What is a cervicogenic headache?

Pain that begins in the neck and radiates upward into the head qualifies as cervicogenic headache. The source originates from the cervical spine itself, whether from facet joint dysfunction, intervertebral disc issues, muscle tension, or nerve compression rather than from neurological conditions like migraines or tension-type headaches centered in the skull.

Common triggers include postural strain from prolonged desk work, whiplash-type injuries, sleeping in poor positions, or degenerative changes in the neck joints. Patients often report pain starting at the base of the skull or behind one eye, with stiffness limiting neck movement. The headache may worsen with certain neck positions and improve when the neck is stabilized or treated.

Cervicogenic headache is a frequent presenting complaint at chiropractic clinics in the Klang Valley, particularly among office workers and individuals recovering from motor vehicle accidents. Recognition matters because these headaches respond differently to treatment than primary headaches. A chiropractor can assess cervical alignment, muscle dysfunction, and movement patterns to identify whether neck dysfunction is driving the headache, allowing for targeted manual therapy, adjustment, or corrective exercise rather than symptomatic pain management alone.