Cervicogenic Headache
What is it?: A headache or cephalagia originating from the cervical spine (neck).
What causes it?: Tension in the cervical spine, whether it's from chronic overuse (neck flexion usually), a whiplash type of injury, arthritis in the facet joints of the vertebrae, or even intervertebral disc disease. Muscular trigger points in the shoulder blade (peri-scapular region) are also notably culpable. The pain is referred so it suggests CNS.
Where does it occur?: In the forefront or base (sub-occipital) of the skull
Treatment?: Cortisone injections can reduce the tension in the neck and shoulders, as well as x-ray guided facet joint blocks in the vertebrae. If the disc is degenerated then surgery is a possible option. Physical therapy options include manipulation and mobilization techniques (MET), ice and stimulation from a TENS unit. Postural exercises and neck flexions and extensions.
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