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Cervical spondylosis and headaches.

R Iansek¹, J Heywood, J Karnaghan

¹Department of Neurology, Prince Henry's Hospital, Melbourne, Victoria.

Clinical and Experimental Neurology

|January 1, 1987

Summary

Headaches are uncommon in cervical spondylosis and share features with tension headaches. This suggests secondary muscle contraction may cause headaches in cervical spondylosis patients.

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Area of Science:

Neurology
Pain Management

Background:

Cervical spondylosis can cause neurological symptoms, but headache incidence and characteristics are not well-defined.
Tension-type headaches are common, and their features are well-established.

Purpose of the Study:

To compare the incidence and qualitative features of headaches in patients with cervical spondylosis and neurological disability against those with tension headaches.
To identify any distinguishing characteristics between headaches associated with cervical spondylosis and tension headaches.

Main Methods:

A retrospective review of 59 documented cases of cervical spondylosis with neurological disability.
Comparison of headache characteristics (location, qualitative features) in 5 patients with cervical spondylosis headaches and 50 patients with tension headaches.

Main Results:

Headaches were present in only 5 out of 59 reviewed cases of cervical spondylosis.
No significant differences were observed in the location or qualitative features of headaches between the cervical spondylosis group and the tension headache group.

Conclusions:

The incidence of headache in cervical spondylosis appears low.
Headaches in cervical spondylosis lack distinguishing features compared to tension headaches, suggesting similar pathogenesis.
Secondary muscle contraction is proposed as the underlying mechanism for headaches in cervical spondylosis.

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