Cervicogenic headache--Cervicogenic headaches originate from disorders of the neck, including the anatomical structures innervated by the cervical roots C1C3. Cervical headache is often precipitated by neck movement and/or sustained awkward head positioning. It is often accompanied by restricted cervical range of motion, ipsilateral neck, shoulder, or arm pain of a rather vague non-radicular nature or, occasionally, arm pain of a radicular nature.

To observe the effects of acupotomy on cervicogenic headache and explore the function of cutaneous nerve entrapment in the mechanism of cervicogenic headache, Chinese China-Japan Friendship Hospital has done a research about this. The location of treatment was occipitalia, both of left and right side: altogether were 8 points, including tenderness point of postmastoid; the mid-point between mastoid and C2 spinous process; the internal 1/3 attachment between occipital protuberance and mastoid process; the posterior midline of C2 spinous process open to 1.5-2 cm.

They found that 17.07% patients with cervicogenic headache recovered by acupotomy, so it shows cutaneous nerve entrapment plays an important role in the mechanism of cervicogenic headache. For the patients whose headache recurred at 3 months after treatment, increasing the treatment time and therapeutic range is suggested.

Doctors routinely ignore patients complaining of headaches and must treat the problem more seriously as it can cause significant absence from work and school, new guidance from Nice has warned.
Reference:Li SL, Han F, Wang QG.Zhongguo Gu Shang. 2012 Jan;25(1):22-4