Cervicogenic Headaches

Headaches are a common ailment affecting millions worldwide, but not all headaches are created equal. 

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Among the various types, cervicogenic headaches stand out due to their unique cause and characteristics. Unlike typical headaches or migraines, cervicogenic headaches stem from issues in the cervical spine or neck region. This comprehensive guide aims to elucidate the nature of cervicogenic headaches, focusing on their symptoms, causes, and diagnostic procedures.

What are Cervicogenic Headaches?

Cervicogenic headaches are secondary headaches, meaning they are caused by underlying conditions or disorders. They originate from the neck and are often confused with migraines or tension headaches due to their similar presentation. However, cervicogenic headaches have distinct features and require a different approach for diagnosis.


These headaches are typically unilateral, meaning they affect only one side of the head, though the pain can sometimes shift from one side to the other. The pain often starts in the neck and then spreads to the head, usually to the back of the head, but it can radiate to the front, including the eyes.

Causes and Risk Factors of Cervicogenic Headaches

The primary cause of cervicogenic headaches is a disorder or injury within the cervical spine or neck tissues. Common causes include:

Whiplash Injuries

Sudden movements of the head, often due to car accidents, can lead to neck injuries causing cervicogenic headaches.


Degenerative changes in the neck, like osteoarthritis, can spur headaches.

Prolonged Postures

Spending prolonged periods in awkward positions, especially while using computers or mobile devices, can strain neck muscles and joints.

Neck Tension

Stress and poor posture can lead to increased tension in the neck muscles, contributing to headache development.

What Are the Trigger Points for Cervicogenic Headaches?

Certain risk factors make individuals more susceptible to developing cervicogenic headaches. 

These include:

Occupation: Jobs that require long hours of neck straining or bending (e.g., dentists, drivers).

Age: Older individuals are more likely to experience degenerative changes in the cervical spine.

Previous Neck Injuries: History of neck injuries increases the likelihood of cervicogenic headaches.

Symptoms and Diagnosis Cervicogenic Headaches

Cervicogenic headaches are unique because they originate from issues in the neck, unlike other types of headaches. Recognizing their symptoms and accurately diagnosing them is crucial for appropriate management.

Symptoms of Cervicogenic Headaches:

  • Pain Originating in Neck
  • Unilateral Pain
  • Neck Movement Impact
  • Reduced Neck Mobility.
  • Neck Tenderness
  • Nausea
  • Light sensitivity
  • Occasionally blurred vision.

How Do You Diagnose Cervicogenic Headaches?

  1. Medical History: Assess pattern, location, and nature of the headache; check for past neck injuries or conditions.
  2. Physical Examination: Evaluate neck for motion range, muscle tenderness, and nerve irritation. Test pain response to neck movements.
  3. Diagnostic Nerve Blocks: Inject numbing medication around neck nerves; headache relief post-injection indicates cervicogenic origin.
  4. Imaging Tests: Optional X-rays, MRI, or CT scans to identify underlying structural issues like arthritis or disc disease.
  5. Excluding Other Causes: Rule out migraine or tension headaches due to symptom overlap.

Prevention Strategies To Take For Cervicogenic Headaches

Preventing cervicogenic headaches involves addressing the factors that contribute to neck strain and tension. Some strategies include:


  • Ensuring a proper ergonomic setup at work and home to minimize neck strain.
  • Taking frequent breaks during long periods of sitting or standing to stretch and change positions.
  • Being conscious of maintaining a neutral spine position, especially when using electronic devices.
  • Regular exercises, particularly those that strengthen the neck and upper back muscles, can be beneficial.

When You Need To See a Doctor?

It’s important to consult a healthcare professional if you experience:

Persistent or Worsening Headaches: Especially if they don’t respond to usual headache remedies.

Changes in Headache Patterns: Any significant changes in the frequency, intensity, or nature of the headaches.

Associated Symptoms: Such as dizziness, blurred vision, or issues with balance.

History of Injury: Especially if the headaches started following a neck injury or trauma.


How are cervicogenic headaches different from migraines?

Cervicogenic headaches are caused by issues in the neck and are usually one-sided, while migraines often involve sensitivity to light and sound and can be more debilitating.

Prolonged poor posture can strain neck muscles and joints, leading to cervicogenic headaches.

While they can be painful and debilitating, they are typically not indicative of a serious underlying condition. However, proper diagnosis and management are important to alleviate pain and improve quality of life.


Cervicogenic headaches, though often misunderstood, are a distinct type of headache with specific causes and symptoms. Understanding these headaches is crucial for those suffering from chronic head and neck pain. 


Recognizing the signs and seeking appropriate medical consultation can lead to better management of this condition. Remember, maintaining good neck health through proper posture, regular exercise, and ergonomic practices is key in preventing these headaches.

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