Understanding Cervicogenic Headaches: Causes, Symptoms, and Treatment Options

Oct 25, 2025

Have you ever had a headache that started in your neck and somehow made its way up to the back of your head or even behind your eyes? You might chalk it up to tension or stress, but there’s a good chance it could be a cervicogenic headache. Unlike migraines or sinus headaches, cervicogenic headaches don’t actually begin in your head at all; they start in your neck. The pain you feel is “referred,” meaning it travels from irritated nerves, joints, or muscles in the cervical spine (the neck area) and radiates upward.

If that sounds familiar, don’t worry, you’re not alone. At AICA Orthopedics, our team of chiropractors, physical therapists, and orthopedic specialists frequently helps patients find lasting cervicogenic headache relief through personalized, non-surgical treatment plans. Let’s explore what these headaches are, what causes them, how to recognize the symptoms, and how to treat them effectively.

What Is a Cervicogenic Headache?

A cervicogenic headache is a type of secondary headache, which means it’s caused by an underlying issue, in this case, a problem in the cervical spine (neck area). Unlike a migraine, which can come from changes in brain chemistry, a cervicogenic headache originates from a dysfunction or irritation in the neck’s joints, discs, or soft tissues.

When structures in the neck, such as the upper cervical vertebrae, nerves, or muscles, become inflamed or compressed, they send pain signals to the head. Because the neck and head share some of the same nerve pathways, your brain can misinterpret the origin of the pain, leading you to feel it in the back or side of your head, temples, or even behind your eyes. These headaches can range from dull and aching to sharp and persistent, often worsening with certain movements or postures.

Common Cervicogenic Headache Causes

There are many potential cervicogenic headache causes, but they usually have one thing in common: an issue in the neck area. Some of the most frequent triggers of cervicogenic headaches include:

  • Poor posture: If you spend hours hunched over a computer or phone, it can strain the muscles and joints in your neck, leading to irritation and pain.
  • Whiplash or neck injuries: Even minor car accidents or sports injuries can damage cervical joints or ligaments, setting off chronic headaches.
  • Arthritis or degenerative disc disease: Wear-and-tear conditions can cause inflammation or nerve compression in the upper cervical spine.
  • Muscle tension: Tight muscles in the upper back and neck, especially the suboccipital muscles at the base of the skull, can put pressure on surrounding nerves.
  • Pinched nerves: Nerve compression from herniated discs or misaligned vertebrae can send pain signals up into the head.

If left untreated, these issues can create a cycle of tension and inflammation, which may cause headaches to become more frequent or severe over time.

Cervicogenic Headache Symptoms

Because they share some features with other headache types, cervicogenic headache symptoms can be tricky to pinpoint. However, there are certain signs that help distinguish this type of headache:

  • Pain that starts in the neck or at the base of the skull and radiates upward
  • Headache on one side of the head, though it can sometimes spread
  • Reduced range of motion in the neck
  • Pain that worsens with neck movement or holding the head in one position for too long
  • Shoulder or upper back discomfort
  • Sensitivity to light or noise
  • Blurred vision or pain behind one eye

Unlike migraines, cervicogenic headaches typically don’t cause nausea or visual “auras.” If you find that your headache gets worse when you turn your head, look down at your phone, or sit with poor posture, your neck may be the true culprit.

Diagnosing Cervicogenic Headaches

Getting an accurate diagnosis is the first step toward lasting cervicogenic headache relief. At AICA Orthopedics, your provider will begin with a comprehensive evaluation that may include:

  • A review of your symptoms and medical history
  • A physical examination to assess posture, muscle tension, and neck mobility
  • Diagnostic imaging studies, such as X-rays or MRIs, to rule out structural issues like disc herniation or arthritis

Because cervicogenic headaches mimic other types of headaches, it’s important to work with professionals who understand the neck–head connection. Our multidisciplinary team includes chiropractors, neurologists, and orthopedic specialists who collaborate to identify the true source of your pain.

Effective Cervicogenic Headache Treatment

Once the cause of your headache is identified, your Snellville chiropractor will create a personalized plan for cervicogenic headache treatment. The goal is to address the underlying neck dysfunction and not just mask the symptoms.

Here are some of the most effective treatment options:

1. Chiropractic Care

Chiropractors use gentle spinal adjustments to correct misalignments in the cervical spine. By restoring proper alignment and motion, chiropractic care helps reduce pressure on nerves and joints responsible for your pain. This treatment approach is also non-invasive and does not require any drugs or medication. Many people notice improved range of motion and fewer headaches after just a few visits, especially when combined with physical therapy.

2. Cervicogenic Headache Physical Therapy

Cervicogenic headache physical therapy focuses on strengthening and stretching the neck and upper back muscles, improving posture, and restoring joint mobility. A physical therapist will guide you through targeted exercises to support proper spinal alignment and relieve tension. Your Snellville physical therapist may also use manual techniques like myofascial release or trigger point therapy to help relax tight muscles and improve blood flow to the area.

3. Massage Therapy and Soft Tissue Work

Massage can help release muscle tension in the shoulders, neck, and upper back. Regular sessions encourage relaxation, reduce inflammation, and improve circulation, all of which can contribute to fewer headache episodes. Massage therapy can also provide stress relief to help naturally ease muscle tension.

4. Non-Surgical Spinal Decompression

If your headaches stem from a pinched nerve or disc issue, spinal decompression can gently stretch the cervical spine to relieve pressure and promote healing. This non-invasive therapy is often used alongside chiropractic care for comprehensive neck pain management.

5. Posture Correction

Because poor posture is one of the most common cervicogenic headache causes, retraining your body to maintain proper alignment is essential. Your chiropractor may teach you ergonomic adjustments for your workspace, as well as daily posture exercises to prevent future flare-ups.

6. At-Home Care

In addition to in-office treatments, your Snellville doctor may recommend cervicogenic headache treatment at home. This might include gentle stretching, applying heat or ice to the neck, using a supportive pillow, and performing regular posture checks. Even simple lifestyle changes, like taking breaks from screens and staying hydrated, can make a significant difference over time.

3 Cervicogenic Headache Exercises for Relief

If you’re looking for cervicogenic headache relief between appointments, there are certain exercises that can help loosen tight muscles and improve flexibility. Always check with your chiropractor or physical therapist before starting any new routine, especially if you’re experiencing severe pain. Here are a few commonly recommended cervicogenic headache exercises:

  1. Chin Tucks:Sit or stand tall with your shoulders relaxed. Gently pull your chin straight back (like you’re making a double chin) while keeping your head level. Hold for 5 seconds, then relax. Repeat 10 times. This simple exercise strengthens the deep neck flexor muscles and helps counteract the effects of forward head posture.
  2. Upper Trapezius Stretch: Sit upright and gently tilt your head to one side, bringing your ear toward your shoulder. Use your hand to apply light pressure for a deeper stretch. Hold for 15–30 seconds, then switch sides. This stretch relieves tension in the upper shoulder and neck area, a common source of headache pain.
  3. Shoulder Blade Squeeze: With arms at your sides, squeeze your shoulder blades together and hold for 5 seconds before releasing. Repeat 10 times. This move strengthens your upper back muscles, which support proper neck alignment.

Over time, incorporating these gentle stretches can improve posture and reduce the frequency of cervicogenic headaches.

Finding the Right Cervicogenic Headache Treatment Near You

If you’ve been struggling with chronic headaches that seem to start in your neck, it may be time to consult a professional. Cervicogenic headache treatment is most effective when guided by a team that understands the connection between your spine, muscles, and nervous system. At AICA Orthopedics, we specialize in diagnosing and treating the root causes of cervicogenic pain. Our integrated team offers diagnostic imaging, chiropractic care, cervicogenic headache physical therapy, spinal decompression, and personalized rehabilitation programs all under one roof.

Take the First Step Toward Relief

If you’ve been searching for long-term cervicogenic headache relief, let the experts at AICA Orthopedics help. Our team combines advanced diagnostics, hands-on care, and customized exercise programs to help you heal naturally and prevent headaches from returning. You don’t have to live with neck-related headaches any longer.

With the right care, you can restore balance, reduce pain, and get back to enjoying your daily life, without the constant pressure in your neck and head. Schedule your appointment today to start your personalized cervicogenic headache treatment plan. Visit AICA Orthopedics in Snellville to learn more about how we can help you live pain-free.

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