From Exploration to Assumption in Headache Care
Modern headache assessment is thorough, structured, and standardised. Clinicians take detailed histories, apply diagnostic criteria, exclude red flags, and use imaging when appropriate. In many
Commentary
for Health Professionals
Classification Helps Us Diagnose But It Does Not Explain Headache
Modern headache medicine relies heavily on classification. Diagnostic systems such as the International Classification of Headache Disorders-3 have brought important clarity to a field that
Triggers: The Dogma That Shrinks Lives
The idea of triggers is widely accepted in headache care, but it is rarely questioned. Patients are told to avoid anything that seems to precede
The Forgotten Cervical Nucleus Pulposus in Headache
The dogma that the Nucleus Pulposus (NP) of cervical discs desiccates and solidifies by early adulthood has long shaped clinical thinking. From this premise flows
Unilateral Alternating Headache: Rethinking Unilaterality
The prevailing orthodoxy in headache medicine states that cervicogenic headache (CGH) is characteristically side-locked, i.e. consistently unilateral, always on the same side. This tenet is
Expertise Out of Place: Cervicogenic Headache Criteria
Cervicogenic headache (CGH) is, by definition, a musculoskeletal disorder. Its origins lie in cervical joint dysfunction, noxious afferent input, and provocation-responsiveness at the upper cervical