Authors :
Racho Kanya; Tage Sepi
Volume/Issue :
Volume 11 - 2026, Issue 5 - May
Google Scholar :
https://tinyurl.com/kak2we54
Scribd :
https://tinyurl.com/muy557mb
DOI :
https://doi.org/10.38124/ijisrt/26May2159
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Background:
Cervicogenic headache is a secondary headache arising from dysfunction of the cervical spine and associated
musculoskeletal structures. Forward head posture is commonly associated with cervicogenic headache and may contribute
to increased mechanical stress on cervical muscles, reduced craniovertebral angle, pain, muscle tightness, and functional
disability. Physiotherapy interventions such as myofascial release and postural correction exercises are commonly used to
improve symptoms and posture.
Case Presentation:
A 26-year-old female presented with cervicogenic headache associated with forward head posture. The patient
complained of bilateral headache shifting from right to left side, neck pain, stiffness, and difficulty maintaining prolonged
sitting posture for the past 5 years. Symptoms increased during prolonged studying, mobile/ laptop use. Assessment revealed
forward head posture, rounded shoulders, reduced craniovertebral angle, tenderness, reduced cervical mobility, and
functional disability. The patient underwent physiotherapy intervention for 4 weeks consisting of myofascial release for
upper trapezius, levator scapulae, and suboccipital muscles along with postural correction exercises including chin tuck
exercise, scapular retraction exercise, and pectoralis stretching.
Keywords :
Cervicogenic Headache, Forward Head Posture, Myofascial Release, Postural Correction, Craniovertebral Angle, Physiotherapy, Case Study.
References :
- Aishwarya V Pareek et.al, Cervicogenic headaches: A literature review and proposed multifaceted approach to diagnosis and management 2024;42(2):543-557
- Zhoupeng Lu, Hui Zou et.al Myofascial release for the treatment of tension-type, cervocogenic headache or migrane: A systematic review and meta-analysis; Hindawi, Pain research and management Volume 2024, Article ID 2042069
- Priyanka , Dr. Annie Thomas et.al , A Literature Review to Find the Effectiveness of Suboccipital Myofascial Release Technique in Reducing Cervicogenic Headache; International Journal of Science and Research (IJSR) Volume 12 Issue 4, April 2023
- Monika Rani and Jaspreet Kaur. Effectiveness of different physiotherapy interventions in the management of cervicogenic headache: a pilot randomized controlled trial. JOURNAL OF MANUAL & MANIPULATIVE THERAPY 2022, VOL. 30, NO. 2, 96–104
- Alisha Noreen, Bushra Ijaz, Ao Lijuan1 ; Muhammad Sanaullah et.al. Comparison of deep friction massage and post isometric relaxation technique in cervicogenic headache: A randomised clinical trial ; Journal of Clinical Images and Medical Case Reports, Volume 5, 2024 ISSN 2766-7820.
- Aggarwal A, Nair A, Palekar TJ, Bhamare D. Effect of suboccipital release technique in forward head posture: A comparative study. Med J DY Patil Vidyapeeth 2022;15:534-7
- Samir Ahmed El Sabbahi , Ebtesam Mohamed Fahmy et.al, Effectiveness of combined cranial and cervical mobilization in management of cervicogenic headache; Egyptian journal of neurology, Psychiatry and Neurosurgery (2025) 61:18
- Ana Yousuf, Dua Qazi et.al Effectiveness of Myofacial release versus proprioceptive Neuro Facilitation technique on pain and range of motion in patients with cervicogenic headache, Journal of health and rehabilitation research, ISSN:2791-156 Vol.4, Issue no.1,2024
- Pareek AV, Edmondson E, Kung D. Cervicogenic headaches: a literature review and proposed multifaceted approach to diagnosis and management. Neurol Clin. 2024;42(2):543–557.
- Patil DS, Tikhile P, Gangwani N. Effectiveness of nonpharmacological measures on improving headache score, strength, pain, and quality of life in cervicogenic headaches: a systematic review. Cureus. 2024;16(3):e57361.
- Xu X, Ling Y. Comparative safety and efficacy of manual therapy interventions for cervicogenic headache: a systematic review and network meta-analysis. Front Neurol. 2025;16:1566764
- Asad Ullah, Zahid Mehmood et.al, Effects of positional release technique on myofascial trigger points of the upper trapezius in computer users having forward head posture. T.Rehabili.J. 2023:07(03):24-30.
- Deepanshi Singh, Himanshu Shekhar et.al. Effect of strengthening rehabilitation exercises on cervicogenic headache: A review of literature, World Journal of Advanced research and reviews, 2024,22(03), 1002-1013
- Marwa Shafiek Mustafa Saleh, Mariam Mohamed Abdallah Farag Youssef. Suboccipital release versus muscle energy technique in patients with mechanical neck pain and forward head posture; International Journal of Yoga, Physiotherapy and Physical Education. ISSN: 2456-5067 Volume 8, Issue 3, 2023, Page No. 28-34
- Maryam Shabbir , Saba Rafique. Comparison of Sub-Occipital Myofascial Release and Cervical Mobilization in managing Cervicogenic Headache; 2021:15(9):110-11
- Gopal NambiI,Mshari Alghadier1 , Mudathir Mohamedahmed Eltayeb et al. Comparative effectiveness of cervical vs thoracic spinal-thrust manipulation for care of cervicogenic headache: A randomized controlled trial, | https://doi.org/10.1371/journal.pone.0300737 March 29, 2024
- Monika Rani and Jaspreet Kaur. Effectiveness of mobilization and postural correction in treatment of cervicogenic headache: Protocolfor randomized controlled trial. JOURNAL OF NATURE & SCIENCE OF MEDICINE 2023;6:114-120
- Darshana Fursule, Kapil Garg. Effect of Cervical Mobilization, Transcutaneous Electrical Stimulation and Suboccipital Release in Cervicogenic Headache: A Case Report;ISSN: 2249-9571 Vol.11; Issue: 8; August 2021
- Ramya K, Senthilkumar M , The Effect of Myofascial Release Technique on Pain and Neck Disability Over Conventional Neck Exercises on Patients with Cervicogenic Headache; Indian Journal of Natural Sciences Vol.12 / Issue 65 / April / 2021
- Saba Yazdani, Foad Seidi, Samaneh Haghighi. Effect of a corrective exercise program on head and shoulder alignment and balance of woman with cervicogenic headache and forward head and rounded shoulder posture; Scientific Journal of Rehabilitation Medicine. July 2021 Vol 10, No. 2
- Reema Joshi et.al. The effect of muscle energy technique and posture correction exercises on pain and function in patients with non-specific chronic neck pain having forward head posture-a Randomized controlled trial. International Journal of therapeutic massage and bodywork.June2022:15(2):14-20
Background:
Cervicogenic headache is a secondary headache arising from dysfunction of the cervical spine and associated
musculoskeletal structures. Forward head posture is commonly associated with cervicogenic headache and may contribute
to increased mechanical stress on cervical muscles, reduced craniovertebral angle, pain, muscle tightness, and functional
disability. Physiotherapy interventions such as myofascial release and postural correction exercises are commonly used to
improve symptoms and posture.
Case Presentation:
A 26-year-old female presented with cervicogenic headache associated with forward head posture. The patient
complained of bilateral headache shifting from right to left side, neck pain, stiffness, and difficulty maintaining prolonged
sitting posture for the past 5 years. Symptoms increased during prolonged studying, mobile/ laptop use. Assessment revealed
forward head posture, rounded shoulders, reduced craniovertebral angle, tenderness, reduced cervical mobility, and
functional disability. The patient underwent physiotherapy intervention for 4 weeks consisting of myofascial release for
upper trapezius, levator scapulae, and suboccipital muscles along with postural correction exercises including chin tuck
exercise, scapular retraction exercise, and pectoralis stretching.
Keywords :
Cervicogenic Headache, Forward Head Posture, Myofascial Release, Postural Correction, Craniovertebral Angle, Physiotherapy, Case Study.