• Curr Pain Headache Rep · Dec 2010

    Review

    Cervical facet arthropathy and occipital neuralgia: headache culprits.

    • J D Hoppenfeld.
    • Southeast Pain Care at Morehead Medical Plaza, 1025 Morehead Medical Drive, Charlotte, NC 28204, USA. jhoppenfeld@hotmail.com
    • Curr Pain Headache Rep. 2010 Dec 1;14(6):418-23.

    AbstractCervicogenic headache (CH) is pain referred from the neck. Two common causes are cervical facet arthropathy and occipital neuralgia. Clinical diagnosis is difficult because of the overlying features between primary headaches such as migraine, tension-type headache, and CH. Interventional pain physicians have focused on supporting the clinical diagnosis of CH with confirmatory blocks. The treatment of cervical facet arthropathy as the source of CH is best approached with a multidimensional plan focusing on physical therapy and/or manual therapy. The effective management of occipital neuralgia remains challenging, but both injections and neuromodulation are promising options.

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