Cervicogenic headaches are headaches that originate from the neck rather than the head itself. Because of this, they are often mistaken for migraines or tension headaches, making them both frustrating to live with and tricky to diagnose. In this blog, we’ll explain what cervicogenic headaches are, how they differ from other types of headaches, and the treatment options available to help manage them effectively.
What Are Cervicogenic Headaches?
Unlike primary headaches (such as migraines or tension headaches), cervicogenic headaches are considered secondary headaches. This means they are caused by an underlying issue, typically involving the cervical spine.
How They Differ from Other Headaches
Cervicogenic headaches: pain often begins in the neck and radiates to the head
Migraines: commonly involve sensitivity to light/noise and nausea
Tension headaches: usually feel like a tight band around the head
Common Symptoms of Cervicogenic Headaches
Some common symptoms include:
Pain that begins in the neck and spreads to the head
One-sided head pain
Headaches triggered or worsened by neck movements or sustained postures
Restricted range of motion in the neck
Tenderness in the upper neck or shoulders
Common Causes
Several factors can trigger cervicogenic headaches, including:
Poor posture (such as slouching or forward head posture)
Whiplash or other neck injuries
Repetitive strain from work, sport, or daily activities
Dysfunction in the cervical spine and surrounding muscles
How Cervicogenic Headaches Are Diagnosed
Because the symptoms often overlap with migraines and tension headaches, the key to diagnosis is identifying whether the neck is the primary source of pain. Chiropractors typically begin with a comprehensive history, asking about headache patterns, triggers, and lifestyle factors.
A physical examination follows, assessing posture, neck mobility, spinal alignment (subluxations), and muscle tension. In certain cases, imaging such as X-rays or an MRI may be recommended if clinically indicated. The goal is to ensure an accurate diagnosis, so the appropriate cervicogenic headache treatment plan can be developed to address the root cause rather than simply managing the symptoms.
Cervicogenic Headaches Treatment Approaches
Chiropractic Care
Chiropractic treatment for cervicogenic headaches often includes:
Adjustments and mobilisations that aim to restore proper movement in the cervical spine
Posture and ergonomic advice to reduce strain from daily activities
Other Options
Physiotherapy: targeted exercises to strengthen the neck, improve stability, and maintain mobility
Lifestyle changes: better workstation ergonomics, improved sleep posture, and regular movement breaks
Self-care strategies: using heat or ice packs, gentle stretching, and relaxation techniques
Cervicogenic headaches are often misunderstood because they share symptoms with other headache types—but the underlying cause lies in the neck. By identifying and treating the source of the problem, long-term relief becomes much more achievable.
If you’ve been struggling with persistent headaches that don’t seem to improve, it may be time to consider whether your neck is playing a role. Seeking help from your local chiropractor or another trusted health professional may help to provide a clearer diagnosis and a personalised treatment plan. With the right approach, you can work to reduce pain, improve movement, and start feeling your best again.
Total Health