Headaches

Physiotherapy has been shown to significantly improve symptoms in people suffering from cervicogenic headaches. This type of headache originates from the muscles, joints and ligaments of the neck. Symptoms can present in many different ways but a typical presentation may involve pain in one side of the head, with a stiff and sore neck during or preceding the headache. There is no procedure or imaging that can be performed to confirm this type of headache. A clinical diagnosis is made via a thorough physical examination.

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It is well recognised that the neck can be a direct cause of headaches. It is due to a dense nucleus of nerves (the trigeminocervical nucleus) situated high in the neck that shares sensory information between the head, face and neck. 

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In addition to direct assessment of the neck, other factors such as posture, work, lifestyle, sleep hygiene and dental /TMJ dysfunction are taken into account when deciding on the best management plan for each individual.

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Treatment usually involves carefully sustained joint mobilisations, soft tissue massage and specific home exercises. Headache and sleep behaviour questionnaires/diaries, work/home ergonomics and upper limb mechanics are taken into account where necessary. Discussion with or referral to other health care providers is always a consideration in the holistic approach to management.  

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