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
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
Questions and Answers Q: Of the primary headache types are there some that are more difficult to treat than others? A: Probably the Trigeminal Autonomic Cephalalgia (TACs). The underlying disorder in the TACs is a sensitised brain stem. The way to determine the relevancy of cervical afferents in headache, Migraine or TAC presentations is reproduction
Referring to a Person with Migraine Over the past 25 years or so, I have never really been comfortable referring to a person with migraine as a ‘migraine sufferer’. I felt that this term had negative undertones, i.e. emphasising suffering. A Person with Migraine In recent times, I have used the term ‘migraineur’. As pointed
Diagnosing Vestibular Migraine Vestibular migraine is considered a migraine variant.1 Migraine is a sensory processing disorder in which ‘virtual’ exaggeration of activity of trigeminally innervated structures (passing through a sensitised brainstem) is perceived as noxious, resulting in head pain. Now let’s replace trigeminal with vestibular information2 and ‘vestibular migraine’ results i.e. normal, sub clinical activity
The Accompanying Neck Pain The findings and subsequent assumption from a recent observational Italian study,1 ‘When cervical pain is actually migraine: An observational study in 207 patients.’, challenge basic neuro/anatomical/physiological principles. This survey sought to assign a headache diagnosis to a cohort of 132 participants who had self-diagnosed their headache as being of cervical in origin.
