WHAT CAUSES IT?
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Dysfunction of cervical and thoracic joints
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Tight muscles (sub occipital muscles, upper trapezius, SCM, splenius capitis and cervicis)
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Poor posture (especially at the computer, or with prolonged sitting)
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Physical and emotional stress
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Inadequate rest
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Anxiety
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Fatigue
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Nerve compression
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Trigger point referral
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Weak deep cervical flexors
WHAT IS IT? CERVICAL/TENSION HEADACHES
A headache which is brought on due to stress, and often posturally caused muscular tightness and joint stiffness of the neck and thoracic spine.
Signs and symptoms
A headache which:
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Has a gradual onset
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Presents as a dull ache
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Tends to be one sided, but can be both
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Has associated symptoms such as neck pain or reduced neck range of movement
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Is common following a trauma such as whiplash
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If often posturally related (forward head posture, rounded shoulders, upper cervical extension)
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Typically one sided, but may be both
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Causes discomfort, but does not prevent daily function like a migraine can.
HOW TO SELF MANAGE
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Use of a heat bag or hot water bottle - warning
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Stress reduction
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Neck stretches
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Postural awareness
PROGNOSIS
General anterior ankle impingement should improve with conservative physiotherapy management.
If pain persists, a cortisone injection to the area is an option.
If there is a bone spur, x-ray can confirm it.
Arthroscopic removal is an option. Crutches may be required post-surgery for 1-2 weeks. Return to sport should be possible within 4-6 weeks.
HOW PHYSIO HELPS?
Your physiotherapist will be able to take an accurate subjective history and assess your neck for contributing factors.
They can provide manual therapy including:
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Joint mobilisation or manipulation
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Massage
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Muscle and neural stretches
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Acupuncture or dry needling
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Pilates exercises and deep cervical flexor education
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Posture awareness and advice
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Ergonomic advice (e.g. - workstation setup; correct pillow height)
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