Cervicogenic Headache: The Neck-Related Pain More People Are Experiencing

Karachi — Doctors are reporting a noticeable rise in cervicogenic headaches, a type of head pain caused not by the head itself, but by issues in the neck. As work-from-home setups, long screen hours, and poor posture become common, specialists say more patients are arriving with headaches rooted in cervical spine dysfunction.

What Is a Cervicogenic Headache?

A cervicogenic headache (CGH) is a secondary headache—meaning the pain starts in the neck but is felt in the head. Unlike migraines or tension headaches, CGH is triggered by structural problems in the upper cervical spine, including muscles, joints, discs, and nerves.

Physiotherapists explain that the pain often begins at the back of the head and radiates to the front, commonly affecting one side. Neck stiffness or restricted movement is usually present.

Why Cases Are Increasing

Medical experts believe lifestyle factors are the biggest contributors.

Dr. Anas Ahmed, a physiotherapist and clinic owner in Karachi, states,

“We’re seeing a spike in cervicogenic headaches due to prolonged sitting, tech neck, and poor ergonomic setups.”

Common triggers include:

  • Forward head posture from mobiles and laptops

  • Long hours at desks without breaks

  • Weak neck and upper back muscles

  • Whiplash or previous neck injuries

  • Arthritis or age-related wear-and-tear

Key Symptoms to Watch For

Health professionals recommend seeking help if you notice:

  • Headache starting at the base of the skull

  • Pain on one side of the head

  • Stiff or sore neck

  • Pain worsening with neck movement

  • Shoulder or arm discomfort

  • Reduced range of motion in the neck

Because CGH mirrors migraine and tension headache symptoms, proper diagnosis is essential.

How Cervicogenic Headaches Are Diagnosed

Physiotherapists and neurologists diagnose CGH through:

  • Physical examination

  • Posture and movement assessment

  • Palpation of cervical joints

  • Range-of-motion tests

  • Imaging (if necessary)

Diagnosis focuses on identifying neck dysfunction as the true source of pain.

How Treatment Works

The good news: cervicogenic headaches respond well to conservative treatment.

Physiotherapy remains the top recommendation, including:

  • Manual therapy and cervical mobilization

  • Posture correction

  • Deep neck flexor strengthening

  • Upper back and shoulder stabilization

  • Trigger point release

  • Ergonomic coaching

Patients often experience improvement within weeks when exercises are done consistently.

Home Measures That Help

Specialists advise several self-care strategies:

  • Maintain ergonomic sitting posture

  • Keep screens at eye level

  • Take movement breaks every 30–40 minutes

  • Use a supportive pillow

  • Avoid sleeping on your stomach

  • Practice chin-tucks and gentle neck stretches

When to See a Doctor

Immediate medical attention is needed if headaches are severe, sudden, associated with dizziness, numbness, vision changes, or if neck pain follows trauma.

A Growing Public Health Concern

With technology usage rising, experts warn that cervicogenic headaches may become even more common.

“Awareness is key,” Dr. Anas adds. “Most people don’t realize their headache is actually a neck problem — and with proper treatment, relief is completely achievable.”

The Bottom Line

Cervicogenic headaches are real, increasingly common, and highly treatable. Early assessment, improved posture, and targeted physiotherapy can significantly reduce symptoms and prevent long-term complications.

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