Superior Scapula and Cervicogenic Headaches: Difference between revisions
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== Introduction == | == Introduction == | ||
Cervicogenic headache (CGH) is a form of headache that originates in the neck and refers to the head. Dysfunction in the upper cervical spine is recognised as the source of CGH | Cervicogenic headache (CGH) is a form of headache that originates in the neck and refers to the head. Dysfunction in the upper cervical spine is recognised as the source of CGH.<ref name=":0">Biondi DM. Cervicogenic headache: mechanisms, evaluation, and treatment strategies. J Am Osteopath Assoc. 2000;100(9 Suppl): S7-14.</ref> However, the upper trapezius has a clear pain referral pattern to the head, so it too should be considered when assessing and treating CGH.<ref>Kaplan A. Superior Scapula - Cervigenic Headaches Course. Physioplus, 2020.</ref> | ||
As discussed [[Introduction to Cervicogenic Headaches|here]], pain is able to refer from the neck to the head (and vice versa) because of the convergence of trigeminal afferents and afferents from the upper three cervical spinal nerves.<ref name=":0" /><ref>Fernandez M, Moore C, Tan J, Lian D, Nguyen J, Bacon A et al. Spinal manipulation for the management of cervicogenic headache: A systematic review and meta‐analysis. Eur J Pain. 2020; 24(9): 1687-702.</ref><ref>Castien R, De Hertogh W. A Neuroscience Perspective of Physical Treatment of Headache and Neck Pain. Front Neurol. 2019;10: 276.</ref> This enables somatosensory, proprioceptive and nociceptive information from the trapezius, sternocleidomastoid and other cervical muscles to be exchanged at the trigeminocervical nucleus and ultimately be referred to the trigeminal sensory areas of the head and face.<ref>Biondi DM. Cervicogenic headache: diagnostic evaluation and treatment strategies. Curr Pain Headache Rep. 2001; 5(4): 361-8.</ref> | |||
The trapezius referral patterns are discussed in the video below. | |||
[[Category:Course Pages]] | [[Category:Course Pages]] | ||
[[Category:Cervical Spine]] | [[Category:Cervical Spine]] | ||
Revision as of 23:39, 10 December 2020
Introduction[edit | edit source]
Cervicogenic headache (CGH) is a form of headache that originates in the neck and refers to the head. Dysfunction in the upper cervical spine is recognised as the source of CGH.[1] However, the upper trapezius has a clear pain referral pattern to the head, so it too should be considered when assessing and treating CGH.[2]
As discussed here, pain is able to refer from the neck to the head (and vice versa) because of the convergence of trigeminal afferents and afferents from the upper three cervical spinal nerves.[1][3][4] This enables somatosensory, proprioceptive and nociceptive information from the trapezius, sternocleidomastoid and other cervical muscles to be exchanged at the trigeminocervical nucleus and ultimately be referred to the trigeminal sensory areas of the head and face.[5]
The trapezius referral patterns are discussed in the video below.
- ↑ 1.0 1.1 Biondi DM. Cervicogenic headache: mechanisms, evaluation, and treatment strategies. J Am Osteopath Assoc. 2000;100(9 Suppl): S7-14.
- ↑ Kaplan A. Superior Scapula - Cervigenic Headaches Course. Physioplus, 2020.
- ↑ Fernandez M, Moore C, Tan J, Lian D, Nguyen J, Bacon A et al. Spinal manipulation for the management of cervicogenic headache: A systematic review and meta‐analysis. Eur J Pain. 2020; 24(9): 1687-702.
- ↑ Castien R, De Hertogh W. A Neuroscience Perspective of Physical Treatment of Headache and Neck Pain. Front Neurol. 2019;10: 276.
- ↑ Biondi DM. Cervicogenic headache: diagnostic evaluation and treatment strategies. Curr Pain Headache Rep. 2001; 5(4): 361-8.
