Definition of cervicogenic headache 1. Dull or aching pain in the occipital, top, temporal, frontal, or orbital regions of the head or both of these regions. 2.The headache is accompanied by upper neck pain, neck pressure, neck stiffness, or upper neck pain and limited movement when moving. 3.More often there is a history of head and neck injury. Mechanism of cervicogenic headache 1.Cervicogenic headache can arise from the muscle tissue and nerve roots in the neck, especially when the anterior root is compressed or inflammatory attack can cause reflex cervical muscle spasm. 2. Chronic spasm of persistent muscles causes tissue ischemia, metabolite aggregation, metabolic end products causing myofasciitis and pain, and can directly stimulate the nerve trunks and nerve endings penetrating in the soft tissue to produce pain. 3, prolonged head-down work, muscle contraction to maintain a certain work posture, so that the muscle blood supply is reduced, followed by muscle spasm, while the ligament, myofascial injury. 4.Long time of mental or physical work is the most likely to cause nerve-muscle tension in the neck among all parts of the body, which is also a common anatomical cause of cervicogenic headache in adolescents. Diagnosis of cervicogenic headache in clinical practice 1.The upper cervical paravertebrae, the posterior part under the mastoid process, and the pressure point of the head are the important basis for the diagnosis of cervicogenic headache. 2.History of trauma to the head and neck 3.The extent of pain conforms to the distribution pattern 4.Symptoms of nerve root irritation 5.Imaging characteristics: It is not difficult to diagnose advanced patients, but early patients often do not easily see abnormal manifestations. Treatment of cervicogenic headache 1.Rest. 2.Traction. Intermittent cervical traction, continuous cervical traction, etc. 3.Medication. Use Chinese medicine such as cervical pain granules, root pain pellets, Zhengtian pill, Ge Chuan headache soup, etc. for internal use; use capsaicin ointment and warm pain relief patch externally. 4.Manipulation treatment. Tendon and chiropractic therapy, point therapy, gua sha therapy, etc. 5.Physical therapy. Infrared irradiation, ultrasonic therapy, microwave therapy, nano moxibustion paste transcutaneous bioelectric stimulation therapy, transcutaneous electrical stimulation therapy 6, cervical nerve block and injection therapy. 7, sleep pillow therapy. The height, softness, shape and content of the pillow have a direct impact on the cervical spine during sleep, so choosing a suitable pillow that meets the physiology of the cervical spine can have a multiplier effect on the treatment of cervicogenic headache.