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The Fraternal Nature of Central Sensitisation in Migraine

Introduction Migraine is more than just a headache; it is considered a complex neurological condition that can significantly disrupt daily life. For those seeking relief, understanding the underlying causes of migraine, particularly the role of central sensitisation is critical to finding effective treatments. Central sensitisation can be caused by ‘central’ or ‘peripheral’ factors. This discussion

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Unravelling the Connection Between Neck Pain and Headache

Many believe that to diagnose a Cervicogenic (originating from the neck) Headache, neck pain must be present. But, is a headache without neck pain really not related to the neck? Think about it this way: Just like some people have leg or arm pain due to their spine without actually feeling spinal pain, you can

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Head Pain Switching Sides: The Migraine Mystery Often Ignored

It’s like the proverbial elephant in the room that no one is talking about. When diagnosing Cervicogenic Headache (CGH), the rulebook says pain must stick to one side – it is supposed to be always on the same side, never the other, a so-called ‘side-locked’ pain. But here is where things get puzzling. As a

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Talking About Cervicogenic Headache

Introduction ‘Cervicogenic’ refers to ‘neck-related’, and therefore, the cause of ‘Cervicogenic Headache’ lies in the neck; more specifically, research has shown that the cause will be found in the top three spinal segments or joints.1 Consequently, head pain is referred from musculoskeletal misbehaviour or disturbance of any structure supplied by the top three spinal nerves.

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Determining if the Neck is the Cause

In Headache and Migraine One of the confusing phenomena about Cervicogenic Headache is that its symptoms can present as Migraine, Tension Headache or even Cluster Headache.2-6 So even though your headache may have been diagnosed as Migraine, Tension Headache, Cluster Headache etc., it may actually be a ‘Cervicogenic Headache’… and there is one feature, which

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Decreasing Migraine Progression

With Cervicogenic Management Recent evidence suggests that migraine is a progressive condition in which over time, episodes become more frequent, more severe, less responsive to medication, and last longer.  Research has shown that by (surgically) treating/removing disorders (which were evident on an MRI scan) in the upper cervical (neck) decreased the long-term worsening of the

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Watson Headache
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