Cervicogenic Headache - Clinical Assessment and Physical Therapy

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ד"ר עוז צור פיזיותרפיסט מומחה באבחון וטיפול בבעיות סחרחורת

Dr. Oz Zur provides lectures, workshops and professional training for healthcare professionals and organizations.

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Cervicogenic Headache Treatment

Headaches can have many different causes. Some headaches are related to the neck, muscles, joints or movement patterns and may be accompanied by neck stiffness, shoulder blade pain or discomfort around the temples and eyes.
At Zur Balance, assessment helps determine whether musculoskeletal or cervical factors may be contributing to the symptoms.

What Are Cervicogenic Headaches?

Cervicogenic headaches are headaches that originate from structures in the neck and may be felt in the head, face or around the eyes.
Symptoms may be associated with neck movement, posture, muscle tension or reduced mobility in the cervical spine. Some people may also experience pain around the shoulder blades or upper back.

Common Symptoms

Symptoms may include:

How Are Neck-Related Headaches Assessed?

Assessment may include:

The goal is to determine whether cervical or musculoskeletal factors may be contributing to the headache.

hysical Therapy for Cervicogenic Headaches

Physical therapy may be helpful when headache symptoms are associated with neck movement, posture, muscles or joint function. Treatment may include:

The treatment plan should be adapted to the individual’s symptoms and assessment findings.

Dry Needling

Dry needling may be used as one component of a broader physical therapy program when clinically appropriate.
It may be considered when muscular trigger points or soft tissue sensitivity appear to contribute to symptoms.

Headaches and Migraine

Migraine is a neurological condition and may require medical diagnosis and management.
Physical therapy does not replace appropriate medical care for migraine, but it may be relevant when neck pain, muscle tension or musculoskeletal factors contribute to an individual’s symptoms.

When Should You Seek Medical Evaluation?

Headaches should be medically evaluated when they are new, severe, unusual or associated with other concerning symptoms.
Seek urgent medical care for symptoms such as:

Experiencing Headaches Associated With Neck Pain or Movement?

A professional assessment can help determine whether cervical or musculoskeletal factors may be contributing to your symptoms.

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