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.
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
‘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
“I know we are coming to the end of the year, but I want to raise cervicogenic headache (CGH),” requests Watson’s colleague. “Arghhhh! I wish we could delete the label ‘CGH’,” exclaims Watson. “Why would you want that? It’s about the upper cervical spine and headache, right?” asks Watson’s colleague. “Well, the label ‘CGH’ is
Watson’s colleague has been pondering the value of the Flexion Rotation Test (FRT) since their last discussion. “I am not saying that the FRT should be abandoned; I am just questioning its role identifying C1-2, even if it (FRT) was provocative, as the referring segment”, reiterates Watson. “After our discussion, I looked up the paper
The Abandonment of C1-2 Watson’s colleague, still considering the implications of their last discussion, arrives in a reflective mood, “There is another issue that has been niggling me since we have been discussing headache and migraine. Recently, a paper[1] came across my desk which reported that the incidence of headache referral from C1-2 was only
