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Cervicogenic headache

Headaches that start in your neck can be treated

The pain builds at the base of your skull, creeps over one side of your head, and gets worse the longer you sit at a screen. When a headache comes from the neck, treating the neck is what changes it.

Medicare, NDIS, DVA, WorkCover and private health funds accepted.

Understanding Cervicogenic headache

A cervicogenic headache is a headache that comes from the joints, muscles and nerves of your neck. The pain is referred, which means you feel it in your head even though the source sits lower down.

It often responds well to hands-on treatment and exercise, because the structures causing it can be tested and changed. Your chiropractor or physiotherapist works out which parts of your neck are involved, then treats them directly.

Who does it affect?

adults who spend long hours at a desk, driving or looking down at a phone, and anyone recovering from a neck injury.

How common is it?

cervicogenic headache is thought to account for a small but significant share of ongoing headaches [CONFIRM: prevalence figure and source].

What's recovery like?

varies with how long you have had symptoms, your work demands and how the neck responds to treatment.

Who should I see for treatment?

our chiropractors and physiotherapists.

What are my funding options?

Medicare, NDIS, DVA, WorkCover and private health funds accepted.

What is a cervicogenic headache?

A cervicogenic headache is head pain that is generated by the top three joints of your neck and the muscles around them. Nerves from that region share pathways with nerves that supply your head and face, so pain is felt above the neck.

It usually builds slowly rather than arriving suddenly. Stiffness and irritation develop in the upper neck over weeks or months, and headaches start appearing on the days your neck is most loaded.

Common contributing factors include:

  • Long periods in one position at a desk, in a car or on a device

  • A past neck injury, including whiplash from a car accident or sport

  • Weakness in the deep neck and shoulder blade muscles

  • Jaw clenching or grinding that loads the upper neck

  • Poor sleep set-up, including a pillow that leaves your neck at an angle

  • Sudden increases in training load, particularly overhead or cycling

Symptoms of Cervicogenic headache

Cervicogenic headache tends to present in a recognisable pattern:

Your treatment plan comes from what the assessment finds in your neck, not from the label on the headache.

Joint mobilisation and adjustment

Restores movement in the upper neck joints that refer pain into the head.

Soft tissue therapy

Releases the muscles at the base of the skull and across the shoulders that hold the neck in a loaded position.

Deep neck and shoulder strengthening

Builds endurance in the muscles that support your head, so positions become easier to hold.

Range of motion work

Targeted movement to reduce stiffness and keep the gains between visits.

Workstation and load advice

Changes to screen height, driving position and phone use to reduce the daily trigger.

Trigger and pacing education

Identifying what sets your headaches off, and how to change it.

What to expect at your first appointment

  

Tell us what is going on

Where the pain starts, where it travels, how often it happens and what makes it worse.

A full assessment

We test your neck movement, joint mobility and muscle strength, and check whether pressing the upper neck reproduces your headache.

A clear plan

You leave knowing what is driving the headache, what treatment involves and what you do at home.

Review and adjust

We track your headache frequency and intensity, then change the plan based on how you respond.

When to book an appointment

    Book an assessment if:

  • Your headaches have been happening most weeks for more than a month

  • They are affecting your work, sleep, or driving

  • Stretching, heat and over the counter medication are not holding them off

  • You are not sure whether your headaches come from your neck or something else

Looking after yourself at home

These steps sit alongside treatment and help you keep the gains between visits.

  • Long periods in one position at a desk, in a car or on a device

  • A past neck injury, including whiplash from a car accident or sport

  • Weakness in the deep neck and shoulder blade muscles

  • Jaw clenching or grinding that loads the upper neck

  • Poor sleep set-up, including a pillow that leaves your neck at an angle

  • Sudden increases in training load, particularly overhead or cycling

Meet the team who treat this

Behind every appointment is a team of practitioners who know each other, trust each other and work together for you. Across seven clinics and nine disciplines, our team shares expertise, coordinates treatment plans and celebrates your progress together.

Meet the full team

Aimee Fuller

Healthcare Support Officer

Available at Blaxland

Alicia Whiticker

Healthcare Support Officer

Available at Blaxland

Amanda Banks

Healthcare Support Officer

Available at Blaxland

Amanda Duggan

Healthcare Support Officer

Available at Blaxland

Amy Meekings

Healthcare Support Officer

Available at Blaxland

Anita Beerapu

Healthcare Support Officer

Available at Blaxland

Benjamin Tucker

Healthcare Support Officer

Available at Blaxland

Blake Cossar

Healthcare Support Officer

Available at Blaxland

Bronte Tupper

Healthcare Support Officer

Available at Blaxland

Chris Farrugia

Healthcare Support Officer

Available at Blaxland

Corrina Aitken

Healthcare Support Officer

Available at Blaxland

David Logue

Healthcare Support Officer

Available at Blaxland

Dean Gresser

Healthcare Support Officer

Available at Blaxland

Emma Nassif

Healthcare Support Officer

Available at Blaxland

Esha Sharma

Healthcare Support Officer

Available at Blaxland

Fatima Hussaini

Healthcare Support Officer

Available at Blaxland

Felicity Spencer-Davey

Healthcare Support Officer

Available at Blaxland

Frankie Raikadroka

Healthcare Support Officer

Available at Blaxland

Hannah Norrie

Healthcare Support Officer

Available at Blaxland

Heather Edwards

Healthcare Support Officer

Available at Blaxland

Isaac Vella

Healthcare Support Officer

Available at Blaxland

Jarrah Nesbitt

Healthcare Support Officer

Available at Blaxland

Jonathan Lopez

Healthcare Support Officer

Available at Blaxland

Justin Hanna

Healthcare Support Officer

Available at Blaxland

Kasey Collins

Healthcare Support Officer

Available at Blaxland

Katrina Gauci

Healthcare Support Officer

Available at Blaxland

Kennedy Touet

Healthcare Support Officer

Available at Blaxland

Kristy Edwards

Healthcare Support Officer

Available at Blaxland

Kyle Perry

Healthcare Support Officer

Available at Blaxland

Lorna Nicastri

Healthcare Support Officer

Available at Blaxland

Maja Bosic

Healthcare Support Officer

Available at Blaxland

Marxy Koronel

Healthcare Support Officer

Available at Blaxland

Matt Barton

Healthcare Support Officer

Available at Blaxland

Michael Todd

Healthcare Support Officer

Available at Blaxland

Mr Jeffery Jenkins FACPS

Healthcare Support Officer

Available at Blaxland

Nathan Cavanagh

Healthcare Support Officer

Available at Blaxland

Patrick Celeban

Healthcare Support Officer

Available at Blaxland

Praise Khin

Healthcare Support Officer

Available at Blaxland

Sarah Bonnici

Healthcare Support Officer

Available at Blaxland

Shannon Smith

Healthcare Support Officer

Available at Blaxland

Siobhan Kelly

Healthcare Support Officer

Available at Blaxland

Taleisha Bozzi

Healthcare Support Officer

Available at Blaxland

Trystan Singh

Healthcare Support Officer

Available at Blaxland

Uty Kotwal

Healthcare Support Officer

Available at Blaxland

Yoni Hochberg

Healthcare Support Officer

Available at Blaxland

Zak Lloyd

Healthcare Support Officer

Available at Blaxland

EPC, DVA, NDIS and WorkCover welcome

Nearly half of our appointments are funded through Medicare, DVA, NDIS or WorkCover. We manage the paperwork so you can focus on your health.

NDIS

We support eligible NDIS participants across podiatry, physiotherapy, exercise physiology, dietetics and psychology, depending on your plan and goals. Eligibility and funding are set by your plan.

Learn more

Medicare

Medicare may rebate podiatry, physiotherapy, exercise physiology, dietetics and chiropractic sessions when your GP refers you under a chronic condition management plan, and psychology sessions under a Mental Health Treatment Plan. The number of sessions is set by your plan.

Learn more

DVA

Gold and White card holders can access DVA-funded podiatry, physiotherapy, exercise physiology, dietetics and chiropractic with a valid referral.

Learn more

WorkCover

If you have been injured at work, we accept WorkCover referrals for podiatry, physiotherapy, exercise physiology, dietetics and chiropractic, and manage the paperwork with your insurer, with a clear return-to-work plan.

Learn more

Seven clinics across three regions

Find a clinic near you. Each location is staffed by local practitioners who know your community.

Penrith

Western Sydney

Our largest centre, with our full range of services under one roof.

510/536 High St, Penrith NSW 2750

Ropes Crossing

Western Sydney

Podiatry, at Ropes Crossing Village.

1B/2 Central Pl, Ropes Crossing NSW 2760

Blaxland

Blue Mountains

Podiatry, physiotherapy, exercise physiology and group classes.

10 Layton Ave, Blaxland NSW 2774

Springwood

Blue Mountains

Podiatry, dietetics and a boutique footwear store.

20 Ferguson Rd, Springwood NSW 2777

Katoomba

Blue Mountains

Podiatry, physiotherapy and dietetics, in a restored 1914 cottage.

69 Megalong St, Katoomba NSW 2780

Ryde

North Shore

Podiatry, physiotherapy, dietetics and exercise physiology, with a footwear store and gait analysis.

819 Victoria Road, Cnr Shepherd Street, Ryde NSW 2112

Lindfield

North Shore

Podiatry, with mobile podiatry across the North Shore and Northern Beaches.

2/324 Pacific Highway, Lindfield NSW 2070
view all locations

Ready to sort out headaches that start in your neck?

Book an assessment and find out what is actually driving them.

Frequently asked questions

Yes. Whiplash from a car accident, a fall or a sporting collision is one of the most common triggers. Headaches sometimes appear weeks after the event, once the initial neck pain has settled and you return to normal work and screen hours. If you have been through a motor vehicle accident, treatment may be claimable through your insurer [CONFIRM: CTP and workers compensation process at OnePointHealth].

It can, if your current pillow leaves your neck at an angle for hours each night. The aim is to keep your head in line with your spine, so side sleepers usually need more height than back sleepers, and front sleeping tends to load the upper neck most. A pillow change alone rarely fixes headaches, but it removes one nightly trigger.

This varies. People who have had symptoms for a few weeks often notice change faster than people who have had daily headaches for years. Your work demands, sleep, past neck injuries and how consistently you do your exercises all influence the pace. Your chiropractor or physiotherapist tracks headache frequency and intensity so you can see whether the plan is working.

Mild dizziness, light-headedness and a feeling of visual strain can occur, because the upper neck feeds balance and eye movement systems with position information. These symptoms are usually mild and come and go with the headache. Sudden vertigo, double vision, slurred speech or numbness in the face is different and needs urgent medical assessment.

Keep taking anything your GP or pharmacist has prescribed, and tell us what you are using. Medication can be useful for getting through a bad day, but frequent use of over the counter painkillers for headaches can cause medication overuse headache, which changes the picture. If you are taking something most days, that is worth raising with your GP.

It can, particularly overhead pressing, heavy shrugging, long cycling sessions and any exercise where you hold your head back or brace through your neck. The trigger is usually load or position rather than exercise itself. We look at what you are doing, adjust technique and volume, and keep you training rather than stopping you.