HEADACHE
A cervicogenic headache is a secondary headache arising from a problem in the neck. Neck pain alone does not establish this diagnosis: migraine and other headache disorders may also involve neck discomfort.
An assessment considers the headache pattern, neck examination and other possible causes. See the National Headache Foundation’s overview.
Head pain may be linked to neck movement or limited neck mobility. Symptoms can overlap with migraine, so avoid diagnosing the cause from location alone.
Seek emergency care for a sudden, extremely severe headache or a headache with new weakness, trouble speaking or walking, confusion, loss of vision, or fever with a stiff neck. Difficulty walking is not a routine symptom to manage with a neck adjustment. See headache warning signs.
Arrange medical assessment for a new, changing or persistent headache. A diary of frequency, duration, associated symptoms and medication use can help the evaluation.
Manual therapy and exercise may help some people with cervicogenic headache. NCCIH’s evidence summary notes potential benefits but limitations in the research, including a high risk of bias in many trials. Improvement is not guaranteed.
Discuss options, expected benefits and risks before treatment. Neck manipulation has been associated with rare cervical artery injuries that can lead to stroke; the relationship is complex. Review your health history and alternatives with the clinician.
For a routine assessment at Beyond Wellness Chiropractic Center in Charlotte, view booking options or call 704-461-1836. Urgent warning signs need emergency care.
