As High as 73%! This Type of Pain Most Commonly Affects Women, and Those Who Sit for Long Periods Should Be More Cautious



Many of us might have experienced this: after working continuously for several hours or playing with our phones on the subway, we suddenly feel a sharp pain in our head.

What many people don’t realize is that although it’s our head that hurts, the root cause may not necessarily be the head, but it could be our cervical spine sending out an alarm.

This type of head pain referred from the cervical spine is called cervicogenic headache, and it often has the following characteristics:

73% of patients with cervicogenic headache are female(Fairy friends should be alert!)

White-collar incidence rate is twice that of manual laborers (Keyboard warriors are at high risk!)

Bowing head 60° equals 27kg of cervical spine load (Equivalent to six large watermelons on the head!)

3-second self-test:

Is your headache caused by cervical issues?

If you have the following conditions, it may be cervicogenic headache:

Usually unilateral symptoms;

Pain may be limited to the nape of the neck, but it may also radiate from the occipital region to the forehead;

Neck movement or the head being in an inappropriate position for a long time can exacerbate headache symptoms;

Pain is usually non-pulsating, non-lacerating, moderate to severe, and the duration is indefinite;

There may be limited neck movement, and there may be pain in the same side of the neck, shoulder, or arm.

Cervicogenic headache is a type of referred head pain caused by upper cervical joint dysfunction.
The cause is the crossover of the upper cervical spine and trigeminal nerve sensory conduction pathways, which allows pain signals to be bidirectionally conducted between the cervical and trigeminal nerve sensory reception areas of the head and face.

Of course, some headache symptoms are similar to cervicogenic headache and need to be distinguished, such as:

Migraine characteristics:
Photophobia and phonophobia + pulsating headache;

Tension-type headache:
Usually bilateral, pain may be “band-like” or pulsating.

For cervicogenic headache, today we will help everyone adjust and improve from 3 directions.

Quick Self-Rescue Guide One: Massage Relaxation Edition

Relaxation Area One: Upper Trapezius

Location:
The junction of the back of the neck and the shoulder, which is an area covering the top of the shoulder like a “shawl”.

Steps:

Use a tennis ball to press against the wall at the junction of the shoulder and the acromion;

Roll up and down for 60 seconds, fully feeling the soreness during the massage;

Do 3 sets on each side.

Relaxation Area Two: Suboccipital Muscle Group

Location:
Two finger widths above the hairline at the back of the head, in the concave area.

Steps:

Press the sore spots with both index and middle fingers;

Nod your head while exhaling(Imagine drawing a checkmark with your chin);

Hold for 30 seconds, repeat 5 times.

Relaxation Area Three: Sternocleidomastoid Muscle

Location:
The “rope” that protrudes on the side of the neck when turning the head to the opposite side.

Steps:

Turn your head 45° to the opposite side and tilt your head back, then grab the muscle and gently pull;

Hold for 10 seconds × 3 sets.

Quick Self-Rescue Guide Two: Stretching and Loosening Edition

01 Pectoralis Major Stretch

Pectoralis Major Stretch Illustration

Steps:

Stand in front of a door frame with a “wall咚” posture;

Take a bow step forward and lean your body forward gradually;

Feel the stretching sensation in the chest(Hold for 30 seconds)
.

02 Thoracic Spine Mobility Rescue

Steps:

Sit close to the back of a chair with your hands holding your head;

Use the back of the chair to press against the area near the shoulder blades, and lean back like a seal balancing a ball;

Do 10 repetitions per set, and complete 3 sets.

03 Cervical SNAG Self-Joint Mobilization

Steps:

Wrap a tie/scarf around the upper part of the neck(That is, the upper cervical spine);

If you feel restricted and tense when turning your head to the right, keep your right hand stable underneath, and with your left hand on top, pull the tie and turn your head to the right following the direction of your eyes(Like wringing a towel);

Repeat the rotation in the limited direction 10 times, and do 3-4 sets.

Quick Self-Rescue Guide Three: Muscle Strengthening Edition

01 Action Essentials

Starting Position:

Sit upright on the front 1/2 of a chair with a straight back(Imagine a string lifting your head to the ceiling);

Keep your lips slightly closed, and the tip of your tongue lightly touches the palate(To maintain a neutral cervical spine position)
.

Precise Effort:

Use your index finger to gently push your chin backward;

Synchronize with a slow nodding action, the amplitude is like a chick pecking at rice(Feeling of the back of the head sliding down a wall);

Do 3 sets in the morning, afternoon, and evening, with 8-10 repetitions per set.

How to Find the Feeling?

Wrong Demonstration:

Push out a double chin with your chin(Excessive retraction causing pressure on the Adam’s apple);

Compensate with the sternocleidomastoid muscle.

Correct Perception:

Friction sensation at the back of the neck;

Slight tension in the throat.

When to Call for Help?

Of course, not all cervicogenic headaches can be improved by daily exercises. When the following situations occur, please seek medical attention as soon as possible and seek help from professionals:

Headache accompanied by numbness in hands/feet or a cotton-wool sensation;

Severe dizziness when turning the cervical spine;

No improvement after 2 weeks of self-treatment;

Pain affecting sleep for more than 3 days.

Professional physical therapists can conduct a detailed assessment of the cervical spine, develop personalized training programs, and provide professional manual therapy(such as fascial relaxation, joint mobilization, muscle energy techniques…) to help patients receive more professional treatment.

References

Page P. Current concepts in muscle stretching for exercise and rehabilitation. IJSPT. 2012

Boudreau SA, et al. Real-time ultrasound data acquisition for assessing neck muscle activation. J Electromyogr Kinesiol. 2018

Childs JD, et al. Neck pain: Clinical practice guidelines linked to the International Classification of Functioning. JOSPT. 2008

Gross AR, et al. Manipulation or mobilisation for neck pain. Cochrane Database Syst Rev. 2015

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