Abstract

Cervicogenic headache is a clinical condition that has a direct impact on quality of life and labor productivity and its underdiagnosis and lack of consensus on the appropriate treatment aggravates even more the condition. This work aims to systematize the protocol that has the highest success rate so far, based on the study carried out in Pindamonhangaba, São Paulo, Brazil. The results demonstrated with the occipital block and Maitland physiotherapy were exceptional and its methodology will be carried out as performed during the study.
 Conclusion: Regardless of the substance used for the blockade, its combination with Maitland's physiotherapy was shown to be favorable and its description can help other professionals and also enable reproduction in other studies.

Highlights

  • Headache is one of the most prevalent conditions in the population, resulting in quality of life impairment and reduced labor productivity

  • Cervicogenic headaches are classically included in a large group of secondary headaches associated with neck disorders because their symptomatology and etiology is characterized by a different pattern from migraine and tension headache, not being considered in an isolated category according to the International Headache Society.[1]

  • Regardless of the substance used, the isolated blockade has a limited improvement in cervicogenic headache symptoms.[6,7,12]

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Summary

Introduction

Headache is one of the most prevalent conditions in the population, resulting in quality of life impairment and reduced labor productivity. Cervicogenic headaches are classically included in a large group of secondary headaches associated with neck disorders because their symptomatology and etiology is characterized by a different pattern from migraine and tension headache, not being considered in an isolated category according to the International Headache Society.[1] The pain has a variable intensity, usually moderate, lasting from a few hours to weeks, with a pattern of higher incidence from 1 to 3 days, not throbbing and not excruciating. It may present prodromes related to the C2-C3 nerve roots, such as throbbing and pinching in the neck and occipital region ipsilateral to pain, hypoesthesia, dysphagia, xerostomia, and stiffness in the passive movement of the neck.[3] and 5, and any other three

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