Neck · Cervicogenic Headache
Headache From The Neck
Pain from the upper neck can spread into the back of your head and toward the forehead or eye. The headache often changes when you turn or hold your head in one position.
Sensitive neck joints and muscles can refer head pain. Neck stiffness and reduced muscle endurance may contribute.
How it typically shows up
Headache that starts in the upper neck or back of the head and is linked to neck movement or sustained posture, often with reduced movement on one side. The main complaint is the headache rather than neck soreness alone.
How long recovery takes
Practice gentle neck movement and chin nods, building endurance, then head and shoulder control for daily tasks and light training.
The phased recovery approach
Phase 1 · ~2 weeks
Gentle nod
Practice small chin nods and comfortable neck turns in upright posture.
What you get back: a comfortable chin nod and easier neck turns.
- Chin Nod (lying): 2 sets × 5–10 holds of 10s · Keep the nod small. · Lie on your back, head resting down.
- Towel-Guided Neck Turn: 2 sets × 5 reps · Each rep turns both ways, pausing five seconds each way. · Sit tall with the middle of a towel behind the top of your neck, just below the skull.
- Upright Posture Practice: 3 sets × 20s hold · Spread these across the day rather than doing them together. The point is catching yourself in normal life, not a set. · Wherever you are, stop and grow tall through the crown of your head.
- Scapular Retraction: 3 sets × 10s hold · Don’t shrug up toward your ears. · Sit or stand tall.
Phase 2 · ~2 weeks
Neck endurance
Build steady neck and shoulder control with gentle holds and smooth movements.
What you get back: steadier neck and shoulder control.
- Chin Nod (lying): 2 sets × 10 holds of 10s · Keep the nod small. · Lie on your back, head resting down.
- Towel-Guided Neck Turn: 2 sets × 5 reps · Each rep turns both ways, pausing five seconds each way. · Sit tall with the middle of a towel behind the top of your neck, just below the skull.
- Scapular Retraction: 3 sets × 10s hold · Don’t shrug up toward your ears. · Sit or stand tall.
- Four-Point Neck Control: 3 sets × 10 reps · Keep your trunk still while the neck moves. · Start on hands and knees, neck aligned with back, eyes toward the floor.
Phase 3 · ~2 weeks
Control
Practice steady head control and arm movement for daily tasks and light training.
What you get back: head and shoulder control for daily tasks.
- Chin Nod (lying): 2 sets × 10 holds of 10s · Keep the nod small. · Lie on your back, head resting down.
- Towel-Guided Neck Turn: 2 sets × 5 reps · Each rep turns both ways, pausing five seconds each way. · Sit tall with the middle of a towel behind the top of your neck, just below the skull.
- Seated Neck-Flexor Control: 2 sets × 10 holds of 10s · Keep the movement small and smooth. Hold ten seconds after each return. · Sit tall, feet on the floor.
- Supine Head-Lift: 2–3 sets × 20 reps · Maintain a gentle chin nod throughout. · Lie on your back, gently nodding your chin first.
Exact exercises, sets and progression depend on your severity, equipment and goal. This is the shape of the program, not a one-size prescription.
What matters while you recover
Keep the nod small
Let your head rest down during chin nods. Practice a slow, small movement with relaxed breathing.
Two bouts in your day
The chin nod and towel-guided turn each have two sets. You can do one set in the morning and the other later.
Common questions
- How often do I do the exercises?
- One session contains the day’s work. You can split the chin nod and towel-guided turn sets across the day.
- Does a neck turn prove the cause?
- No. Recreating your familiar headache with neck movement supports the pattern, but one home check does not prove where a headache comes from.
- What happens after the last session?
- Move into maintenance to keep the neck and shoulder work going. The towel-guided turn keeps its two daily bouts.
Related neck conditions
Sources
- 11.2.1 Cervicogenic headache · International Headache Society, International Classification of Headache Disorders, 3rd edition, 2018
- Neck Pain: Revision 2017 · JOSPT / APTA Academy of Orthopaedic Physical Therapy, J Orthop Sports Phys Ther 47(7):A1-A83, 2017
- A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache · Spine (Phila Pa 1976) 27(17):1835-1843, PMID 12221344, 2002
- The effectiveness of manual and exercise therapy on headache intensity and frequency among patients with cervicogenic headache: a systematic review and meta-analysis · Systematic review, 2022
- Conservative physical therapy management for the treatment of cervicogenic headache: a systematic review · Racicki et al., 2013
- Cervicogenic Headache · Physiopedia, 2026