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Current Pain and Headache Reports

, Volume 14, Issue 6, pp 418–423 | Cite as

Cervical Facet Arthropathy and Occipital Neuralgia: Headache Culprits

  • J. D. HoppenfeldEmail author
Article

Abstract

Cervicogenic 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.

Keywords

Cervicogenic headache Occipital neuralgia Cervical facet arthropathy Occipital nerve stimulation Occipital nerve block 

Notes

Disclosures

No conflicts of interest relevant to this article were reported.

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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Southeast Pain Care at Morehead Medical PlazaCharlotteUSA

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