic Headache: A Randomized Clinical Trial

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