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A cervicogenic headache is a headache caused by dysfunction in the neck, particularly the joints, muscles, nerves, or connective tissues of the cervical spine. Pain is typically referred from the neck into the head because the nerves in the upper neck share pathways with nerves that supply sensation to the head and face. These headaches often develop gradually and may be linked to:

• Poor posture
• Prolonged desk work
• Stress and muscle tension
• Previous neck injuries such as whiplash
• Joint stiffness in the upper neck
• Repetitive strain or overuse.

Cervicogenic headaches can present differently from person to person, but common features include:

• Pain that starts in the neck and travels into the head;
• One-sided headache pain;
• Reduced neck movement or stiffness;
• Pain around the base of the skull;
• Discomfort behind the eye or around the temple;
• Headaches triggered by certain neck positions or prolonged sitting;
• Associated shoulder or upper back tension.

Unlike migraines, cervicogenic headaches are less likely to involve aura, nausea, or sensitivity to light and sound, although some overlap can occur.

Osteopathy takes a whole-body approach to understanding and managing pain. Rather than focusing solely on the head, osteopaths assess how the neck, shoulders, upper back, posture, and daily habits may be contributing to symptoms. Treatment is tailored to the individual and may include:

Restricted joints in the upper cervical spine can contribute to headache symptoms. Gentle hands-on techniques may help improve movement and reduce irritation around these structures.

Tight muscles in the neck, shoulders, and upper back can place additional strain on the cervical spine. Soft tissue techniques and stretching may help reduce tension and improve comfort.

Modern lifestyles often involve long hours at desks, laptops, or phones. Osteopaths can identify postural patterns that may be overloading the neck and provide practical advice to reduce strain.

Poor posture places extra strain on the muscles and joints of the neck. 

Good posture reduces stress on the cervical spine and can help prevent headache triggers.

Stiff neck joints are a common contributor to cervicogenic headaches.

Regular movement helps prevent stiffness from building up throughout the day.

Weak neck stabilising muscles often lead to excessive strain on larger muscles.

support and posture.

Tight muscles around the neck and shoulders frequently contribute to headaches.

Poor sleeping positions can aggravate the neck for hours at a time.

If headaches are frequent, worsening, associated with dizziness, numbness, visual changes, unexplained weight loss, fever, or follow a significant injury, it is important to seek medical advice promptly. 

An osteopath can help determine whether your symptoms are consistent with a cervicogenic headache and whether osteopathic treatment may be appropriate as part of your management plan.