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Headache is a common and often disabling disorder affecting all ages. Paradoxically, headache is both a symptom and a disease.
Management of headache therefore requires an understanding of differential diagnosis to ensure management is appropriately directed.
Physiotherapy management includes physical treatments including exercise and manual therapy. But when should these treatments be used?
This presentation will attempt to set the scene, outlining when physical treatments can be used in management.
Learning points:
How common and disabling headache is, how the International Headache Society classifies it, why medication overuse matters, and what the research shows about neck pain and musculoskeletal impairment in migraine.
How the trigeminocervical nucleus explains referred pain between the neck and head, how manual therapy can change its sensitization, and what trials and reviews show for tension-type, cervicogenic and migraine headache.
How migraine, tension-type and cervicogenic headache are told apart, which cluster of physical findings identifies cervicogenic headache, and which red flags, including cervical artery dissection, rule out examination and need urgent referral.
How to measure headache as a baseline for treatment, and how to examine the upper cervical spine with protraction, retraction, rotation with C2 fixed, combined movements, the flexion rotation test and manual examination.
How to assess neural tissue mechanosensitivity, motor control and the temporomandibular joint in cervicogenic headache, and which treatments lower trigeminocervical sensitization, from education and sleep to mobilization and exercise.
Headache is a common and often disabling disorder affecting all ages. Paradoxically, headache is both a symptom and a disease.
Management of headache therefore requires an understanding of differential diagnosis to ensure management is appropriately directed.
Physiotherapy management includes physical treatments including exercise and manual therapy. But when should these treatments be used?
This presentation will attempt to set the scene, outlining when physical treatments can be used in management.
Learning points:
We usually answer within a minute.
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