According to a recent study published in 'European Journal of Pain', the evidence‐based guideline provides recommendations for the conservative management of persistent headaches concerned with neck pain.
The Guideline Expert Panel fabricated an evidence‐based guideline for non‐pharmacological management of persistent headaches related to neck pain (i.e., tension‐type or cervicogenic).
The systematic reviews of high‐quality studies were the basis of this guideline. The cost-effectiveness, clinical advantages, societal and ethical values, and patient experiences were all considered when formulating the recommendations by a multidisciplinary expert panel. The target audience involved clinicians and target population was the adults with persistent headaches concerned with neck pain.

For efficient management of patients with headaches relating to neck pain, the clinicians should:
a. Figure out the main structural or other pathologies, or migraine as the cause of headaches;
b. Sort the headaches concerned with neck pain as tension‐type headache or cervicogenic headache after the other sources of headache pathology has been figured out;
c. Provide care in association with the patient and involve the patient in care planning and decision making;
d. Provide care along with structured patient education;
e. Opt for low‐load endurance craniocervical and cervicoscapular exercises for management of tension‐type headaches (episodic or chronic) or cervicogenic headaches >3 months duration;
f. General exercise, multimodal care (spinal mobilization, craniocervical exercise and postural correction) or clinical massage can be considered for chronic tension‐type headaches;
g. Manipulation of cervical spine should not be regarded as the only form for episodic or chronic tension‐type headaches treatment;
h. Opt for manual therapy (manipulation with or without mobilization) to the cervical and thoracic spine for cervicogenic headaches >3 months duration
i. Reassess the patient at every visit to examine outcomes and determine whether a referral is indicated.

Pierre Côté et al. concluded, "The affect of the guideline in clinical practice requires validation."