Cervicogenic headache refers to cefaleaderivada musculoskeletal dysfunction of the cervical spine, on todode the three upper cervical segments, and constitutes about 15 to 20% of all chronic and recurrent headaches.
The term "cervicogenic headache" has caused much controversy in Physiotherapy due to the overlap of symptoms with migraine and tension headaches, and the absence of a specific test of easy application for clinical diagnosis.
Anesthetic blocks vertebral can confirm the involvement of the cervical spine in headache patients but the problem of using this method for diagnosis is that it is an action that requires a lot of technical requirements, invasive and accessible only to some of the structures anatomical "source" of pain originating in the neck.
It also happens that the most common is that there are no tests such as x-rays or scans, which denpistas about the origin of headaches, as there is usually no correlation between the patient's symptoms with test images. Existenunos very defined for the diagnosis of cervicogenic headache today are still using clinical criteria:
- Headache, which can reproduce the movement or held positions of the cervical spine.
- Restricting cervical movement.
- Infliction of pain usual pressure on the upper cervical or occipital area of the head symptomatic side.
- Pain radiating to the shoulder or arm on the same side.
- Positive local anesthetic blockade. From the point of view of physical therapy, there is sufficient evidence to confirm that headaches and other sensations associated suffering you may have cervical origin.
The combination of limitation rangodemovilidad extension and cervical rotation, the presence of symptomatic dysfunction upper cervical detected by palpation and impaired muscle function in the test craniocervical flexion have demonstrated high sensitivity (100%) and specificity (94%) to diagnose cervicogenic headache and differentiate migraine or tension headache.Https://goo.gl/9cLb32: extracted from the blog of Jesus Rubio text.
Neurologists are specialists who more often receive in consultaapacientes with headache and suprincipal limitation is not usually experts on physical examination of the cervical spine, so consult a physiotherapist may be key to confirm this type of headache.It is known that the continued use of painkillers and opioids not only is not a solution, but favors the chronicity, making use dependent on increasingly higher for lower doses relief.
Modern physiotherapy provides a very effective solution for cervicogenic headache and tension, differentiating between the two types and applying appropriate techniques for each case. The terapiamanual and movement is the key to solving these problems definitely and avoid regular consumption of drugs. The POLD method of manual physical therapy, developed at our institute, combines these elements efficiently and provides a quick and safe solution.