About 3.5 million people in the Netherlands have regular headaches. The upper neck is the usual suspect: the three top segments of the cervical spine share nerve connections with the nerves of the head and face. When those segments lock up, when the small muscles at the base of the skull tighten, or when the head is carried forward for hours in front of a screen, the brain receives pain signals that it feels as headache. Doctors call this cervicogenic headache; patients call it a headache that starts in the neck and spreads to the forehead, temple or behind one eye.
Tension type headache, the most common headache of all, follows the same path: a dull, pressing pain on both sides, often with stiff shoulders, triggered by posture, stress, poor sleep or too little water. Both types respond well to treatment of the neck combined with exercises and advice, and both are closely linked to neck pain, which we treat on the same principle. Headache after a collision or fall is covered on our page about whiplash and dizziness.
