As the name implies, a cervicogenic headache is a type of headache resulting from a problem originating in the neck. The precise problem in the neck may be one of a number of possibilities but it usually has a "mechanical" aspect to it. The symptoms tend to become aggravated by certain movements or postures of the neck. There are several treatment options available for the individual suffering from cervicogenic headaches.
Manipulation
Spinal manipulation of the type performed by chiropractors and osteopaths proves an effective approach for cervicogenic headache. This type of therapy involves very rapid but small manual thrusts to isolated spinal joints in efforts to overcome barriers to full motion. These thrusts often result in a popping sound. A number of studies have demonstrated the effectiveness of manipulation for cervicogenic headaches. A literature review published in the "Journal of Chiropractic and Osteopathy" in 2010 includes cervicogenic headache as one of the conditions for which spinal manipulation has shown good efficacy.
Massage
Sometimes, the primary source of the headache may result from muscular tension or trigger points in the neck region. In these cases, massage may prove a good alternative. There are a number of massage methods ranging from long, gentle stroking techniques to deep, focused pressure techniques. The goal of the massage therapy is to reduce any spasms or tight muscles in the area that may be causing or contributing to the headache symptoms.
Physical Therapy
A physical therapist may utilize some manual therapies such as massage or mobilization to address tightness in muscles or joints of the neck. The therapist may try an electrical modality such as a TENS unit to help modulate pain or to facilitate relaxation. In addition, the physical therapist will probably educate the patient on stretching or strengthening exercises to address any perceived weakness or flexibility issues.
Targeted Injections
In cases where conservative treatment proves ineffective, targeted injections may play a diagnostic as well as a therapeutic role. For this procedure, a specialist performs x-ray-guided injections into specific areas of the neck. Often a short-acting anesthetic is injected into a nerve branch to block pain sensations from a particular joint. Using this procedure, the patient and the doctor can sometimes identify the specific source of the pain. Once identified, a longer-lasting pain-relieving medication may be injected into the area. This may also help inform the decision to explore other treatment options, says an article found in the journal "Clinical and Experimental Rheumatology."
References
- "Journal of Chiropractic and Osteopathy"; Effectiveness of Manual Therapies: The UK Evidence Report; G Bronfort, M Hass, R Evans, et al; February 2010.
- Clinical and Experimental Rheumatology
