Cervicogenic Headaches


This a controversial diagnosis mainly because most migraine patients have neck pain during an attack and for some, the pain seems to start in the neck. In fact, there is a “migraine center” in the base of the brain and when activated it stimulates the Trigeminal nerve. This nerve has branches to the posterior cervical muscles as well the surfaces of the brain, sinuses, face and jaw, explaining why some migraineurs believe they have sinus headaches. Patients with true cervicogenic headaches have chronic neck pain and their headaches may be relieved with pressure over the occipital nerves. Treatment options include physical therapy and injecting a local anesthetic in the area of the occipital nerves.

Dr. Florin is committed to treating all patients compassionately with state-of-the-art techniques while maintaining their dignity and independence. He views each patient encounter as a collaboration. Dr Florin has over 35 years of experience. He is Adjunct Clinical Professor at Keck School of Medicine (USC) and is the founder and medical director of the Fullerton Neurology and Headache Center. He has been recognized by the Orange County Medical Association as a Physician of Excellence in Neurology. US News and World Report ranks him in the top 10% of neurologists nationwide.

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