Some headaches are linked to neck structures. Learn why careful assessment comes first and when physiotherapy may help.
What is it?
A cervicogenic headache is caused by a problem in the neck. It can be associated with reduced neck movement and headache aggravated by certain movements. Neck pain also occurs with migraine and other headaches, so these features alone do not establish the diagnosis.
- Headache linked to neck movement
- Often discomfort on one side
- Neck stiffness may accompany it
Assessment and diagnostic limits
A neck disorder may contribute, but migraine and tension-type headache can also include neck discomfort. Assessment considers the headache history, neck findings and evidence that they are related. Tenderness or an abnormal scan alone is insufficient; a new or unusual pattern may need medical investigation. Assessment guidance
How physiotherapy may help
Clarify the headache
Review the pattern and screen for other causes that need medical care.
Restore movement
Select comfortable neck mobility and muscle-endurance exercises.
Support daily function
Adjust aggravating activities; consider manual therapy as an adjunct when appropriate.
Everyday approach
A simple headache diary can record timing, symptoms, medication use and possible triggers. Share a new or changing headache pattern with a healthcare professional rather than assuming it comes from your neck.
What to keep in mind
Physiotherapy may help an appropriately assessed neck-related headache. It does not treat every headache type, and a neck scan alone cannot confirm that the neck is causing the pain.
General educational information, not a diagnosis or personal treatment plan. For an emergency in Australia, call 000.
Sources and further reading
Selected guidance and research; this brief guide is not an exhaustive evidence review.