Non-pharmacological management of persistent headaches associated with neck pain: a clinical practice guideline

European Journal of Pain. 2019

Persistent headaches often occur after whiplash injuries sustained in automobile accidents. Trauma to the bones, discs, or soft tissue in the neck during whiplash has been shown to result in cervicogenic headaches. Nearly 20% of the population report to have at least 4 headaches per month- and for many, these began after a car accident.

Our practice is focused on both the assessment and treatment of headaches. Proper documentation of our patients symptoms, a thorough examination, and imaging all contribute to our assessment process. Our non- pharmacological treatment uses the latest evidence-informed guidelines, such as these published in the European Journal of Pain. This paper supports previously published research that has indicated chiropractic care can decrease the severity, intensity, and frequency of headaches.

“…individuals with disabling neck pain are 10 times more likely to suffer from co-morbid headaches than those without neck pain. Moreover, more than 80% of individuals who experience headaches after a motor vehicle collision also experience neck pain.”

“…existing guidelines recommend that exercise, spinal manipulation, and cervical mobilization can be considered for the treatment of cervicogenic headaches.”

“Cervicogenic headaches are caused by a disorder of the cervical spine (bony, disc, and/or soft-tissue structures) and are usually accompanied by neck pain.”