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Manual Therapy in Cervicogenic Headache

Manual mobilization and a specific exercise program for headaches originating in the neck.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Manual Therapy in Cervicogenic Headache?

Cervicogenic headache (CGH) is a headache arising from the upper cervical region, referred from the C1–C3 joints and soft tissues to the trigeminocervical nucleus. IHS and Sjaastad criteria are used in diagnosis. It is unilateral, does not fluctuate, and is triggered by neck movements.

Manual therapy approaches: 1) upper cervical Maitland mobilization (C0–C3), 2) Mulligan SNAG (sustained natural apophyseal glide), 3) Grade IV mobilization or manipulation, 4) suboccipital release, 5) myofascial release (upper trapezius, levator scapulae).

Exercise therapy: craniocervical flexor training (CCFT), deep neck flexor strengthening, posture correction (scapular setting), stretching exercises. Randomized trials have shown that combining manual therapy and exercise is superior to medication alone.

Symptoms

Unilateral occipital/frontal headache
Pain triggered by neck movement
Restricted neck mobility
Tenderness of the upper cervical region
Pain that increases with position
Photophobia/phonophobia without spread

Risk Factors

Long-term desk work
Poor posture (forward head)
Whiplash
Previous cervical disc pathology
Stress
Ergonomic problems

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Recurrent headaches
  • Pain triggered by neck movement
  • Lack of response to conservative treatment
  • When quality of life is affected
  • For differential diagnosis from migraine

Treatment Methods

01
Detailed cervical assessment
02
Upper cervical manual mobilization
03
Mulligan SNAG techniques
04
Suboccipital release
05
Trigger point treatment
06
Craniocervical flexor training
07
Posture correction exercises
08
Ergonomic adjustment

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.