Is Your Migraine From Your Neck?

August 1, 2009 by dean · Leave a Comment 

Many clinicians have demonstrated that blocking or ‘numbing’ of the greater occipital nerve provides substantial relief from ‘migraine’ in many patients. Researchers have confirmed this experience. Whilst this approach is not available to everyone it does confirm that cervicogenic disorders can be responsible for ‘migraine‘.

OK so a neck disorder has been confirmed – what happens once the anaesthetic has worn off though? A skilled examination of the neck and appropriate treatment often means that ongoing injections will not be necessary (and anyway the number you can have is limited).

However it is not necessary for a nerve block in the first place – an assessment by competent clinicians can confirm or eliminate a neck disorder as the source of symptoms.

Cheers

Dean

(Akin Takmaz, S. et al Greater occipital nerve block in migraine headache: Preliminary results of 10 patients. Agri 2008 Jan;20(1):47-50

Jull G, Bogduk N, Marsland A. The accuracy of manual diagnosis for cervical zygapophyseal joint pain syndromes. Med J Aust. 1988 Mar 7;148(5):233-6

Rozen T. Cessation of hemiplegic migraine auras with greater occipital nerve blockade. Headache 2007;47:917-928

Takmaz, S. et al Greater occipital nerve block in migraine headache: Preliminary results of 10 patients. Agri 2008 Jan;20(1):47-50

Young et al Greater occipital nerve and other anesthetic injections for primary headache disorders. Headache 2008;48:1122-1125

Young et al. The first 5 minutes after greater occipital nerve block. Headache 2008;48:1126-1139

Yi X et al Cervicogenic headache in patients with presumed migraine: missed diagnosis or misdiagnosis? J Pain. 2005 Oct;6(10):700-3)

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About dean
Consultant Headache & Migraine Physiotherapist; International Teacher; Director, The Headache Clinic & Watson Headache Institute; PhD Candidate Murdoch University, Western Australia; Adjunct Lecturer, Masters Program, Physiotherapy School, University of South Australia; MAppSc(Res) GradDipAdvManipTher Experienced health practitioners trained in the Watson Headache Approach perform the examination and treatment techniques developed by Dean Watson. These techniques are based on his extensive experience of 7000 headache patients (21,000 hours) over 21 years and are now taught internationally. For your nearest practitioner who has completed training in the ‘Watson Headache Approach’ please refer to the ‘Practitioner Directory’.

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