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Neck pain and headache? Often the same cause

Many headaches do not start in the head, but in the neck. About cervicogenic headaches: how to recognize them, why they occur and what can be done about them.

A chiropractor treats the neck of a sitting patient

Do you often have a headache and a stiff neck? Then there is a good chance that the two are related. A significant part of recurring headaches does not start in the head, but in the neck. This is called cervicogenic headache.

On this page5
  1. How the neck causes headaches
  2. Do you recognize this?
  3. The role of screen work
  4. What we do about it
  5. When to go to the doctor?

How the neck causes headaches

The upper cervical vertebrae and the muscles and nerves surrounding them are in direct connection with the back of the head. Blockages, muscle tension or incorrect position in this area can transmit stimuli that you experience as a headache — often starting in the neck or back of the head and radiating forward.

Do you recognize this?

  • Headache that starts in the neck or back of the head.
  • Pain usually on one side of the head.
  • Worsening with certain neck movements or prolonged screen work.
  • A stiff, tender neck in addition to the headache.

Recognizable? Then the neck is a logical place to investigate. Read more about neck pain and whiplash.

The role of screen work

Hours of bending over to a screen (“tech neck”) puts a lot of strain on the upper neck. The muscles that hold the head upright become overloaded, and that maintains both the neck pain and the headache. Small adjustments — screen height, pauses, occasionally stretching the neck — make a difference.

What we do about it

We first investigate whether the neck is actually the source. If this is the case, we use gentle techniques to restore the mobility of the upper cervical vertebrae and reduce muscle tension. You will also receive posture and exercise advice to prevent relapse.

When to go to the doctor?

Sudden, very severe headache (“thunderclap”), headache after an accident, or headache with neurological deficit (speech, vision, strength) should be assessed urgently. If in doubt: contact your doctor.

Neck and headache that keeps coming back? Have the cause investigated. Make an appointment — often within a week, no referral necessary.

This article is informational and does not replace personal medical advice. In case of doubt or persistent complaints, always consult a doctor or BIG-registered healthcare provider.

More articles

Read more about your symptoms and what we do about them.

Responsible practitioner

Arthur Mulder

Physical Therapist and Registered Chiropractor (D.C.)

Registered in the Register of Chiropractor as A.R. Mulder DC and affiliated with the Dutch Chiropractic Federation. Oversees chiropractic care in Rotterdam and is co-founder of SportManipulation, which provides training for physiotherapists and sports masseurs.

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What does your insurer reimburse?

Choose your insurer and your additional package. You will immediately see what chiropractic care is reimbursed.

Good to know

  • From the supplementary insurance, so not from your deductible.
  • No GP referral required.
  • You will receive an invoice with everything your insurer needs.

Source: chiropractievergoeding.nl, policy year 2026 (version 1.0 — 21-11-2025). This is an indication; your own policy always takes precedence.