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Acta Neurol Scand. 2006 Dec;114(6):392-9.

Neck pain and associated head pain: persistent neck complaint with subsequent, transient, posterior headache.

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  • 1Department of Neurology, St Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.



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.


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


Face-to-face interview was conducted.


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.


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.

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