Headache Originating from the Neck

Cervicogenic Headache

Cervicogenic Headache

Cervicogenic Headache

Cervicogenic headaches are a type of headache that actually originates from the neck, rather than the head itself. This may come as a surprise to many, as the pain is often felt in the forehead, temples, or behind the eyes, making it easy to mistake for tension-type or migraine headaches. However, the underlying issue usually lies in the upper cervical spine, the joints, muscles, or nerves at the top of the neck.

This condition is commonly seen in people who spend long hours at a desk, in front of screens, or driving. Poor posture, muscle fatigue, and reduced mobility in the neck joints can all contribute. Stress and tension also tend to play a role, leading to tightness in the neck and shoulders, which further exacerbates symptoms.

Common symptoms of cervicogenic headache include:

  • A dull, pressure-like headache that often starts at the base of the skull and radiates forward
  • Pain typically on one side, but it can vary
  • Neck stiffness, reduced range of motion, or tenderness to touch
  • Headache that worsens with certain neck positions or prolonged sitting

How can our physiotherapists help:

Physiotherapy can be highly effective in managing cervicogenic headaches. At our clinic, we start with a detailed assessment to identify the specific joint or muscle dysfunctions contributing to your pain. Treatment may include:

  • Hands-on techniques to restore neck joint mobility
  • Targeted exercises to strengthen the deep neck stabilisers and upper back muscles
  • Postural retraining to reduce strain during daily activities
  • Education on how to move and sit comfortably without triggering symptoms

Helpful tips:

  • Take regular movement breaks from your desk or screen
  • Ensure your workstation is ergonomically set up (monitor at eye level, chair support, etc.)
  • Strengthen your neck and upper back muscles to support better posture

Prevention strategies

 The key to preventing cervicogenic headaches is avoiding long periods in static positions and maintaining good neck mobility and postural strength. Incorporating simple stretches, chin tucks, and shoulder blade exercises into your daily routine can make a big difference.

If you’re struggling with frequent headaches that seem to stem from your neck, a physiotherapy assessment can help identify the root cause and guide you towards lasting relief.