Symptoms
Cervicogenic headache
Unilateral headache reproduced by neck movement or sustained pressure on upper cervical structures and muscles.
Overview
Unilateral headache reproduced by neck movement or sustained pressure on upper cervical structures and muscles. Identifying which muscle reproduces the patient's familiar pain on palpation guides treatment and often produces meaningful change alongside standard care.
Clinical notes
Reproducible pain with palpation of suboccipitals and upper cervical segments supports cervical origin.
Red flags — when to refer
Progressive neurological signs, dizziness with nystagmus, history of trauma — refer.
Muscles often involved
References
- • Travell & Simons — Myofascial Pain and Dysfunction