Cervicogenic headaches

Cervicogenic headaches?

What are Cervicogenic headaches?

Cervicogenic headaches are headaches that originate from the neck, usually due to dysfunction in the joints, muscles, or upper cervical spine. Instead of starting in the head, the pain is referred from the neck into the head. These headaches are commonly associated with neck stiffness, poor posture, muscle tension, or joint irritation.

At Physio Elements in Kilsyth, treatment for cervicogenic headaches focuses on identifying and addressing the underlying neck-related cause to help reduce headache frequency, intensity, and recurrence.

What causes Cervicogenic headaches?

Cervicogenic headaches are commonly caused by:

  • Neck joint stiffness or dysfunction (especially upper cervical spine)
  • Muscle tension and trigger points in the neck and shoulders
  • Forward head posture (“tech neck”)
  • Prolonged sitting or desk-based work
  • Previous neck injury such as whiplash
  • Reduced neck mobility or poor movement control
  • Stress-related muscle tension in the upper neck

Common symptoms of Cervicogenic headaches?

  • Headache starting at the base of the skull
  • Pain spreading to the forehead, temples, or behind the eyes
  • Neck stiffness or reduced range of motion
  • Headaches triggered by neck movement or sustained posture
  • One-sided headache (often consistent on the same side)
  • Neck and shoulder tightness
  • Dull, aching, or pressure-like pain (not typically throbbing)
  • Headaches worsened by prolonged sitting or screen use

When should you see a physio for Cervicogenic headaches?

You should see a physiotherapist if you have recurring headaches linked with neck pain, stiffness, or posture. You should also seek assessment if headaches are increasing in frequency or severity, affecting daily activities, or not improving with rest or general treatment. Physiotherapy can help address the neck dysfunction that is often driving these headaches.

Frequently Asked Questions

This page has been reviewed by Nisha, Physiotherapist at Physio Elements, Kilsyth.
Master of Physiotherapy (Orthopaedics, Sports & Manual Therapy), University of South Australia

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