Migraines caused by cervical spondylosis can be improved through physical therapy, medication, and lifestyle adjustments. They are mainly caused by cervical joint dysfunction or muscle tension compressing nerves. Physical therapy, such as cervical traction, massage, or acupuncture, can relieve local compression. Medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, and neurotrophic drugs, can alleviate symptoms. Paying attention to neck posture, appropriate exercise, and sleep habits in daily life can help prevent recurrence.
Cervical joint dysfunction or muscle tension are the main causes of cervical migraines. Prolonged periods of looking down, sitting for long periods, or poor sleeping posture can increase the load on the cervical spine, leading to local muscle spasms and nerve compression. Cervical disc herniation, bone hyperplasia, and other conditions can also compress blood vessels and nerves, affecting blood supply to the head and thus triggering headaches. Symptoms typically manifest as unilateral headaches, accompanied by neck stiffness or pain; in severe cases, dizziness and nausea may occur.
Physical therapy is an effective way to relieve cervical migraines. Cervical traction stretches the intervertebral spaces, reducing pressure on nerves from the intervertebral discs and improving local blood circulation. Massage techniques can relax neck muscles, relieve spasms, and promote tissue repair. Acupuncture regulates Qi and blood by stimulating specific acupoints, relieving pain and improving nerve function. Significant effects can be seen with 2-3 physical therapy sessions per week for 4-6 weeks.
Drug therapy can be used as an adjunct to treatment during the acute phase. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and diclofenac can reduce inflammation and pain, and are suitable for mild to moderate headaches. Muscle relaxants such as eperisone and chlorzoxazone can relieve neck muscle spasms and improve nerve compression symptoms. Neurotrophic drugs such as methylcobalamin and B vitamins can promote nerve repair and reduce chronic pain. Medication use should be under the guidance of a doctor to avoid long-term dependence.
Lifestyle adjustments are crucial for preventing recurrence. Maintain proper neck posture, avoid prolonged periods of looking down or sitting, and use ergonomic office equipment. Appropriate exercises such as neck exercises, swimming, or yoga can strengthen neck muscles and improve flexibility, thus enhancing cervical spine stability. Choose a pillow of appropriate height when sleeping to avoid excessive bending or stretching of the neck. Keep your neck warm daily to prevent muscle spasms caused by cold.
Migraines caused by cervical spondylosis can be effectively relieved through comprehensive treatment, but it is necessary to identify the underlying cause and develop a personalized treatment plan. During the acute phase, medication and physical therapy are the main treatments, while during the remission phase, attention should be paid to lifestyle adjustments and the restoration of cervical spine function. If symptoms continue to worsen or are accompanied by other neurological manifestations, medical attention should be sought promptly to rule out serious underlying conditions. Cervical spine health requires long-term management; through scientific treatment and good habits, quality of life can be significantly improved.