Frequency of Cervicogenic Headaches symptoms among Bankers of Islamabad: A Cross-sectional Study

Cervicogenic Headache Prevalence Among Bankers

Authors

  • Khaleel Ur Rehman Sheffield Hallam University, England, United Kingdom
  • Eeman Malik Shaheed Zulfiqar Ali Bhutto Medical University, Karachi, Pakistan
  • Mahpara Ali Shaheed Zulfiqar Ali Bhutto Medical University, Karachi, Pakistan

Keywords:

Bankers, Cervicogenic Headache, Ergonomics, Headache Disorders, Posture

Abstract

Background: Cervicogenic headache (CGH) is a secondary headache associated with disorders of the cervical spine. Poor and sustained posture, particularly during prolonged desk work and use of electronic devices, may contribute to musculoskeletal pain, reduced cervical mobility, sleep disturbances, and fatigue. Bankers are frequently exposed to these occupational risk factors. This study aimed to determine the frequency and severity of CGH symptoms among bankers working in Islamabad.

Methods: A cross-sectional descriptive study was conducted among 61 bankers aged 25–60 years working in banks in Islamabad. Participants were recruited using convenience sampling. Data were collected from July 2025 to January 2026 using the Visual Analog Scale (VAS) to assess pain intensity and the Wiley-Blackwell Cervicogenic Headache Diagnostic Criteria Questionnaire. The questionnaire was used to assess factors associated with CGH and was not intended as a substitute for a comprehensive clinical diagnosis. Data were analyzed using frequencies and percentages in SPSS version 23.

Results: CGH was identified in 20 of 61 participants, indicating a prevalence of 32.7%. Among those meeting the criteria for CGH, 10% reported mild pain, 65% reported moderate pain, and 25% reported severe pain. Moderate pain was therefore the most frequently reported intensity.

Conclusion: A notable proportion of bankers reported symptoms consistent with CGH, with moderate pain being the predominant severity. These findings highlight the importance of workplace ergonomics, posture awareness, and preventive strategies to reduce occupational risk factors associated with CGH among desk-based professionals.

DOI: https://doi.org/10.59564/amrj/04.03/004

Author Biographies

Khaleel Ur Rehman, Sheffield Hallam University, England, United Kingdom

Specialist Physiotherapy Practice

Eeman Malik, Shaheed Zulfiqar Ali Bhutto Medical University, Karachi, Pakistan

Physiotherapist

Mahpara Ali, Shaheed Zulfiqar Ali Bhutto Medical University, Karachi, Pakistan

Physiotherapist

References

Al Khalili Y, Ly NK, Murphy PB. Cervicogenic Headache. [Updated 2022 Oct 3]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507862/

de Wijer A, de Leeuw JRJ, Steenks MH, Bosman F. Temporomandibular and cervical spine disorders: self-reported signs and symptoms. Spine. 1996;21(14):1638-46. doi: https://doi.org/10.1097/00007632-199607150-00005

Jin X, Zhang Q, Lin J, Sun Y, Dong Z, Jin W, et al. Minimally Invasive Interventions for Cervicogenic Headache: A Systematic Review of Targeted Anatomical Approaches and Clinical Outcomes. J Pain Res. 2026 Jan 8;19:549239.

doi: https://doi.org/10.2147/JPR.S549239

Vicente BN, Oliveira R, Martins IP, Gil-Gouveia R. Cranial Autonomic Symptoms and Neck Pain in Differential Diagnosis of Migraine. Diagnostics (Basel). 2023 Feb 5;13(4):590.

doi: https://doi.org/10.3390/diagnostics13040590

Onan D, Younis S, Wellsgatnik WD, Farham F, Andruškevičius S, Abashidze A, et al. Debate: differences and similarities between tension-type headache and migraine. J Headache Pain. 2023 Jul 21;24(1):92.

doi: https://doi.org/10.1186/s10194-023-01614-0

Pescador Ruschel MA, De Jesus O. Migraine Headache. [Updated 2024 Jul 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560787/

Aabrooi S, Shafique S, Javed A, Fatima A, Khan O, Riaz S. Frequency of cervicogenic headache in students due to usage of smart devices-cross sectional survey. Pak J Rehabil. 2022;11(2):36-41.

doi: https://doi.org/10.36283/pjr.zu.11.2/007

Graff-Radford SB. Facial pain, cervical pain, and headache. Continuum (Minneap Minn). 2012;18(4):869-82.

doi: https://doi.org/10.1212/01.con.0000418648.54902.42

Afzal F, Atif MM, Kumar A, Rasul A, Islam A, Nadeem I. Cervicogenic headache and neck pain among computer users. Rawal Med J. 2020;45(2):370-2. Available from: https://api.semanticscholar.org/CorpusID:219434371

Šedý J, Rocabado M, Olate LE, Vlna M, Žižka R, et al. Neural Basis of Etiopathogenesis and Treatment of Cervicogenic Orofacial Pain. Medicina (Kaunas). 2022 Sep 21;58(10):1324.

doi: https://doi.org/10.3390/medicina58101324

Jain H, Pachpute S. Prevalence of Cervicogenic Headache in Computer Users. AIJR Abstr. 2022:56. Available from: https://api.semanticscholar.org/CorpusID:251515250

Yabuki S, Takatsuki K, Otani K, Nikaido T, Watanabe K, Kato K, et al. Headache in Patients with Cervical Spondylotic Myelopathy. Pain Res Manag. 2020 Sep 28;2020:8856088.

doi: https://doi.org/10.1155/2020/8856088

Lefel N, van Suijlekom H, Cohen SPC, Kallewaard JW, Van Zundert J, et al. Cervicogenic headache and occipital neuralgia. Pain Pract. 2025 Jan;25(1):e13405. doi: https://doi.org/10.1111/papr.13405

Li J, Wu B, Wang X, Zhao L, Cui J, Liu J, Guo K, Zhang, et al. Clinical features, risk factors, and a nomogram for predicting refractory cervicogenic headache: a retrospective multivariate analysis. Front Neurol. 2025 Mar 24;16:1531180.

doi: https://doi.org/10.3389/fneur.2025.1531180

McGough S, Fernandes L, Idrovo L. Peripheral nerve blocks for primary and secondary headache disorders: review of current evidence and a practical approach. J Oral Facial Pain Headache. 2026 Jan;40(1):25-31.

doi: https://doi.org/10.22514/jofph.2026.002

Li D, Jin X, Li J, Li M, Jin S, Jin W. Combined ultrasound-guided C2 DRG pulsed radiofrequency and suboccipital myofascial plane block for cervicogenic headache: a retrospective study. Front Pain Res (Lausanne). 2026 Jan 26;7:1725798.

doi: https://doi.org/10.3389/fpain.2026.1725798

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 Feb 1;104(2):pzad154.

doi: https://doi.org/10.1093/ptj/pzad154

Al Khalili Y, Ly NK, Murphy PB. Cervicogenic Headache. [Updated 2022 Oct 3]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507862/

Umer M, Motuma A, Ahmed N, Letta S. Prevalence and Associated Factors of Work-Related Spinal Pain Among Bank Workers in Harar, Eastern Ethiopia: A Cross-Sectional Study. SAGE Open Nurs. 2025 Aug 21;11:23779608251371100.

doi: https://doi.org/10.1177/23779608251371100

Marzban H, Rezaei E, Shahmahmoudi F, Zangiabadi Z, Sahebi A, Makki F, et al. Musculoskeletal disorders among bank workers: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2024 Nov 25;25(1):951.

doi: https://doi.org/10.1186/s12891-024-08077-7

Verville L, Dc PC, Grondin D, Mior S, Moodley K, Kay R, et al. Using technology-based educational interventions to improve knowledge about clinical practice guidelines. J Chiropr Educ. 2021 Mar 1;35(1):149-57.

doi: https://doi.org/10.7899/jce-19-17

Shabbir M, Rashid S, Umar B, Ahmad A, Ehsan S. Frequency of neck and shoulder pain and use of adjustable computer workstation among bankers. Pak J Med Sci. 2016 Mar-Apr;32(2):423-6.

doi: https://doi.org/10.12669/pjms.322.9067

Boota M, Shaban S, Munawar A, Ahmed A. Prevalence of neck pain in bankers of Lahore. Malays J Med Res. 2018;2(1):30-6. Available from: https://ejournal.lucp.net/index.php/mjmr/article/view/243

Herekar AA, Ahmad A, Uqaili UL, Ahmed B, Effendi J, Alvi SZ, et al. Primary headache disorders in the adult general population of Pakistan - a cross sectional nationwide prevalence survey. J Headache Pain. 2017 Dec;18(1):28.

doi: https://doi.org/10.1186/s10194-017-0734-1

Huber J, Lisiński P, Polowczyk A. Reinvestigation of the dysfunction in neck and shoulder girdle muscles as the reason of cervicogenic headache among office workers. Disabil Rehabil. 2013 May;35(10):793-802.

doi: https://doi.org/10.3109/09638288.2012.709306

Downloads

Published

2026-07-30