Cervicogenic Headache
A. Pain localised to the neck and occipital region. May project to forehead, orbital region, temples, vertex or ears
B. Pain is precipitated or aggravated by special neck movements or sustained postures
C . At least one of the following:
1. Resistance to or limitation of passive neck movements
2. Changes in neck muscle contour, texture, tone or response to active and passive stretching and contraction
3. Abnormal tenderness of neck muscles
D. Radiological examination reveals at least one of the following
1. Movement abnormalities in flexion/extension
2. Abnormal posture
3. Fractures, congenital abnormalities, bone tumours, rheumatoid arthritis or other distinct pathology (not spondylosis or osteochondrosis)
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