Everyone experiences headache disorders differently. Some may have a sudden onset of debilitating migraine accompanied by a pulsating feeling behind their eyes, while others may have pain that feels like it originates from the base of the skull and extends to the neck and shoulders. This type of head pain is better known as a cervicogenic headache and it’s usually diagnosed and treated differently from other headaches.
So why do cervicogenic headaches happen and how do you cure them? Most cervicogenic headaches are caused by irritation, inflammation, or damage to the cervical spine structures. Treatment usually involves locating the source of the pain and administering appropriate procedures, such as occipital nerve blocks, trigger point injections, physical therapy, and chiropractic care, to address the specific spinal issue.
Headaches are a common pain disorder that almost everyone can experience at any point in their life. This condition affects more than half of the global population, with at least 15% of the adult population in the United States experiencing its symptoms each year.
However, not all headache pain comes from the head or brain. According to studies, there’s one kind of secondary headache that accounts for at least 15% to 20% of reported headache complaints. This disorder is known as cervicogenic headache which is characterized by dull pain that runs from the neck to the scalp and spreads over the top or front of the head.
Cervicogenic headaches are a chronic disorder that mostly affects the adult population. Studies show that this head pain is prevalent among men and women who are 30 to 44 years old. Like most headache disorders, this condition can greatly affect your quality of life if left untreated for a long time.
One thing you need to understand about cervicogenic head pain is that they’re completely different from your usual daily headache. As its name implies, it describes referred pain that originates from the nerves or structures in your upper cervical spine or neck.
To better understand how cervicogenic headaches occur, here’s an overview of your cervical spine and the different structures that may be involved in causing head and neck pain:
When diagnosing cervicogenic headaches, doctors typically assess your spine health to determine if there are underlying problems that may be causing the chronic pain. Here are some of the possible spinal disorders that can lead to neck and head pain:
This is a type of neck injury that occurs due to the rapid jerking movement of the neck muscles. You’ll likely acquire this after a car accident or due to incurring a strong blow to the head from a heavy object. The sudden motion causes the soft tissue and ligament of the neck to stretch and tear which can lead to excruciating headaches accompanied by neck stiffness, shoulder pain, and limited range of motion.
This condition happens when one of the discs in your vertebra becomes torn or damaged and slips out from its position in your spine. A slipped disc can happen after twisting or moving a heavy object which puts extreme stress on your cervical spine. Doing any physically demanding job or sports activity may also increase your risk for developing slipped discs.
Neck pain and headache may also stem from cervical disc degeneration. This pertains to the natural wear and tear that occurs as you get older. With cervical degenerative disc disease, the discs lose their strength and structure which makes them unable to support your spine and leads to pain that can be felt at the neck, lower back, shoulders, and sometimes the head.
Your headache may also be caused by cervical radiculopathy or pinched nerves in the upper cervical spine. This mostly happens due to compression or inflammation of a cervical nerve that results from a herniated disc or degenerative changes in your spine. When one of the nerves in your neck is affected, it can also cause pain in your arms, shoulders, and head.
Some cases of cervicogenic headaches also develop from having unusual growths on the bones of your cervical spine. This condition is also known as cervical osteophytes. Although most bone spurs don’t show symptoms, they can cause pain when it starts to compress the nerve endings in your cervical spine.
This condition refers to the natural changes in the joints, bones, discs, and ligaments of the cervical spine due to aging. Also known as cervical spondylosis, this spinal disorder can happen due to the breakdown of the discs and loss of flexibility of the joints that come with old age. Aside from headaches, this can also cause neck stiffness, weakness, and reduced range of motion.
The cervical spine naturally degenerates with age and becomes more prone to fractures and sprains, which is why older adults are more likely to experience chronic cervicogenic headaches. However, there are also other risk factors that may trigger neck and head pain among the younger population. Here are other common triggers of cervicogenic headaches:
One of the leading causes of neck muscle strain is bad posture which can irritate the nerves in your cervical spine and compromise your spinal alignment. If you’re prone to doing excessive forward head position or protruding chin posture, you’re more likely to experience daily neck pain and headaches. That’s why you should constantly be mindful of your posture whenever you’re working in front of a computer.
Observing proper posture whenever you’re sleeping is as important as avoiding slouching during the day. Uncomfortable or awkward sleeping positions can develop neck pain, soreness, and stiffness in the morning.
One example is falling asleep on the couch without proper cushioning or support to your neck and head. This can lead to compressed spinal nerves which can worsen headaches and neck pain as soon as you wake up. Sleeping with your head drifting to one side or positioned too far in the front can also cause neck pain and stiffness.
Cervicogenic headaches can also be a risk that comes with your profession. Some occupations that are likely to experience neck and head pain are hair stylists, drivers, construction workers, carpenters, and plumbers because of their working posture. Athletes who are exposed to strenuous activities and heavy lifting can also experience cervicogenic pain.
Some CGH symptoms may also be associated with another headache disorder. However, it can also cause other symptoms that can affect your vision, mobility, and sensation.
Here are other ways to know that you have cervicogenic headaches:
Some of the symptoms of cervicogenic head pain may also be associated with another headache disorder. It’s important to know what type of headache you have to determine how you’ll treat your condition.
Here’s a table comparing cervicogenic pain from other kinds of headaches:
Cervicogenic headache | Migraine headache | Tension headache | Cluster headache | |
Main signs and symptoms | Pain at the head and neck and sometimes extending to the arms and between the shoulders Neck stiffness Reduced neck motion and flexibility | Severe headache or throbbing pain on one side of the head Nausea and vomiting Visual disturbances Increased sensitivity to light Can be acute or recurrent | Dull, aching pain across the head Feeling of tightness or intense pressure on one or both sides of the head | Intense headache with eye pain Sensitivity to light Swollen or drooping eyes Restlessness Eye redness |
Causes | Originates from a problem in the cervical spine | Its exact cause is unclear but doctors suggest that it has to do with chemical activity that affects your blood vessels in the brain Can be triggered by hormone changes, stress, loud sounds, and bright lights | Usually occurs when the neck or head muscles contract or become too tense | It’s also unclear why cluster headaches happen but it’s thought to originate from the activity in the hypothalamus and trigeminal nerve |
Outlook | Mild cases of cervicogenic headaches may resolve on its own, but some may require appropriate treatment that address the spinal problem | Can be easily managed with headache medications | A tension type headache can last for several minutes and go away on their own Painkillers can help provide relief from sudden tension headaches | They can go away on its own or with help of medications but may recur anytime without warning |
When your cervicogenic headaches start to disrupt your life and become accompanied by weakness and limited range of motion, you may need to visit a specialist for your condition. Most treatments for this type of head pain are meant to address the root of your pain: the cervical spine.
Here are some of the common ways that our doctors at Advanced Headache Center can treat your cervicogenic pain:
Cervicogenic headaches require more than just home remedies and painkillers. Doctors will need to examine your cervical spine health to rule out other conditions and recommend the best treatment for headache and neck pain relief.
At Advanced Headache Center, our doctors have extensive experience in diagnosing and treating different kinds of head pain. We can provide a comprehensive treatment plan that involves state-of-the-art and minimally invasive procedures to safely and effectively address your headache disorder. Call us today to schedule your consultation or know more about our cervicogenic headache treatment options.
Dr. Hosny is an Ivy League Trained, UCNS-accredited, board-certified headache specialist who offers the latest preventive and abortive treatments to provide safe and effective head pain relief. As an active member of prominent organizations and professional societies that advance headache science, education, and management, such as the National Headache Foundation, Dr. Hosney specializes in diagnosing and treating a wide range of head pain disorders, including tension headaches, migraines, and cluster headaches, to name a few.
Dr. Hosny's reputation for enhancing headache care quality through the use of the most effective and technologically advanced treatment options for persistent primary and secondary chronic headaches has been acknowledged by Castle Connolly and Healthgrades, where he has received over 200 positive reviews. Dr. Hosny is also recognized as a distinguished New York City physician and headache specialist by New York Magazine.
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