Neck pain and associated head pain: persistent neck complaint with subsequent, transient, posterior headache

Authors: Sjaastad, O.1; Wang, H.2; Bakketeig, L. S.3

Source: Acta Neurologica Scandinavica, Volume 114, Number 6, December 2006 , pp. 392-399(8)

Publisher: Wiley-Blackwell

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Abstract:

Sjaastad O, Wang H, Bakketeig LS. Neck pain and associated head pain: persistent neck complaint with subsequent, transient, posterior headache.

Acta Neurol Scand 2006: 114: 392-399.

© Blackwell Munksgaard 2006. Background - 

During the Vågå headache epidemiology study, there were indications that various types of work, such as carpentry and hairdressing, frequently seemed to be linked to a combination of neckache and headache. Objectives - 

A post hoc study was conducted among 1838, 18- to 65-year-old Vågå citizens, looking for patients with combined neck/headache. Design - 

Face-to-face interview was conducted. Results - 

Combined neckache and headache were detected in 121 (6.6%) individuals. The bilateral headache originated in the neck; it was mild/moderate, symptom-poor, and frequently provoked by awkward neck positions. No such headache occurred without a neckache. Headache in this group of patients resembles tractor drivers' headache, except for the provoking factor itself. Conclusions - 

This headache is not listed in headache classification systems/textbooks on headache. This headache must be distinguished from the unilateral cervicogenic headache proper because of the different treatment perspectives.

Keywords: cervicogenic headache; headache; influence of work; neck pain

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1600-0404.2006.00717.x

Affiliations: 1: Department of Neurology, St Olavs Hospital, Trondheim University Hospital, Trondheim 2: Fagerborg Fysioterapi, Oslo 3: Norwegian Institute of Public Health, Oslo, Norway

Publication date: 2006-12-01

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