Neck pain Causes
Multiple Vertebrae, ligaments that keep bones together, and muscles that allow for movement make up the neck. Slouching shoulders is a prevalent problem in today’s society, resulting in stiff necks, shoulders, and headaches. Longer durations of screen time, such as when using a phone or laptop, can put a lot of strain on the neck, shoulder, and surrounding muscles.
Other factors that may be giving you pain include whiplash, poor posture, arthritis, or just stress. The most common cause of headaches, though, is a problem with your neck and shoulder. Cervicogenic headaches are characterised by pain that spreads from the base of the skull to the front of the skull, as well as pressure behind the eyes and sometimes jaw rigidity.
A cervicogenic headache is just another word for a headache that starts in the neck. It is one of the most frequent types of headache, and while it can affect people of any age, it is most common in people between the ages of 20 and 60.
Cervicogenic headaches are also known as secondary headaches since they are caused by a basic underlying neck disease, which commonly includes nerve irritation. The good news is that your headache can be relieved by correcting your neck condition. Cervicogenic headaches account for up to 22% of all headaches encountered in clinics, according to research.
The upper half of your neck is made up of cervical vertebra, which support the skull and the weight of your head while also allowing you to flex and extend your neck (look up and down) and rotate your neck (look left and right).
Any dysfunction in the upper neck’s vertebral joints might limit range of motion and fluidity of movement, causing nerve discomfort. The ligaments, tendons, and muscles that attach to the vertebrae, as well as the cartilage discs between the vertebrae, could all be affected.
People with cervicogenic headaches frequently have a history of neck injury, particularly whiplash; however, a severe accident is not required to cause damage to the neck tissues. Repeated or sustained bad postures can ‘damage’ these structures over time.
Referred pain is a type of pain that occurs as a result of this illness. This is when discomfort originates from a different location, such as the neck. The skin overlying the head, forehead, jaw line, back of the eyes, and ears are all supplied by the nerves that supply the upper neck.As a result, pain originating from upper neck structures or nerve irritation in this region may refer discomfort to any of these sites, resulting in a cervicogenic headache.
Your headache could also be referred discomfort from muscles in your upper neck, front, and back. The temples and side of the head are frequently affected by these muscles. Muscle spasms, weak or overused muscles, and prolonged bad postures can cause trigger points to form, causing discomfort to radiate to the head and face.
What Causes These Headaches?
Cervicogenic headache is caused by activities that put too much strain on the upper joints of the neck.This can occur traumatically as a result of a specific incident (e.g., whiplash or heavy lifting), or more commonly as a result of repetitive or prolonged activities such as prolonged slouching, poor posture, lifting or carrying (especially in poor posture), excessive bending or twisting of the neck, working at a computer, or activities that require the use of the arms in front of the body (eg. housework).
What Are The Symptoms?
Because treatment approaches for different headaches varies, it’s critical to appropriately diagnose this headache and distinguish it from a migraine.
Symptoms commonly include:
- During an activity that irritates the neck structures, a gradual onset of neck discomfort and headache occurs.
- Constant dull ache, usually in the back of the head, but also behind the eyes or in the temples, and less typically on the top of the head, forehead, or ear region.
- Pain is commonly felt on one side of the head and face, but it can happen on both sides.
- Neck pain aggravated by movement or position Tenderness in the upper cervical joints, neck ache
- Neck stiffness and trouble turning
- The upper back, shoulders, arms, and hands may also experience pain, pins and needles, or numbness, though this is less usual.
- Other symptoms may include light-headedness, dizziness, nausea, tinnitus (ringing in the ears), poor focus, difficulty to operate normally, and depression in rare cases.
Cervicogenic headaches can affect anyone, even if their neck isn’t sore or unpleasant. It’s important to remember that while your neck joints may not be tender to the touch or painful when properly examined or pushed to the limit of their range of motion by a physiotherapist, they may be tender to the touch or painful when properly examined or pushed to the limit of their range of motion by a physiotherapist in Courtice.
How Are Cervicogenic Headaches Diagnosed?
A comprehensive physical therapist examination at Physiotouch Courtice is generally enough to diagnose a cervicogenic headache. Unfortunately, X-rays, CT scans, and MRIs aren’t always helpful in determining whether a headache is cervicogenic. Cervicogenic headaches can occur with or without abnormal findings on X-rays or scans.
On examination, a physical therapist at Physiotouch Courtice may find:
- Tightness and trigger points in the neck and upper back/shoulder muscles have increased.
- Overactivity of the superficial neck flexors or increasing weakness of the deep neck flexors
- Pain in the neck and occiput (base of the skull) that can spread to other parts of the head, such as the forehead, orbital region (eyes), temples, or ears, on one side only. Specific neck movements or prolonged postures cause or aggravate pain.
- Neck movements are resisted or restricted.
- Muscle spasms and changes in neck muscle tone
- Neck musculature soreness that is abnormal
How Can Physiotherapist Help?
Although medications such as analgesics, anti-inflammatories, harsher opioid-based medications, and even nerve blocking injections may help with this type of headache, they usually just treat the symptoms, not the underlying cause.
The headache will return in time unless the source of the headache, which is upper neck dysfunction, is treated and remedied. Soft tissue and joint constraints in the upper neck, as well as places like the front of the neck and upper back, will be the focus of physiotherapist treatment. Exercises to strengthen weak muscles and stretch tight muscles may also be included.
Treatment includes:
- Manipulation and mobilisation of the cervical spine (neck).
- To relieve tight tissues and muscles in spasm, myofascial release (a sort of deep massage) is used.
- Trigger point therapy is used to relieve tight, constricted muscles.
- Exercises to strengthen the deep neck flexors and upper back muscles.
- Mobilization and manipulation of the thoracic spine (upper back). Postural muscle re-education and posture repair.
- Electrotherapy for muscular release and pain reduction, acupuncture or dry needling, posture taping or bracing are all possible treatments.
Book your appointment Today! If you require alternate appointment times, please contact us and we will gladly assist you with your reservation.
What to Expect on Your First Visit:
- At Physiotouch Courtice, you will register with our friendly front office staff.
- A comprehensive assessment by a Physiotherapist or other Health Care Provider will take you through a detailed history of your major physical concern, assessment of your range of motion and strength, as well as a variety of special tests specific to your injury or dysfunction. These assessment findings are analyzed and used to create a clinical impression. This will help us to better identifying and understanding your problem and formulating an effective treatment plan tailored specifically for your needs and to achieve the realistic goals. This treatment plan could involve a number of things including therapeutic exercises, therapeutic modalities, manual mobilizations, massage, patient and family education, activity modification, home exercise programs, supervised exercise programs and many others.
- There will be some treatments performed the first day to get you started on your path to recovery. However, during the next visits you will get into all aspects of your treatment plan.
- Our staff will help you scheduling your next visits at Physiotouch Courtice as per treatment plan recommended by related Health Care Provider. We offer many convenient appointment times, however, prime times can become busy, so it is best to book ahead as much as possible.
- If you have any questions at any time, please do not hesitate to call. We want to ensure your satisfaction and full recovery.
Before Your First Visit
- You will receive a confirmation email shortly after booking your appointment.
- This email will contain some forms which you can fill out and sign from your device in handy.
- If you have any questions, ask us before signing the form.
- If you are not able to access the forms online, please arrive 15 minutes early for your first appointment so that we can help you with the paperwork.
- Make a list of questions that you want to discuss on your first visit.
- Bring with you if you have any imaging reports (i.e.) X-rays, Ultrasound/MRI (etc.) and doctor’s referral.
- Bring with you a copy of your insurance card and a photo ID.