CERVICOGENIC HEADACHE

Course overview

A CERVICOGENIC HEADACHE (CGH) PRESENTS AS UNILATERAL PAIN THAT STARTS IN THE NECK. IT IS A COMMON CHRONIC AND RECURRENT HEADACHE THAT USUALLY STARTS AFTER NECK MOVEMENT. IT USUALLY ACCOMPANIES A REDUCED RANGE OF MOTION (ROM) OF THE NECK. IT COULD BE CONFUSED WITH A MIGRAINE, TENSION HEADACHE, OR OTHER PRIMARY HEADACHE SYNDROMES. DIAGNOSTIC CRITERIA MUST INCLUDE ALL THE FOLLOWING POINTS: 1. SOURCE OF THE PAIN MUST BE IN THE NECK AND PERCEIVED IN HEAD OR FACE. 2. EVIDENCE THAT THE PAIN CAN BE ATTRIBUTED TO THE NECK. IT MUST HAVE ONE OF THE FOLLOWING: DEMONSTRATION OF CLINICAL SIGNS THAT IMPLICATE A SOURCE OF PAIN IN THE NECK OR ABOLITION OF A HEADACHE FOLLOWING DIAGNOSTIC BLOCKADE OF A CERVICAL STRUCTURE OR ITS NERVE SUPPLY USING A PLACEBO OR OTHER ADEQUATE CONTROLS. 3. PAIN RESOLVES WITHIN THREE MONTHS AFTER SUCCESSFUL TREATMENT OF THE CAUSATIVE DISORDER OR LESION. THIS ACTIVITY REVIEWS THE ETIOLOGY, PRESENTATION, EVALUATION, AND MANAGEMENT OF VARIOUS CERVICOGENIC HEADACHES AND REVIEWS THE ROLE OF THE INTERPROFESSIONAL TEAM IN EVALUATING, DIAGNOSING, AND MANAGING THE CONDITION.