Non-pharmacological management of persistent headaches associated with neck pain


Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration



This guideline was based on systematic reviews of high-quality studies. A multidisciplinary expert panel considered the evidence of effectiveness, safety, cost-effectiveness, societal and ethical values, and patient experiences (obtained from qualitative research) when formulating recommendations.

Wording of recommendations:

This guideline has adapted the methodology proposed by the Nation Institute for Health and Care Excellence (NICE) to develop recommendations for clinical practice guidelines. This methodology reflects the strength in the wording of the recommendation. The wording of the recommendation reflects the preponderance of evidence and emphasizes the involvement of the patient. 

Year of Publication: 2019

Link to Guideline: click here

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Guideline Summary

  • The CCGI recommends the use of this guideline, based on its quality and reporting as per the Appraisal of Guidelines Research and Evaluation (AGREE) II tool (available upon request). 

  • This guideline targets headaches associated with neck pain (i.e., tension-type or cervicogenic) caused or exacerbated by traffic collisions, but was informed by studies conducted in adults with traumatic, non-traumatic, or work-related pain.