Headache and Neck

Abstract

Cervicogenic headache (CeH) is a relatively common syndrome. The paroxysmal and rather intense head pain usually is unilateral, spreading from the back of the head to the frontal and temporal regions, and triggered by certain movements or sustained provocative head positions. Digital pressure over triggering areas at the upper nuchal area reproduces the spontaneous pain pattern. Available clinical criteria differentiate this picture from other headache disorders, although superposition may be present in some cases. The neck is involved with other pain disorders apart from CeH. Migraine may be induced by cervical trigger factors in some cases, and whiplash lesions produce CeH-like symptoms as well as others. Occipital neuralgia refers to pain restricted to the distribution of the affected nerve and should not be mistaken as CeH. There is no definite, universal treatment for CeH yet. Options include physical therapy, preventive medicines, anesthetic blocks, denervation procedures, and surgery. The treatment choice must be performed on individual basis.

Clinical Profile of Migraine Headache with Special Reference to Trigger Factors in Medical College Set Up

“…Stress was the commonest triggering factor (72.1%) which is consistent with other studies [17] [17], [26], [28], [33], [34], [35], [36] , [37], [38] .…”

“…Family history of migraine was seen in 23.8%, this finding is similar to other studies which show high positive family history, Smitherman et al [26] , Bindu et al [17] , Ojini et al [21] , Panda et al [ 22] . Most subjects with migraine in our study selfmedicated with non-prescription over the counter drugs( 80.2%) [17], [30], [35], [41], [42],59] , 67.5% used NSAID's followed by prophylactic medication (7.7%), 2% used opioids ,triptans and 0.4% used homeopathy. Surprisingly only few used prophylactic medication and triptans.…”

Postoperative Intractable Headache Resolving after Occipital Nerve Block

“…Though the likelihood of spine misalignment and injury with laryngoscopy or procedures like rigid esophagoscopy seem to be low, the severe extension required for visualization of the structures combined with the muscle relaxation under general anesthesia occurs. This can be of concern in patients with preexisting spine pathology and may contribute to nerve irritation, and generated impulses from the stretched nerves may induce a headache [7,8].…”

Chiropractic Management of Musculoskeletal Symptoms in a 14-Year-Old Hockey Player With Postconcussion Symptoms: A Case Report

“…14 Injury and dysfunction of the cervical spine have been shown to cause headaches, dizziness, loss of balance, nausea, visual and auditory disturbances, reduced cognitive function, and many other signs and symptoms considered synonymous with mTBI. [15][16][17][18][19][20][21][22] Thus, in concussion injuries, it is proposed that headaches and dizziness, again so prevalent in mTBIs, may be the result of cervicogenic mechanisms due to a concomitant whiplash injury suffered at the same time the athlete sustained a concussion. [23][24][25][26] Whiplash injuries result in both pain and proprioceptive deficits, leading to headaches that are related to pain and cervicogenic dizziness and oculomotor control deficits associated with proprioceptive dysfunction.…”