Referred pain mechanisms cause sensations to appear to originate within the human skull
Referred pain mechanisms, particularly involving convergence within the trigeminocervical complex, frequently cause pain sensations to appear within the head and skull.
The retrieved papers consistently support the physiological basis of referred craniofacial pain through trigeminocervical convergence, demonstrating how pain originating outside the skull (such as in the cervical spine) is perceived as originating within it.
Gutierrez GG, McCormick ZL, Engle MP, Gilmore CA, Pingree MJ, Pope JE, DiBenedetto DJ, Kissoon NR, Sayal PK, Zurn CA, Crosby ND, Boggs JW. A multicenter, prospective, single-arm study of 60-day peripheral nerve stimulation of the occipital nerves for the treatment of headache.. 2025. https://doi.org/10.1111/head.14948
Demonstrates how stimulation of occipital nerves effectively treats headaches by addressing pain mechanisms originating near the skull.
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Sillevis R, Khalaf N, Weiss V, Sanchez Romero EA. Integration of External Vagus Nerve Stimulation in the Physiotherapeutic Management of Chronic Cervicogenic Headache: A Case Report.. 2025. https://doi.org/10.3390/healthcare13162030
Highlights how upper cervical and autonomic dysfunctions converge at the trigeminocervical complex to cause head and suboccipital pain sensations.
Pankrath F, Pelai EB, Oliveira-Souza AIS, Baghbaninaghadehi F, Dennett L, Svensson P, Piekartz HV, Armijo-Olivo S. Integration of nociceptive activity from orofacial, cranial and cervical regions in the trigeminocervical nucleus: a scoping review with clinical implications.. 2025. https://doi.org/10.22514/jofph.2025.042
Examines how nociceptive activity from cervical regions connects through the trigeminocervical nucleus to mediate the referral of pain.
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