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Cervical musculoskeletal dysfunction in headache: How should it be defined?

Gwendolen Jull1, Toby Hall2

  • 1School of Health and Rehabilitation Sciences, The University of Queensland, Australia.

Musculoskeletal Science & Practice
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Summary

Neck pain in migraine and tension-type headaches may stem from cervical dysfunction, not just symptoms. Standardized tests focusing on cervical movement and muscle function are recommended for accurate diagnosis and treatment.

Keywords:
DiagnosisHeadacheNeck pain

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Area of Science:

  • Neurology
  • Musculoskeletal Medicine

Background:

  • Neck pain frequently co-occurs with migraine and tension-type headaches.
  • Current literature is divided on whether this neck pain is a primary headache symptom or indicative of cervical musculoskeletal dysfunction.

Purpose of the Study:

  • To clarify the relationship between neck pain and headaches.
  • To guide research and clinical practice regarding the diagnosis and treatment of cervicogenic headaches.

Main Methods:

  • Critique of current diagnostic approaches for cervical musculoskeletal dysfunction in headache studies.
  • Proposal for revised diagnostic criteria focusing on objective measures of cervical function.

Main Results:

  • Existing measures like pain sensitivity and trigger points are insufficient for diagnosing cervical musculoskeletal disorders.
  • A comprehensive assessment including interrelated changes in cervical movement, joint, and muscle function is advocated.

Conclusions:

  • Standardized diagnostic criteria are needed to accurately define cervical musculoskeletal dysfunction in headache patients.
  • Adopting a core set of functional measures will improve understanding of headache pathogenesis and treatment efficacy.