Dr. Muhammad Saleem Nawaz Sandhu – Physiotherapist in Lahore

Cervicogenic Headache: Causes, Symptoms, and Effective Physiotherapy Treatment

Do you often suffer from one-sided headaches that start in the neck and travel toward your head? You might be dealing with a cervicogenic headache. Unlike migraine or tension headaches, cervicogenic headaches originate from the cervical spine (neck). Fortunately, physiotherapy offers effective, drug-free solutions to manage and relieve this condition.


What is a Cervicogenic Headache?

A cervicogenic headache is a secondary headache caused by disorders or dysfunctions in the neck structures—such as the upper cervical vertebrae, discs, joints, muscles, or nerves. The pain is usually referred from these neck sources to the head.


Common Causes of Cervicogenic Headache

  • Poor posture (forward head, rounded shoulders)
  • Cervical spine arthritis or degeneration
  • Whiplash or neck injuries
  • Prolonged screen time or poor ergonomics
  • Muscle tension or trigger points in neck and shoulder muscles

Symptoms of Cervicogenic Headache

  • One-sided head pain starting from the neck
  • Neck stiffness and reduced cervical range of motion
  • Pain around the eyes, temples, or forehead
  • Pain aggravated by neck movement or sustained positions
  • Tenderness in the upper neck or base of the skull

Physiotherapy Management for Cervicogenic Headache

Physiotherapy plays a key role in identifying the root cause and applying targeted treatment strategies to reduce pain, restore mobility, and prevent recurrences.


1. Manual Therapy

  • Joint Mobilization: Gentle oscillatory movements to restore cervical joint mobility.
  • Soft Tissue Mobilization: Reduces muscle tightness, trigger points, and fascia restrictions.
  • Cervical Traction: Helps in relieving nerve compression and decompressing cervical discs.

2. Postural Correction and Ergonomics

  • Training patients in proper desk and sitting posture
  • Ergonomic advice for workstations, pillows, and smartphones
  • Scapular and deep neck flexor training for better alignment

3. Cervical and Scapular Strengthening Exercises

  • Deep Neck Flexor Training (e.g., chin tucks)
  • Scapular Stabilization Exercises to correct shoulder posture
  • Isometric neck strengthening and stretching exercises

4. Dry Needling or Trigger Point Release

Useful in reducing active myofascial trigger points in:

  • Upper trapezius
  • Levator scapulae
  • Suboccipital muscles

5. Electrotherapy Modalities

  • TENS and Ultrasound Therapy to reduce muscle spasm and pain
  • Heat therapy to relax muscles and improve blood flow

6. Education and Self-Management Strategies

  • Activity modification
  • Stress management
  • Home exercise programs tailored to individual needs

When to See a Physiotherapist

If you’re experiencing persistent neck-related headaches, visiting a physiotherapist can provide early intervention, reduce reliance on medication, and prevent chronic issues. A detailed assessment helps to differentiate cervicogenic headaches from migraines or tension-type headaches.


Conclusion

Cervicogenic headache is a treatable condition, and physiotherapy offers a holistic, non-invasive approach to manage symptoms and improve quality of life. With a combination of manual therapy, postural correction, targeted exercises, and patient education, most individuals can achieve lasting relief.


✅ Book an Appointment for Cervicogenic Headache Relief

At Johar Medicare, Johar town Lahore, we specialize in treating neck pain and cervicogenic headaches through customized physiotherapy plans in Lahore.
📞 Call now for expert evaluation and relief!

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