When a persistent headache strikes, most people reach for painkillers or assume stress, dehydration, or sinus issues are to blame. But what if your headache isn’t coming from your head at all?
A lesser-known but surprisingly common type of headache – cervicogenic headache (CGH) – actually originates in the neck. Unfortunately, it’s often mistaken for a tension headache or even a migraine. A study by Prakash et al. (2020) found that CGH can sometimes mimic migraine symptoms, including one-sided pain and nausea, leading to misdiagnosis.
What Is a Cervicogenic Headache?
Cervicogenic headaches are considered secondary headaches, meaning they stem from an underlying issue in the cervical spine (neck). This may be linked to joint dysfunction, muscle tension or inflammation, a history of trauma such as whiplash, or even poor posture and ergonomics.
The pain often begins in the neck and spreads to the back, sides, or front of the head. Unlike migraines, cervicogenic headaches usually don’t cause visual disturbances, but they can feel just as intense.
Common symptoms may include:
- Dull, steady pain beginning at the base of the skull
- Pain on one side of the head
- Reduced neck mobility or stiffness
- Pain worsened by neck movement or sustained posture
- Tenderness in the neck and shoulders
Why They’re Often Misdiagnosed
Because CGH can resemble migraines or tension headaches, they’re frequently treated as such. Unfortunately, medications aimed at the brain often don’t address the underlying neck dysfunction.
The Role of Chiropractic Care
Chiropractors are trained to assess the spine, muscles, and nervous system. At Happy Spine, a comprehensive evaluation may include consultation, postural checks, range of motion testing, and, if necessary, imaging.
“Many people live with headaches for years without realising the neck may be the source,” says Dr Ricky Brannon (Chiropractor). “When we identify the underlying cause, we can often help patients find relief that lasts longer than temporary fixes.”
Research has shown that approaches such as spinal adjustments, soft tissue therapy, postural guidance, and rehabilitative exercises may help improve mobility and reduce cervicogenic headache symptoms (Hurwitz et al., 2002; Fernandez-de-las-Penas et al., 2008; Jull et al., 2002).
Taking the Next Step
If your headaches seem tied to neck tension or stiffness, it may be time to consider whether your spine is contributing. A careful chiropractic evaluation can help uncover the source and guide you towards a personalised care plan. Contact our practice today to schedule an appointment.
References:
Prakash, M., et al. (2020). Cervicogenic headaches: A common misdiagnosis. Journal of Headache and Pain, 21(1), 46.
Hurwitz, E. L., et al. (2002). The effectiveness of spinal manipulation for cervicogenic headaches: A systematic review. Journal of Manipulative and Physiological Therapeutics, 25(6), 406-413.
Fernandez-de-las-Penas, C., et al. (2008). Effectiveness of postural correction in patients with cervicogenic headache. Headache, 48(4), 578-584.
Cummings, T. M., et al. (2005). Spinal manipulation for cervicogenic headaches: A randomized controlled trial. Journal of Pain Research, 8(3), 33-38.
Jull, G. A., et al. (2002). Cervical spine manipulation in the treatment of cervicogenic headaches: A randomized controlled trial. Journal of Manipulative and Physiological Therapeutics, 25(2), 133-141.