Not Just in Your Head – It’s in Your Neck Too!! Understanding Cervicogenic Headaches

Have you ever had a headache that seems to start at the base of your skull or feels like it’s creeping up from your neck? You might be dealing with something called a cervicogenic headache—and no, it’s not just a fancy term for a regular headache.

Let’s break it down…

What is a Cervicogenic Headache?

A cervicogenic headache is a headache that originates from the neck—specifically from the joints, muscles, or nerves in the upper cervical spine (that’s the top part of your neck). Unlike tension headaches or migraines, the pain doesn’t start in your brain—it starts lower, in the neck, and refers pain upward.

Common Symptoms:

You might have a cervicogenic headache if:

• The pain starts at the back of your head or neck and radiates forward.

• It’s often one-sided (but can spread).

• You notice stiffness, tension, or reduced mobility in your neck.

• Headaches get worse with poor posture, long hours at a desk, or looking down at your phone.

• You may have associated neck pain, shoulder tightness, or even some dizziness.

What causes it?

Several things can trigger cervicogenic headaches, including:

-          Poor posture (think: "tech neck" from phones or computers)

-          Whiplash or neck injuries

-          Arthritic changes in the cervical spine

-          Muscle imbalances or chronic tension

Your neck and head are closely linked—so when the neck is irritated, it can send pain signals up into your head.

So, how can Physiotherapy help?

Physiotherapist are trained to understand and treat the root causes of cervicogenic headaches—not just cover up the pain.

Here’s how we can help:

• Postural modifications and ergonomic advice (e.g. desk setup, screen height)

• Manual therapy to restore movement in stiff neck joints

• Soft tissue release for tight neck and shoulder muscles

• Targeted exercises to strengthen deep neck stabilisers and improve control

• Education and prevention strategies to stop it from coming back 

Simple Tips You Can Try Today:

 Modify your posture: Bring your screens to eye level and avoid slouching.

Take movement breaks: Every 30–60 minutes, stretch or stand.

Neck stretches: Gentle movements like chin tucks, neck rotations, and shoulder rolls.

Sleep smart: A supportive pillow and proper sleeping position make a difference.

Cervicogenic headaches are more common than you think—and they’re often misdiagnosed or brushed off as just “another headache.”

The good news? You don’t have to live with it. With the right assessment and treatment plan, physiotherapy can make a big difference in reducing your symptoms and improving your quality of life.

If this sounds like you, don’t wait—your neck (and your head) will thank you.