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Related Experiment Videos

Cervicogenic headache.

Larry H Chou1, David A Lenrow

  • 1Physical Medicine and Rehabilitation Services, Hospital of the University of Pennsylvania, Philadelphia, PA, USA. larry.chou@uphs.upenn.edu

Pain Physician
|August 12, 2006
PubMed
Summary
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Cervicogenic headache, originating from the neck, is a disabling condition with unclear causes. Diagnostic injections and non-operative treatments are key for managing this complex headache type.

Area of Science:

  • Neurology
  • Pain Medicine

Background:

  • Chronic headache, including cervicogenic headache, causes significant disability and socioeconomic burden.
  • Cervicogenic headache is defined as unilateral, severe, and recurrent headache originating from the neck.
  • The exact pathoanatomic and pathophysiologic basis remains unclear, with theories involving upper cervical nerve roots and pain generators in head-moving structures.

Purpose of the Study:

  • To review the epidemiological and clinical aspects of cervicogenic headache.
  • To explore the proposed pathophysiology and diagnostic challenges.
  • To outline diagnostic strategies and non-operative treatment options.

Main Methods:

  • Review of existing literature on cervicogenic headache.
  • Discussion of diagnostic criteria and differential diagnosis strategies.

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  • Analysis of proposed pathophysiologic mechanisms and treatment modalities.

    • Main Results:

    • Cervicogenic headache is a descriptive term due to varied potential pain generators and lack of uniform pathophysiology.
    • Diagnostic injections are crucial for identifying pain generators and differentiating from other headaches.
    • Various non-operative treatment strategies exist, though specific pathophysiology is not fully defined.

    Conclusions:

    • Cervicogenic headache requires a descriptive approach due to its complex and multifactorial nature.
    • Accurate diagnosis relies on differentiating potential pain generators through methods like diagnostic injections.
    • Management involves a comprehensive approach considering epidemiological, clinical, and pathophysiologic factors, focusing on non-operative treatments.