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Alternating Unilateral Head Pain: The Elephant in the Room

Indeed, this is the elephant in the room! A key diagnostic criterion for CGH is side-locked unilateral head pain, i.e. head pain always occurs exclusively on the same side, never the other.  This has been established by the medical model of headache, respectfully not fully au fait with musculoskeletal medicine. In my experience, whilst side-locked

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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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Edition 26 – Manual Cervical Reproduction of Head Pain: Unattainable and a Declining Art?

Watson’s colleague was intrigued by their previous conversation. “You alluded to the crude, primitive techniques used to reproduce patients’ signature head pain.” The Frustration “Yes,” replies Watson, recognising that his colleague is in another searching mood, “essentially, the basis of my frustration is that a comprehensive diagnostic examination for CGH, a musculoskeletal condition, is being

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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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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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Edition 25 – Primary Headache Circa 2024

‘Happy New Year, Watson. Let’s toast 2024!’ They do so with their customary glass of 2012 Albert Bichot Cote de Nuits Villages Burgundy. In a vibrant, somewhat mischievous mood, Watson’s colleague ‘sticks his neck out’, “You are clearly frustrated with the medical model’s perspective of headache and migraine.  What would you like to see happen

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