Understanding headaches
Cervicogenic headaches arise from structures in the upper neck and refer pain into the head, typically on one side, often starting at the base of the skull and spreading forwards.
They are frequently mistaken for migraines or tension headaches. The distinguishing feature is that neck movement and sustained postures reliably influence them.
Signs you might notice
- Pain starting at the base of the skull and moving forwards
- Usually one sided and consistent in location
- Neck stiffness accompanying the headache
- Triggered by sustained postures or neck movement
- Tenderness in the upper neck on examination
Common contributing factors
- Joint restriction in the upper cervical spine
- Muscular overload from desk work or driving
- Reduced mobility in the upper back
- Stress and jaw clenching
- Previous neck injury
How we assess and treat it
We examine the upper neck specifically, testing whether pressure and movement there reproduce your familiar headache. That reproduction is the clearest indicator we are in the right place.
Posture and spinal analysis then show whether something further down is loading the neck, which is often the reason headaches keep coming back.
- Hands-on treatment of the upper cervical joints
- Soft tissue therapy, dry needling and myofascial release
- Mobility work for the neck and upper back
- Strengthening for the deep neck muscles
- Trigger and habit management advice
Common questions
How do I know my headache comes from my neck?
If neck movement, sustained postures or pressure on the upper neck reproduce it, that is a strong indication. The examination usually makes it clear.
Will this help migraines?
Migraine is a different condition, though neck treatment sometimes reduces frequency where there is a neck component. We will be honest about what we can and cannot influence.
How many sessions will I need?
Often a small number, with meaningful change within the first few. If we are not making progress, we will say so and reconsider rather than continue indefinitely.