Headache is a commonly reported symptom, attributable to various causes, which may be of serious origin, even if it is not common. Some headaches arise as a secondary cause of a cervical disorder. These patients are evaluated, classified and treated like all McKenzie syndromes. Some patients seek help primarily for headaches, although they may present together with a secondary neck disorder: these patients are treated the same way. The first objective is to check that there is no serious pathology and that there is no contraindication to physiotherapy. These patients are easily identified by a competent physiotherapist and the McKenzie assessment facilitates the task to determine if the contraindications are present and, if necessary, send the patient to the doctor or specialist.The headache is defined as a pain localized in the head, which may be in the occiput, in the parietal / temporal area, or in the frontal region, and may also include symptoms in the area surrounding the eyes. Some of these patients are suffering from headaches originating from the upper cervical segments and one part responds to mechanical therapy. The first objective is to determine those patients not suitable for treatment because there are also factors that require further investigation. This differential diagnosis is performed mainly on the basis of the data found in the anamnesis. Once a mechanical problem is confirmed by the assessment, a typical symptomatic response will be present as in the other parts of the column, and these patients will benefit from the McKenzie therapy.



