Bogduk Nikolai
Newcastle Bone and Joint Institute, Royal Newcastle Centre, University of Newcastle, PO Box 664J, Newcastle, New South Wales 2300, Australia.
Neurol Clin. 2014 May;32(2):471-87. doi: 10.1016/j.ncl.2013.11.005. Epub 2014 Feb 28.
Cervicogenic headache is pain referred to the head from a source in the cervical spine or mediated by cervical nerves. Clinical features allow for no more than a diagnosis of probable cervicogenic headache. Definitive diagnosis requires evidence of a cervical source of pain. For most treatments, the evidence is limited or poor. Many patients with probable cervicogenic headache can be managed with exercise therapy, with or without manual therapy. Intractable cervicogenic headache can be investigated with controlled diagnostic blocks of the upper cervical joints and treated with thermal radiofrequency neurotomy. Other interventions are experimental or speculative.
颈源性头痛是指由颈椎来源或由颈神经介导至头部的疼痛。临床特征最多只能做出可能的颈源性头痛诊断。明确诊断需要有颈部疼痛来源的证据。对于大多数治疗方法，证据有限或质量欠佳。许多可能患有颈源性头痛的患者可通过运动疗法进行管理，无论是否结合手法治疗。对于顽固性颈源性头痛，可通过对上颈椎关节进行控制性诊断性阻滞来进行检查，并采用热射频神经切断术进行治疗。其他干预措施尚属试验性或推测性的。
