View in EDS HTML Full Text PDF Full Text

11. Cervicogenic headache and occipital neuralgia.

Saved in:
Bibliographic Details
Title: 11. Cervicogenic headache and occipital neuralgia.
Authors: Lefel, Nicole, van Suijlekom, Hans, Cohen, Steven P. C., Kallewaard, Jan Willem, Van Zundert, Jan
Source: Pain Practice. Jan2025, Vol. 25 Issue 1, p1-15. 15p.
Subjects: Headache diagnosis, Headache treatment, Neuralgia, Differential diagnosis, Occipital lobe, Radio frequency therapy, Cervical vertebrae, Catheter ablation
Abstract: Introduction: Cervicogenic headache (CEH) and occipital neuralgia (ON) are headaches originating in the occiput and that radiate to the vertex. Because of the intimate relationship between structures based in the occiput and those in the upper cervical region, there is significant overlap between the presentation of CEH and ON. Diagnosis starts with a headache history to assess for diagnostic criteria formulated by the International Headache Society. Physical examination evaluates range of motion of the neck and the presence of tender areas or pressure points. Methods: The literature for the diagnosis and treatment of CEH and ON was searched from 2015 through August 2022, retrieved, and summarized. Results: Conservative treatment includes pain education and self‐care, analgesic medication, physical therapy (such as reducing secondary muscle tension and improving posture), the use of TENS (transcutaneous electrical nerve stimulation), or a combination of the aforementioned treatments. Injection at various anatomical locations with local anesthetic with or without corticosteroids can provide pain relief for a short period. Deep cervical plexus block can result in improved pain for less than 6 months. In both CEH and ON, an occipital nerve block can provide important diagnostic information and improve pain in some patients, with PRF providing greater long‐term pain control. Radiofrequency ablation of the cervical facet joints can result in improvement for over 1 year. Occipital nerve stimulation (ONS) should be considered for the treatment of refractory ON. Conclusion: The treatment of CEH preferentially consists of radiofrequency treatment of the facet joints, while for ON, pulsed radiofrequency of the occipital nerves is indicated. For refractory cases, ONS may be considered. [ABSTRACT FROM AUTHOR]
Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 183925936
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: 11. Cervicogenic headache and occipital neuralgia.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Lefel%2C+Nicole%22">Lefel, Nicole</searchLink><br /><searchLink fieldCode="AR" term="%22van+Suijlekom%2C+Hans%22">van Suijlekom, Hans</searchLink><br /><searchLink fieldCode="AR" term="%22Cohen%2C+Steven+P%2E+C%2E%22">Cohen, Steven P. C.</searchLink><br /><searchLink fieldCode="AR" term="%22Kallewaard%2C+Jan+Willem%22">Kallewaard, Jan Willem</searchLink><br /><searchLink fieldCode="AR" term="%22Van+Zundert%2C+Jan%22">Van Zundert, Jan</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Pain+Practice%22">Pain Practice</searchLink>. Jan2025, Vol. 25 Issue 1, p1-15. 15p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Headache+diagnosis%22">Headache diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Headache+treatment%22">Headache treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Neuralgia%22">Neuralgia</searchLink><br /><searchLink fieldCode="DE" term="%22Differential+diagnosis%22">Differential diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Occipital+lobe%22">Occipital lobe</searchLink><br /><searchLink fieldCode="DE" term="%22Radio+frequency+therapy%22">Radio frequency therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Cervical+vertebrae%22">Cervical vertebrae</searchLink><br /><searchLink fieldCode="DE" term="%22Catheter+ablation%22">Catheter ablation</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Introduction: Cervicogenic headache (CEH) and occipital neuralgia (ON) are headaches originating in the occiput and that radiate to the vertex. Because of the intimate relationship between structures based in the occiput and those in the upper cervical region, there is significant overlap between the presentation of CEH and ON. Diagnosis starts with a headache history to assess for diagnostic criteria formulated by the International Headache Society. Physical examination evaluates range of motion of the neck and the presence of tender areas or pressure points. Methods: The literature for the diagnosis and treatment of CEH and ON was searched from 2015 through August 2022, retrieved, and summarized. Results: Conservative treatment includes pain education and self‐care, analgesic medication, physical therapy (such as reducing secondary muscle tension and improving posture), the use of TENS (transcutaneous electrical nerve stimulation), or a combination of the aforementioned treatments. Injection at various anatomical locations with local anesthetic with or without corticosteroids can provide pain relief for a short period. Deep cervical plexus block can result in improved pain for less than 6 months. In both CEH and ON, an occipital nerve block can provide important diagnostic information and improve pain in some patients, with PRF providing greater long‐term pain control. Radiofrequency ablation of the cervical facet joints can result in improvement for over 1 year. Occipital nerve stimulation (ONS) should be considered for the treatment of refractory ON. Conclusion: The treatment of CEH preferentially consists of radiofrequency treatment of the facet joints, while for ON, pulsed radiofrequency of the occipital nerves is indicated. For refractory cases, ONS may be considered. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=183925936
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/papr.13405
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 15
        StartPage: 1
    Subjects:
      – SubjectFull: Headache diagnosis
        Type: general
      – SubjectFull: Headache treatment
        Type: general
      – SubjectFull: Neuralgia
        Type: general
      – SubjectFull: Differential diagnosis
        Type: general
      – SubjectFull: Occipital lobe
        Type: general
      – SubjectFull: Radio frequency therapy
        Type: general
      – SubjectFull: Cervical vertebrae
        Type: general
      – SubjectFull: Catheter ablation
        Type: general
    Titles:
      – TitleFull: 11. Cervicogenic headache and occipital neuralgia.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Lefel, Nicole
      – PersonEntity:
          Name:
            NameFull: van Suijlekom, Hans
      – PersonEntity:
          Name:
            NameFull: Cohen, Steven P. C.
      – PersonEntity:
          Name:
            NameFull: Kallewaard, Jan Willem
      – PersonEntity:
          Name:
            NameFull: Van Zundert, Jan
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 01
              Text: Jan2025
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 15307085
          Numbering:
            – Type: volume
              Value: 25
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: Pain Practice
              Type: main
ResultId 1