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The Challenges of Cervicogenic Headache
Andrew Blumenfeld1, Sara Siavoshi2
1The Headache Center of Southern California, 6010 Hidden Valley Road, Carlsbad, CA, USA. Blumenfeld@neurocenter.com.
Current Pain and Headache Reports
|June 15, 2018
Summary
Diagnosing patients with both headache and neck pain is complex due to overlapping conditions. A multidisciplinary approach is recommended for effective management of these challenging cases.
Area of Science:
- Neurology
- Pain Management
- Musculoskeletal Medicine
Background:
- Headache and neck pain frequently coexist.
- The differential diagnosis for this symptom combination is extensive.
- Cervical musculoskeletal issues can complicate diagnosis and treatment.
Purpose of the Study:
- To elucidate the diagnostic difficulties in patients presenting with concurrent headache and neck pain.
- To review the current understanding of conditions causing both headache and neck pain.
Main Methods:
- Literature review of diagnostic challenges.
- Analysis of overlapping conditions and contributing factors.
- Synthesis of findings on multidisciplinary care.
Main Results:
- The differential diagnosis is broad, encompassing numerous conditions.
- Cervical abnormalities like forward head posture and myofascial trigger points are common contributing factors.
- Patients may suffer from multiple headache disorders simultaneously.
Conclusions:
- Effective management requires addressing all facets of the patient's condition.
- A multidisciplinary team approach is crucial for optimizing patient outcomes.
- Integrated care strategies can improve the diagnosis and treatment of headache and neck pain.
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