The effect of GON PRF treatment applied with USG-guided proximal technique in patients who do not respond to conservative treatments for cervicogenic headache
Who can participate
Age range18 Years – 65 Years
SexALL
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Diagnosed with cervicogenic headache according to ICHD-3 criteria
* Cranial and cervical spine imaging is available
* Number of headache days per month 5 and/or more
* Inadequate benefit from pharmacological treatments or physical therapy methods used
* Volunteer patients who can understand and approve the treatment and the informed consent form and who can comply with the treatment
Exclusion Criteria:
* History of secondary headache other than cervicogenic headache according to ICHD-3 criteria
* Cervical nerve root irritation and/or spinal stenosis symptoms and signs
* Sensory deficit findings in the greater occipital nerve dermatome
* Craniocervical defect or other anatomical abnormality in the target area or nearby the procedure
* Local or systemic infection
* Received nonpharmacological treatment within the last 3 months (physical therapy, botulinum toxin A, acupuncture, ozone, cognitive behavioral therapy, etc.)
* Pregnancy or suspected pregnancy
* Known allergy to local anesthetic drugs
* History of malignancy
* Known organic disease of the brain and spinal cord
* History of cranial/cervical surgery within the last 1 year
* Bleeding-clotting disorder or oral anticoagulant use
* Comorbid disease that may cause headache (uncontrolled hypertension, intracranial lesion, etc.)
* Compliance with treatment and treatment results diseases that may affect the evaluation (psychiatric disorder, dementia, etc.)
* Those who request re-treatment due to the eme…