Role of Dry Needling in Management of Cervicogenic Headache: A Systematic Review

Authors

  • Meerab Khurshid MS Student, University of Management and Technology, Pakistan
  • Komal Amin MS Student, University of Management and Technology, Pakistan
  • Sheeza Nadeem MS Student, University of Management and Technology, Pakistan
  • Rabia Jawa Assistant Professor, University of Management and Technology, Pakistan

Abstract

Background: Cervicogenic headache is one of the most common types of headache. It is caused due to musculoskeletal dysfunction in the cervical muscles. The underlying mechanisms involve myofascial trigger points. Dry needling is a technique that targets these myofascial trigger points. This technique is considered as an effective non-pharmacological method for treating cervicogenic headaches.

Objective: The purpose of this review is to evaluate the clinical significance and therapeutic effectiveness of dry needling. It focuses on its effects on pain reduction, cervical function, and patient-reported outcomes.

Methodology: Peer-reviewed articles from databases like PubMed, ScienceDirect, and Google Scholar are included. The study designs are meta-analyses, systematic reviews, and randomized controlled trials. Patients who have symptoms like cervical pain, range of motion, and functional activities are included.

Results: According to the reviewed literature, dry needling is considered an effective treatment option. It improved cervical range of motion, lowered the frequency and severity of headaches, and improved the quality of life. It has better outcomes when combined with traditional physical therapy. More research is needed to determine its long-term effects.

Conclusion: Dry needling seems to be a clinically significant intervention for the treatment of cervicogenic headaches. Current evidence supports its short-term effectiveness. More high-quality research is required to determine long-term outcomes and establish standardized protocols.

Keywords: Dry Needling, Cervicogenic Headache, Myofascial Trigger Points, Cervical Spine, Neck Pain

References

Vázquez-Justes D, Yarzábal-Rodríguez R, Doménech-García V, Herrero P, Bellosta-López P. Effectiveness of dry needling for headache: A systematic review. Neurologia (Engl Ed). 2020.

Piovesan EJ, Utiumi MAT, Grossi DB. Cervicogenic headache – How to recognize and treat. Best Pract Res Clin Rheumatol. 2024;38(1):101931.

Cagnie B, Dewitte V, Barbe T, Timmermans F, Delrue N, Meeus M. Physiologic effects of dry needling. Curr Pain Headache Rep. 2013;17(8):348.

Kalichman L, Vulfsons S. Dry needling in the management of musculoskeletal pain. J Am Board Fam Med. 2010;23(5):640-6.

Jull G. Cervicogenic headache. Musculoskelet Sci Pract. 2023;66:102787.

Verma S, Tripathi M, Chandra PS. Cervicogenic Headache: Current Perspectives. Neurol India. 2021;69(Supplement):S194-s8.

Chys M, De Meulemeester K, De Greef I, Murillo C, Kindt W, Kouzouz Y, et al. Clinical Effectiveness of Dry Needling in Patients with Musculoskeletal Pain—An Umbrella Review. Journal of Clinical Medicine. 2023;12(3):1205.

Mousavi-Khatir SR, Fernández-de-Las-Peñas C, Saadat P, Javanshir K, Zohrevand A. The Effect of Adding Dry Needling to Physical Therapy in the Treatment of Cervicogenic Headache: A Randomized Controlled Trial. Pain Med. 2022;23(3):579-89.

Gattie E, Cleland JA, Snodgrass S. The Effectiveness of Trigger Point Dry Needling for Musculoskeletal Conditions by Physical Therapists: A Systematic Review and Meta-analysis. J Orthop Sports Phys Ther. 2017;47(3):133-49.

Pourahmadi M, Dommerholt J, Fernández-de-Las-Peñas C, Koes BW, Mohseni-Bandpei MA, Mansournia MA, et al. Dry Needling for the Treatment of Tension-Type, Cervicogenic, or Migraine Headaches: A Systematic Review and Meta-Analysis. Phys Ther. 2021;101(5).

Mohammadi Z, Shafizadegan Z, Tarrahi MJ, Taheri N. The Effectiveness of Sternocleidomastoid Muscle Dry Needling in Patients with Cervicogenic Headache. Adv Biomed Res. 2021;10:10.

Navarro-Santana MJ, Sanchez-Infante J, Fernández-de-Las-Peñas C, Cleland JA, Martín-Casas P, Plaza-Manzano G. Effectiveness of Dry Needling for Myofascial Trigger Points Associated with Neck Pain Symptoms: An Updated Systematic Review and Meta-Analysis. J Clin Med. 2020;9(10).

Geist K, Frierson E, Hudson O, Lavin S, Myers M, McDaniel L, et al. The utilization of dry needling and an upper extremity exercise program for individuals with cervicogenic headaches: A pilot study. Cranio. 2024;42(4):470-80.

Fernández-de-Las-Peñas C, Cook C, Cleland JA, Florencio LL. The cervical spine in tension type headache. Musculoskelet Sci Pract. 2023;66:102780.

Togha M, Bahrpeyma F, Jafari M, Nasiri A. A sonographic comparison of the effect of dry needling and ischemic compression on the active trigger point of the sternocleidomastoid muscle associated with cervicogenic headache: A randomized trial. J Back Musculoskelet Rehabil. 2020;33(5):749-59.

Li B, Ma R, Xia P, Zhang T, Yang M, He J, et al. Effectiveness of manual therapy combined with dry needling in the treatment of cervicogenic headache: A systematic review and meta-analysis. Neurology Asia. 2024;29(2).

Sedighi A, Nakhostin Ansari N, Naghdi S. Comparison of acute effects of superficial and deep dry needling into trigger points of suboccipital and upper trapezius muscles in patients with cervicogenic headache. J Bodyw Mov Ther. 2017;21(4):810-4.

France S, Bown J, Nowosilskyj M, Mott M, Rand S, Walters J. Evidence for the use of dry needling and physiotherapy in the management of cervicogenic or tension-type headache: a systematic review. Cephalalgia. 2014;34(12):994-1003.

Jung A, Carvalho GF, Szikszay TM, Pawlowsky V, Gabler T, Luedtke K. Physical Therapist Interventions to Reduce Headache Intensity, Frequency, and Duration in Patients With Cervicogenic Headache: A Systematic Review and Network Meta-Analysis. Phys Ther. 2024;104(2).

Porter M, Griswold D, Gargano F, Ickert E, Learman K. Immediate effects of superficial dry needling of the trigeminal nerve innervation field for participants with cervicogenic headache. A randomized controlled trial. Physiother Theory Pract. 2024;40(2):253-61.

Esparza JM, Bianca; and Mendez, Alexis. “Dry Needling as an Alternative Physical Therapy Treatment for Patients With Cervicogenic Headaches: A Systematic Review” DPT Capstones. 2023.

Pourahmadi M, Mohseni-Bandpei MA, Keshtkar A, Koes BW, Fernández-de-Las-Peñas C, Dommerholt J, et al. Effectiveness of dry needling for improving pain and disability in adults with tension-type, cervicogenic, or migraine headaches: protocol for a systematic review. Chiropractic & Manual Therapies. 2019;27(1):43.

Sedighi A, Nakhostin Ansari N, Naghdi S. Comparison of acute effects of superficial and deep dry needling into trigger points of suboccipital and upper trapezius muscles in patients with cervicogenic headache. Journal of Bodywork and Movement Therapies. 2017;21(4):810-4.

Published

2026-03-29

How to Cite

1.
Khurshid M, Amin K, Nadeem S, Jawa R. Role of Dry Needling in Management of Cervicogenic Headache: A Systematic Review. J Riphah Coll. Rehabili. sci. [Internet]. 2026Mar.29 [cited 2026Apr.2];14(1). Available from: https://journals.riphah.edu.pk/index.php/jrcrs/article/view/2607

Issue

Section

Systematic Review