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Published on: 8/20/2026

What is a bilateral cervicogenic headache and how is it managed?

A bilateral cervicogenic headache is a secondary headache that affects both sides of the head and originates from a problem in the cervical spine (neck). Unlike typical cervicogenic headaches, which usually affect only one side, bilateral cases are less common. Symptoms often include neck stiffness, reduced range of motion, and pain that radiates from the base of the skull. Common treatments include physical therapy, targeted exercises, posture correction, and medications to reduce pain and inflammation.

Because bilateral cervicogenic headaches can mimic migraines, tension headaches, and other conditions, identifying the true cause is essential for effective relief. Guessing can delay proper treatment and prolong discomfort. Take a free, instant, online symptom check to better understand your symptoms and confidently navigate your next steps toward feeling better.

Reviewed for medical accuracy: 07/15/2026

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Explanation

A bilateral cervicogenic headache is a headache causes pain on both sides of the head and is caused by problems in the upper neck.

Some Things to Know About Cervicogenic Headaches:

  • Pain usually affects only one side of the head
  • Pain may feel like a dull ache
  • Pain can be triggered by neck movement (for example, by turning the head to look over the shoulder while driving)

Some Treatments for Cervicogenic Headaches:

  1. Physical Therapy: Exercises and treatments to help the neck move better and feel better are commonly recommended by healthcare providers to manage cervicogenic headaches. For example, a doctor may refer you to a physical therapist for treatment of cervicogenic headaches.
  2. Medications: Pain relievers (such as over-the-counter acetaminophen and/or ibuprofen) can help reduce headache pain.

It's important to talk to a healthcare provider to confirm your symptoms are caused by cervicogenic headache rather than another health condition. You can start by taking a free symptom checker test to better understand what might be causing your head and neck pain. Your healthcare provider can also give you a personalized treatment plan for managing cervicogenic headaches.

(References)

  • Antonaci F, Fredriksen TA, & Sjaastad O. (2001). Cervicogenic headache: clinical presentation, diagnostic .... Current pain and headache reports, 11403744.

  • Piovesan EJ, Utiumi MAT, & Grossi DB. (2024). Cervicogenic headache - How to recognize and treat. Best practice & research. Clinical rheumatology, 38388233.

  • Odonkor CA, Tang T, Taftian D, & Chhatre A. (2017). Bilateral Intra-Articular Radiofrequency Ablation for .... Case reports in anesthesiology, 28149652.

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