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Neck pain and associated head pain: persistent neck complaint with subsequent, transient, posterior headache
O. Sjaastad 1 , H. Wang 2 , L. S. Bakketeig 3
  1 Department of Neurology, St Olavs Hospital, Trondheim University Hospital, Trondheim ;   2 Fagerborg Fysioterapi, Oslo ;   3 Norwegian Institute of Public Health, Oslo, Norway
Correspondence to Ottar Sjaastad, Department of Neurology, St Olavs Hospital, N-7006 Trondheim, Norway
Tel.: +47-72-57-30-12
e-mail: tora.rui@ntnu.no
Copyright 2006 Blackwell Munksgaard
KEYWORDS
cervicogenic headache • headache • influence of work • neck pain
Sjaastad O, Wang H, Bakketeig LS. Neck pain and associated head pain: persistent neck complaint with subsequent, transient, posterior headache.
Acta Neurol Scand 2006: 114: 392–399.
© Blackwell Munksgaard 2006.

ABSTRACT

Background – During the Vågå headache epidemiology study, there were indications that various types of work, such as carpentry and hairdressing, frequently seemed to be linked to a combination of neckache and headache.

Objectives – A post hoc study was conducted among 1838, 18- to 65-year-old Vågå citizens, looking for patients with combined neck/headache.

Design – Face-to-face interview was conducted.

Results – Combined neckache and headache were detected in 121 (6.6%) individuals. The bilateral headache originated in the neck; it was mild/moderate, symptom-poor, and frequently provoked by awkward neck positions. No such headache occurred without a neckache. Headache in this group of patients resembles tractor drivers' headache, except for the provoking factor itself.

Conclusions – This headache is not listed in headache classification systems/textbooks on headache. This headache must be distinguished from the unilateral cervicogenic headache proper because of the different treatment perspectives.


Accepted for publication June 1, 2006

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1600-0404.2006.00717.x About DOI

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