Headache

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Headache
The most common headaches are migraine, tension- type, cluster and cervicogenic headache.

Cervical spine pathology, cervical radiculopathy, and cervical facet arthropathy, are common source of persistent headaches.

Migraine Headache
Migraine is an extremely common, complex neurophysiologic condition characterized by episodic daily headaches. It is somewhat more common in women.

Cluster Headache

Cluster headache is severe episodic unilateral headaches. It is more common in men, and often begins in early adulthood. During attacks, the patient experiences ipsilateral lacrimation, nasal congestion, ptosis, pupillary changes, and conjunctival injection.

The pain of cluster headache is said to be among the worst pain from which mankind suffers.

Tension-type headache

Often involves the frontal, temporal, and occipital regions . It may manifest as a bandlike nonpulsatile ache or tightness. The headache is bilateral tight and may be accompanied by photophobia or phonophobia.

CERVICOGENIC HEADACHE

C2 neuralgia is a syndrome that produces occipital, temporal, and frontal pain, often accompanied by lacrimation and conjunctival injection.

Entrapment of the C3 nerve by inflammation or osteophytes of the C2-3 zygapophyseal joint is a common cause of occipital headache.

Treatment options

Pharmacotherapy

Occipital Nerve Blocks

Occipital nerve blocks are effective in treating in a variety of headache disorders,including Cervicogenic headache, migraine and cluster headaches as well as occipital neuralgia.

Occipital nerve blocks can be used for acute headache relief and to break an intractable headache cycle when medications have failed.