Active participation by the patient in their management and goal setting is essential for its success. Patient compliance with the exer-cise regimen and other ergonomic advice and lifestyle strategies can be enhanced with a thorough explanation of the rationale for the exercise and other self help procedures. The exercise regimen has immediate as well as long term effects on the perception of palpa-ble neck pain (Jull et al 2002). This link between the use of appropriate muscles and pain relief can be a powerful incentive for exercise compliance.
Conclusion
Evidence supports a multimodal approach for management of cervical musculoskeletal disorders including cervicogenic headache. Contemporary physiotherapy management of cervicogenic head-ache uses several therapeutic strategies based on the presenting musculoskeletal impairments. The program aims to reduce headache and associated symptoms and prevent recurrences by rehabilitat-ing the detected impairments associated with headache and educating the patient on healthy work and lifestyle practices. Several of the inter-vention strategies have overlapping effects on the pain, motor, and sensorimotor systems.
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