Cervicogenic Headache

It is distinguished from other headaches by pattern: typically starting at the base of the skull and travelling forward, usually one-sided and staying on that side, and often reproducible by testing the neck. That last feature is what makes it identifiable in an assessment.

What it feels like

A steady ache rather than a throb, beginning at the base of the skull and spreading to the back of the head, behind the eye, or the temple. Usually one side. Often accompanied by neck stiffness and worse with certain neck positions.

Unlike migraine, it typically lacks the visual aura, nausea and light sensitivity, though the two can occur in the same person.

Why it happens

Structures in the upper cervical spine share nerve pathways with parts of the head, so irritation in the neck can be perceived as headache. Sustained postures, neck stiffness and muscular trigger points commonly contribute.

How we treat it

Assessment first establishes whether your headache is actually cervicogenic, by testing whether it can be reproduced or eased from the neck. If it cannot, we will say so and suggest where to go instead.

What to expect

Assessment includes testing the upper cervical joints specifically. Reproducing your headache during examination is a useful finding rather than a bad sign, it confirms where it is coming from.

How long it takes

Many people notice change within a few sessions. Lasting improvement usually depends on the strengthening and workstation side as well.