Headaches are a common complaint in clinical practice, but not all headaches originate in the head itself. Some are classified as secondary headaches caused by underlying conditions elsewhere in the body. One such condition is the cervicogenic headache, a type of pain that originates in the cervical spine but presents primarily as head pain.
In this article, we’ll explore cervicogenic headaches in detail, including symptoms, causes, diagnosis, and treatment options that work—especially with non-surgical approaches offered by ALGOS Pain Clinic.
What Is a Cervicogenic Headache?
A cervicogenic headache is a secondary headache that arises from dysfunction or pathology in the cervical spine (neck region). These headaches are typically unilateral, meaning they affect one side of the head, and are often accompanied by neck pain and stiffness.
Unlike migraines or tension headaches, cervicogenic headaches are not caused by primary neurological issues but rather by musculoskeletal or structural problems in the neck.
Unlike migraines or tension headaches, cervicogenic headaches are not caused by primary neurological issues but rather by musculoskeletal or structural problems in the neck.
Causes of Cervicogenic Headaches
Cervical Spine Disorders
Disorders such as degenerative disc disease, cervical spondylosis, and facet joint arthropathy are major contributors. They cause instability and inflammation in the neck, irritating the upper cervical nerves that transmit pain to the head.
Neck Trauma and Injury
- Past trauma (e.g., whiplash, falls) can disrupt biomechanics of the neck.
- Repetitive strain from poor posture (long hours at the computer/mobile) can also trigger cervicogenic headaches.
Symptoms of Cervicogenic Headaches
Common Pain Patterns
- Pain begins in the neck or back of the head and radiates forward to the temples or behind the eyes.
- Usually one-sided and consistent.
- Unlike migraines, there is no aura, nausea, or strong sensitivity to light.
Triggers and Aggravating Factors
- Neck movements or prolonged static postures worsen symptoms.
- Pressure on the upper cervical spine may increase pain.
- Rest, posture correction, or heat application can relieve symptoms.
Diagnosing Cervicogenic Headaches
Clinical Assessment
A thorough medical history and physical exam help rule out migraines or tension headaches. Pain specialists check neck mobility, tenderness, and trigger points.
Imaging and Diagnostic Blocks
- MRI/CT scans may reveal underlying spine disorders.
- Occipital nerve blocks are sometimes used to confirm diagnosis (pain relief after block = cervical origin).
Treatment Options That Work
At ALGOS Pain Clinic, we adopt a multidisciplinary, non-surgical approach:
Conservative Treatments
- Medications: NSAIDs, muscle relaxants
- Physiotherapy: posture correction, strengthening, mobility exercises
- Manual therapies: myofascial release, trigger point therapy
Interventional Pain Management
- Occipital nerve block: numbs inflamed nerves to relieve pain
- Cervical facet joint injections: reduces inflammation in painful joints
- Radiofrequency ablation (RFA): deactivates pain-transmitting nerves for long-lasting relief
All procedures are performed under image guidance for safety and precision.
Preventive Strategies and Lifestyle Adjustments
- Regular neck exercises
- Ergonomic work setup (screen at eye level, frequent breaks)
- Supportive pillows for sleep
- Stress management and posture awareness
When to See a Pain Specialist
Seek medical help if you have:
- Persistent one-sided headaches with neck stiffness
- Worsening pain with movement
- No relief from over-the-counter medication
- History of neck trauma or cervical spine disorders
- Headaches interfering with daily activities
Conclusion
Cervicogenic headache is often misdiagnosed as migraine or tension-type headache, leading to prolonged suffering. By recognising the neck-related origin of the pain and seeking timely intervention, patients can achieve long-term relief.
At ALGOS Pain Clinic, we specialise in evidence-based, non-surgical treatments for cervicogenic headaches and other chronic pain conditions. Our goal is to help patients return to a pain-free, active lifestyle without unnecessary surgeries.
At ALGOS Pain Clinic, we specialise in evidence-based, non-surgical treatments for cervicogenic headaches and other chronic pain conditions. Our goal is to help patients return to a pain-free, active lifestyle without unnecessary surgeries.
