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I just had an mri of my brain. No tumors but some neck problem that might be causing me head aches

Sep 20, 2026 · 6 sources used · OpenNeedle synthesis
Your MRI ruled out a tumor, which is the main thing to rule out. The neck finding is a plausible source of your headaches.

The most likely link is cervicogenic headache — a headache that starts from a problem in the neck structures, not the brain itself. Studies show that people with this condition have measurably less neck mobility than people with migraines or tension headaches, especially in rotation and flexion/extension [1]. The upper cervical joints, particularly at C1/2, are often stiff and painful when pressed [3]. In one case series, nearly all patients could trigger their typical headache by moving their head or pressing on specific neck points [2].

The evidence here is mostly from older, small studies (the largest had 28 cervicogenic headache patients) [1, 2]. No study in this retrieval compared your specific MRI finding — whatever the radiologist saw — against a control group to say how often that finding causes headaches. The retrieval also lacks any randomized trial of treatment for this exact scenario.

What the evidence does show: cervicogenic headache is distinct from migraine, tends to be one-sided and long-lasting, and often does not respond to standard migraine medications like ergotamine or naproxen [2]. Physical therapy that targets neck stability has been shown to reduce pain and disability in people with cervical disc problems [4]. Manual therapy (spinal mobilization) was more effective and cheaper than physiotherapy or GP care for neck pain in one trial [6].

My call: Your neck finding is a reasonable suspect for the headaches. The next step is a physical exam by someone who knows how to test the upper cervical joints — a physiatrist, a physical therapist experienced in manual therapy, or a chiropractor who does not rely on forceful manipulation (which carries a rare but real risk of vertebral artery injury or infection in people with pre-existing neck degeneration [5]). Avoid neck manipulation by anyone who does not take your imaging into account.

Confidence: moderate — the mechanism is well-documented, but the evidence linking your specific MRI finding to headaches comes from small studies, not from a trial that tested people like you.

Keep digging

Sources used 6

  1. Neck Mobility in Different Headache Disorders Headache: The Journal of Head and Face Pain (1997) Thin

    This study investigates neck mobility in patients with different headache disorders, particularly cervicogenic headache, using Cybex equipment, and finds significant differences in neck movement between cervicogenic headache patients and controls, but not between other headache …

    DOI: 10.1046/j.1526-4610.1997.3701006.x
  2. “Cervicogenic Headache”: Clinical Manifestation Cephalalgia (1987) primary study Strong

    This paper describes the clinical manifestations of 11 female patients with cervicogenic headache, characterized by unilateral, long-lasting attacks, neck involvement, and lack of cluster pattern, and differentiates it from migraine and cluster headache.

    DOI: 10.1046/j.1468-2982.1987.0702147.x
  3. Clinical tests of musculoskeletal dysfunction in the diagnosis of cervicogenic headache Manual Therapy (2006) Thin

    A cross-sectional study comparing cervicogenic headache, migraine with aura, and healthy controls to identify musculoskeletal dysfunction patterns; upper cervical joint dysfunction at C1/2 and shortened pectoralis minor best distinguished cervicogenic headache from others, with …

    DOI: 10.1016/j.math.2005.04.007
  4. Cervical stability training with and without core stability training for patients with cervical disc herniation: A randomized, single‐blind study European Journal of Pain (2017) Thin

    This study evaluates and compares the effects of cervical stability training versus combined cervical and core stability training on pain, muscle activation, endurance, and kinesiophobia in patients with cervical disc herniation, finding both methods effective but with distinct …

    DOI: 10.1002/ejp.1073
  5. Vertebral osteomyelitis following manipulation of spondylitic necks - a possible risk Spinal Cord (1992) Thin

    This study presents two cases of cervical spondylosis patients who developed staphylococcal osteomyelitis of the cervical spine with progressive tetraplegia following neck manipulation by a chiropractor, highlighting the potential risks associated with such procedures in older p…

    DOI: 10.1038/sc.1992.151
  6. PEDIATRIC HEADACHE Headache: The Journal of Head and Face Pain (2003) other Mixed

    A compilation of abstracts and commentaries on recent headache and pain research, covering studies on topiramate, valproate, manual therapy, and high-altitude headache.

    DOI: 10.1046/j.1526-4610.2003.t01-3-03223.x

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