Visual Aura and Migraine

November 13, 2009 by dean · Leave a Comment 

Have a skilled examination of your neck.

Have a skilled examination of your neck.

Cervicogenic (neck related) Headache, according to the International Headache Society1 is side-locked i.e. it is one-sided headache which does not change sides. In my experience however, a one-sided headache that changes sides is a Cervicogenic Headache.

I remember a patient of mine whose visual aura changed sides i.e. for the first 10’ it was on the left, and then for the last 10’ changed to the right. After treating her very stiff C2-3 spinal segment, the patient was and has remained free of her visual aura.

If your one-sided headache changes sides or it is both sides simultaneously but worse on one side and the worst side changes, it is your neck, and furthermore, it is the C2-3 spinal segment which is at fault – this is based on over 21000 hours of clinical experience with headache and migraine sufferers.

My message – have a skilled examination of your neck…



(Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders, 2nd edn. Cephalalgia 2004; 24(suppl.1):1-151)

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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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