Commentary

for health professionals

Cervicogenic Headache: Always the Bridesmaid, Never the Bride

Introduction: This article summarises the medical model’s contemporary perspective of Cervicogenic Headache (CGH) and discusses some factors contributing to the reported low prevalence of CGH.   Cervicogenic Headache, a nuanced subset within the headache spectrum, is surprisingly reported less frequently, ranging from 0.1–4.1 per cent depending on which CGH diagnostic criteria are used1-4 (at this

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C2-3 The Most Common Source Of Headache

Headache Was Alleviated In 75 Percent of Patients Analysing diagnostic blocks in 166 patients fulfilling diagnostic criteria for Cervicogenic Headache I have been consulting exclusively those with chronic headache/migraine for the past 30 years i.e. 33000 hours of clinical experience with over 8300 patients. The Watson Headache® Approach, which I have been teaching internationally since

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Misconception 6 of 10

Examining Upper Cervical Segments That reproduction of headache when examining upper cervical segments confirms cervicogenic relevancy – wrong! Whilst reproduction of typical symptoms does not confirm relevancy, if this occurs, one can be very, very, suspicious of cervical involvement. However, there are situations in which reproduction is possible and the source is not the upper

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Misconception 5 of 10

Reproduction of Headache That reproduction of headache when examining the upper cervical structures is inappropriate… is to be avoided – wrong! It is crucial! Reproduction (and resolution) is exactly what is needed24 – without it you are in ‘no man’s (or woman’s) land’… the guessing game continues! References: Kaube H, Katasavara Z, Przywara S, Drepper

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Outcomes For Chronic Headache Patients

Psychosocial Factors Are Not Instrumental   For decades, studies focusing on personality and psychological profiles of those with migraine have dominated journals. The end result suggests that depression and anxiety is increased among migraineurs,1 and a strong correlation between pathological personality and migraine.2  I was intrigued and bemused by a recent study demonstrating that those with

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Active Cervical Range of Movement

Is It Useful To Assess In Headache? In a recent international survey, 17 internationally recognised physiotherapy headache experts was conducted to identify which physical examination tests are considered most clinically useful.1 In addition, the international experts were asked to specify for which types of headache i.e. Cervicogenic Headache (CH), Tension-type headache (TTH) and Migraine (M)

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