As I discussed in Edition 2 ‘OC3 in Headache Matters, the TCC is recognised as the relay centre for all things headache and migraine, and there is a general consensus that central sensitisation (CS) of the Trigeminocervical Complex (TCC) is the underlying mechanism in headache and migraine conditions. Furthermore, it is recognised that CS of
I wanted to take a moment to emphasise the importance of the information I shared in my previous newsletter (Edition 1), particularly regarding the C1, C2, and C3 afferents as significant contributors to the trigeminocervical complex (TCC). Understanding the role of the TCC is crucial because it is responsible for the manifestation of cervicogenic and
Firstly, ‘0C3’ is a comprehensive term encompassing the spinal segments from C0 to C1, C1 to C2, and C2 to C3, as well as the afferents from C1 to C3. As practitioners focused on providing effective care, it’s crucial to understand the significance of ‘0C3’ in the context of headache assessment and management. Why? Because
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
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
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
