{"id":1920,"date":"2023-11-04T13:40:42","date_gmt":"2023-11-04T13:40:42","guid":{"rendered":"https:\/\/michiro.co.za\/css\/?page_id=1920"},"modified":"2023-11-17T18:57:24","modified_gmt":"2023-11-17T18:57:24","slug":"cervicogenic-headache","status":"publish","type":"page","link":"https:\/\/michiro.co.za\/index.php\/cervicogenic-headache\/","title":{"rendered":"Cervicogenic Headache"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1920\" class=\"elementor elementor-1920\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ba9ecd0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ba9ecd0\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ff3bd2c\" data-id=\"ff3bd2c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-994dc3f elementor-widget elementor-widget-image\" data-id=\"994dc3f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.15.0 - 20-08-2023 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"341\" src=\"https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicogenic-1024x341.png\" class=\"attachment-large size-large wp-image-2689\" alt=\"\" srcset=\"https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicogenic-1024x341.png 1024w, https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicogenic-300x100.png 300w, https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicogenic-768x256.png 768w, https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicogenic-260x87.png 260w, https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicogenic-50x17.png 50w, https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicogenic-150x50.png 150w, https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicogenic-600x200.png 600w, https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicogenic.png 1500w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a1d8bcd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a1d8bcd\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1f3557e\" data-id=\"1f3557e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-67459f5 elementor-widget elementor-widget-text-editor\" data-id=\"67459f5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.15.0 - 20-08-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<h3>Definition and discussion<\/h3><p>Head pain arising from the upper cervical spine. Pain is precipitated or aggravated by specific neck movements or sustained postures. Pain may radiate to the forehead, orbital region, temples or ears.<\/p><h3>Aetiology<\/h3><p>Affects females more than males Current theories:<\/p><ul><li>Disorder of the neck recognised as referred pain in the head<\/li><li>Due to prior neck trauma, cervical joint dysfunction, sustained neck postures or repetitive neck or shoulder motions<\/li><li>Primary sensory afferents from roots C1-C3 converge with afferents from occiput and trigeminal afferents on the same second order neuron in the upper cervical spine. Results in anatomical structures innervated by cervical roots C1-C3 as potential sources of cervicogenic headache (pain referral from upper cervical anatomy such as muscles, ligaments, joint capsules, joints and vertebral discs)<\/li><li>More recent studies have demonstrated connective tissue bridges at atlanto-occipital junction and between rectus capitis posterior minor muscles and dorsal spinal dura (perpendicular arrangement of these fires appears to restrict dural movement towards the spinal cord). Ligamentum nuchae was found to be continuous with posterior cervical spinal dura and lateral portion of the occipital<\/li><\/ul><h3>History, symptoms and signs<\/h3><ul><li>Upper cervical and occipital pain<\/li><li>Pain may radiate to the forehead, orbital region, temples or ears<\/li><li>Pain may radiate to the ipsilateral neck, shoulder or arm (non-dermatomal pattern)<\/li><li>Pain exacerbated by neck movement and\/or sustained awkward head positioning (such as painting the ceiling or washing the floor)<\/li><li>Previous neck trauma is a predisposing factor<\/li><li>Vitals<\/li><li>Altered head posture and muscle hypertonicity<\/li><li>Tenderness over muscles, joints, ligaments<\/li><li>Decreased or limited cervical spine ROM<\/li><li>Joint compression and distraction tests may be positive<\/li><li>Multiple upper cervical joint restrictions or dysfunctions<\/li><li>Neurologic and vascular tests to rule out abnormalities<\/li><li>No significant radiographic findings (possible abnormalities in flexion\/extension studies and abnormal posture)<\/li><\/ul><h3>Management<\/h3><ul><li>During initial acute presentation a higher visit frequency is warranted. As symptoms subside visit frequency should be lowered<\/li><li>Stress reduction and regular exercise<\/li><li>Positions to avoid &#8211; aggravating loading positions; sleeping positions without pain<\/li><\/ul><h3>Prognosis<\/h3><ul><li>Early diagnosis &amp; comprehensive multidisciplinary management are<\/li><li>Complete recovery is expected in most cases, however, with coinciding underlying chronic conditions prognosis, is somewhat guarded<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Definition and discussion Head pain arising from the upper cervical spine. Pain is precipitated or aggravated by specific neck movements or sustained postures. Pain may radiate<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1920","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cervicogenic Headache - MiChiro<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/michiro.co.za\/index.php\/cervicogenic-headache\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cervicogenic Headache - MiChiro\" \/>\n<meta property=\"og:description\" content=\"Definition and discussion Head pain arising from the upper cervical spine. Pain is precipitated or aggravated by specific neck movements or sustained postures. Pain may radiate [\u2026]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/michiro.co.za\/index.php\/cervicogenic-headache\/\" \/>\n<meta property=\"og:site_name\" content=\"MiChiro\" \/>\n<meta property=\"article:modified_time\" content=\"2023-11-17T18:57:24+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicogenic-1024x341.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/michiro.co.za\/index.php\/cervicogenic-headache\/\",\"url\":\"https:\/\/michiro.co.za\/index.php\/cervicogenic-headache\/\",\"name\":\"Cervicogenic Headache - MiChiro\",\"isPartOf\":{\"@id\":\"https:\/\/michiro.co.za\/#website\"},\"datePublished\":\"2023-11-04T13:40:42+00:00\",\"dateModified\":\"2023-11-17T18:57:24+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/michiro.co.za\/index.php\/cervicogenic-headache\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/michiro.co.za\/index.php\/cervicogenic-headache\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/michiro.co.za\/index.php\/cervicogenic-headache\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/michiro.co.za\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Cervicogenic Headache\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/michiro.co.za\/#website\",\"url\":\"https:\/\/michiro.co.za\/\",\"name\":\"MiChiro\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/michiro.co.za\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Cervicogenic Headache - MiChiro","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/michiro.co.za\/index.php\/cervicogenic-headache\/","og_locale":"en_US","og_type":"article","og_title":"Cervicogenic Headache - MiChiro","og_description":"Definition and discussion Head pain arising from the upper cervical spine. Pain is precipitated or aggravated by specific neck movements or sustained postures. Pain may radiate [\u2026]","og_url":"https:\/\/michiro.co.za\/index.php\/cervicogenic-headache\/","og_site_name":"MiChiro","article_modified_time":"2023-11-17T18:57:24+00:00","og_image":[{"url":"https:\/\/michiro.co.za\/css\/wp-content\/uploads\/2023\/11\/cervicogenic-1024x341.png"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/michiro.co.za\/index.php\/cervicogenic-headache\/","url":"https:\/\/michiro.co.za\/index.php\/cervicogenic-headache\/","name":"Cervicogenic Headache - MiChiro","isPartOf":{"@id":"https:\/\/michiro.co.za\/#website"},"datePublished":"2023-11-04T13:40:42+00:00","dateModified":"2023-11-17T18:57:24+00:00","breadcrumb":{"@id":"https:\/\/michiro.co.za\/index.php\/cervicogenic-headache\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/michiro.co.za\/index.php\/cervicogenic-headache\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/michiro.co.za\/index.php\/cervicogenic-headache\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/michiro.co.za\/"},{"@type":"ListItem","position":2,"name":"Cervicogenic Headache"}]},{"@type":"WebSite","@id":"https:\/\/michiro.co.za\/#website","url":"https:\/\/michiro.co.za\/","name":"MiChiro","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/michiro.co.za\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/michiro.co.za\/index.php\/wp-json\/wp\/v2\/pages\/1920","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/michiro.co.za\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/michiro.co.za\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/michiro.co.za\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/michiro.co.za\/index.php\/wp-json\/wp\/v2\/comments?post=1920"}],"version-history":[{"count":7,"href":"https:\/\/michiro.co.za\/index.php\/wp-json\/wp\/v2\/pages\/1920\/revisions"}],"predecessor-version":[{"id":2692,"href":"https:\/\/michiro.co.za\/index.php\/wp-json\/wp\/v2\/pages\/1920\/revisions\/2692"}],"wp:attachment":[{"href":"https:\/\/michiro.co.za\/index.php\/wp-json\/wp\/v2\/media?parent=1920"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}