Educating About Headache

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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The ‘Dual Personality’ of Migraine

Introduction Migraine is a prevalent neurological condition that not only disrupts lives but also presents significant challenges in medical management. Understanding the pathophysiology of migraines, particularly the role of sensitisation of the trigeminocervical complex (TCC), is crucial for developing effective treatment strategies. This commentary delves into the intricacies of ‘centrally’ and ‘peripherally’ driven central sensitisation

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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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Side-locked Unilaterality: Cervicogenic or Another Secondary Headache?

Side-locked unilateral head pain is a key diagnostic criterion of Cervicogenic Headache (CGH). However, while this presentation characterises CGH, it is not confirmatory. There are medical conditions that manifest with unilateral side-locked headache. One of these conditions is Giant Cell Arteritis (GCA) or Temporal Arteritis.  For those who need to become more familiar with GCA…

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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

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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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Watson Headache
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