International Headache Society Headache Diagnostic Patterns in Pain Facility Patients

Abstract

Headache can and should be considered a frequent comorbid condition in PWCP. Because of the overlap data, more precise diagnostic criteria may be required to separate cervicogenic headache from migraine headache. Neck-associated symptoms seem to be important even to those PWCP diagnosed with migraine headache.

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“…The above findings are supported by and support my recently published findings [1]. In this study, 154 consecutive chronic headache patients with headaches interfering with function were identified in a pain facility population.…”

The Relationship between Cervicogenic Headache and Impairment Determined by the Flexion-Rotation Test

“…The co-occurrence of 2 or more headache types is common in patients with frequent intermittent headaches. 21,22 In addition, neck pain is common in migraineurs. 23 Hence, clinically determining whether CGH coexists with other headache types in an individual patient requires diagnostic procedures additional to subjective characteristics.…”

Physical Therapy Diagnosis and Management of a Patient with Chronic Daily Headache: A Case Report

“…Despite plausible neuro-anatomical explanations as provided above, the bulk of the clinical research linking the neuromusculoskeletal impairments theoretically amenable to PT management to the headache diagnoses relevant to this patient is correlational research; we need to remember that correlation does not imply causation. It is relevant to consider that neck pain accompanies 60-70% of all headache types [153][154][155] . In addition, recent research has established bidirectional interactions between afferents from the three upper cervical nerves and trigeminal afferents in the trigeminocervical nucleus [156][157][158] .…”