ChiroACCESS Clinical Review



Cervicogenic Headache: Therapy

This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.

Lead Author(s): 

Dwain M. Daniel, D.C.

  

How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)



Published on

January 2, 2007

Text Size:     
There are several interventions for the treatment of cervicogenic headache (CH) but most have varying results. The exception is cervical manipulation. As Haldeman and Dagenais state in their critical review, “the only treatment approach supported by a reasonable body of controlled trials is cervical manipulation" (1).  Other treatments discussed below may amplify the practitioner’s results and should also be considered.

Remember, favorable outcomes are based on an accurate diagnosis of CH. If the physician is treating another form of headache as if it were a CH, the results may not be as positive as expected.

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References

1. 

Haldeman S, Dagenais S. Cervicogenic headaches: a critical review. Spine J 2001; 1(1):31-46.



2. 

Bronfort G, Assendelft WJ, Evans R, Haas M, Bouter L. Efficacy of spinal manipulation for chronic headache: a systematic review. J Manipulative Physiol Ther 2001 Sep;24(7):457-66.



3. 

Haas M, Groupp E, Aickin M, Fairweather A, Ganger B, Attwood M et al. Dose response for chiropractic care of chronic cervicogenic headache and associated neck pain: a randomized pilot study. J Manipulative Physiol Ther 2004; 27(9):547-553.



4. 

Biondi DM. Cervicogenic headache: a review of diagnostic and treatment strategies. J Am Osteopath Assoc 2005; 105(4 Suppl 2):16S-22S.



5. 

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6. 

Jull G, Trott P, Potter H, Zito G, Niere K, Shirley D et al. A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine 2002; 27(17):1835-1843.



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8. 

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9. 

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14. 

Haspeslagh SR, Van Suijlekom HA, Lame IE, Kessels AG, van Kleef M, Weber WE. Randomised controlled trial of cervical radiofrequency lesions as a treatment for cervicogenic headache [ISRCTN07444684]. BMC Anesthesiol 2006; 6:1.



15. 

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16. 

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