Cervicogenic tension headaches are typically described as a headache that feels “tense” and radiates from the base of the skull around the scalp to behind your eyes.
- Present with neck tenderness and stiffness.
- Headaches are unilateral without side shifty.
- Moderate to severe pain may begin in the cervical spine and progressively affect the occipital, temporal, frontal or supraorbital regions
- Episodes may last hours to days.
- Characteristic continuous, fluctuating pain is described as deep but generally not throbbing
- Symptoms may be triggered or reproduced by sustained or awkward cervical spine postures
- Spinal manipulation is a cornerstone of treatment
- Myofascial Release
- Therapeutic excersies
"Migraine"; is a complex, chronic neurologic disorder characterized by recurrent moderate to severe headaches.
Migraine progresses through various symptomatic stages
Approximately 60% of sufferers report prodromal symptoms in the hours to days before headache onset.
These symptoms include
- Food cravings
- Mood changes
- Hypersensitivity to light, sound, or odors.
- Abortive treatments are most effective when given within the first minutes of an attack.
- Abortive medications include analgesics, NSAIDs, selective serotonin receptor agonists, and ergot alkaloids. Narcotics are commonly used for the emergency treatment of migraine,
- Prophylactic treatment is aimed at controlling migraine triggers.
- Several clinical trials and research studies suggest that spinal manipulation is an appropriate treatment for migraine headaches. A Harvard study found that spinal manipulation reduced migraine days as well as pain intensity.