Cervicogenic Headache
Conditions
Brief summary
* The purposes of this study are: * To investigate the combined effect of cranial and cervical mobilization in patient with cervicogenic headache and there effect on : 1. Perceptive neck pain intensity 2. Perceptive headache intensity 3. pain by pressure 4. frequency of headache episodes 5. duration of headache episodes 6. Medications uptakes
Interventions
Combination of Cranial and Cervical Mobilization for Cervicogenic headache Patients treatment
Cervicogenic headache exercises
Sponsors
Study design
Eligibility
Inclusion criteria
* pain originating at the neck and radiating to oculo-frontal-temporal regions. * symptom unilaterally. * symptom provocation through cervical movement and/or awkward cervical postural. * symptom provocation through external pressure application through palpation to associated posterior cervical spine segments with resultant symptom reproduction. * possible ipsilateral shoulder and/or arm pain of vague reference. * 15 or more headache episodes per month * No history of cervical operation or any disease that result in headache as colities -All patients will sign the informed consent before joining the study.
Exclusion criteria
* Headache not of cervical origin * Headache with autonomic involvement, dizziness, or visual disturbance * Congenital conditions of the cervical spine * It is of primary concern to exclude serious or life-threatening pathology such as : * cranial tumors. * Meningitis. * sub-arachnoid hemorrhage. * carotid artery,vertebral artery dissection. * History of cervical operation or any disease that result in headache as colitis * Age less than 18 or more than 40 years * chronic maxillary sinusitis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assis Headache Perceptive intensity | 2 weeks | By visual analog scale , Minimum value zero mean No pain Maximum value 10 mean Worst pain . |