Migraine And Post-Concussion Headache – Siblings, Cousins Or Just Good Friends?
Migraine and prolonged headache after a concussion co-exist with many common associated symptoms even though their mechanisms of origin are distinct. Nausea, dizziness, fatigue, poor concentration and memory problems, as well as sensitivity to light and sound, are common symptoms of both presentations. Do these similar symptoms occur just ‘by chance’ or do they reflect a closer relationship in pathophysiology? If they do share commonality in pathophysiology why are treatment approaches so divergent. Migraine, as a primary headache condition, is classically treated with medication whilst Post Concussion Headache is treated with more ‘active’ intervention such as cervical spine & vestibular intervention, oculo-motor & balance retraining, aerobic conditioning and psychological interventions.
This presentation will review the literature that compares the symptoms and pathophysiology of both conditions. Discussion will review and compare relevant treatment approaches and possible options for a more holistic approach, particularly for those who have a migraine condition.
Robert Wallis graduated as a physiotherapist in 1985 and currently has 35 years of clinical experience. His career reflects expertise in both headache/migraine treatment and sports physiotherapy. Rob has been the Director of multiple physiotherapy practices and headache centres throughout his career. He has held the position of Chairman of the APA Sport Physiotherapy Group and was awarded APA Titled Sports Physiotherapist in 2000. With a professional direction focused on Headache, Rob attained Watson Headache® Certified Practitioner status in 2014.
After a ten year personal struggle with migraine, Rob attended the Watson Headache® Institute's Level 1 Foundation Course in 2008 which resulted in an almost immediate recovery of his condition. Due to his own personal success with the Watson Headache® Approach, together with those of his patients, Rob’s interest in the headache realm grew. With further study in the area and the completion of the Level 2 Consolidation Course, Rob focused solely on the management and treatment of headache and migraine, launching Sydney Headache and Migraine Centre in 2011. Having attended the Level 3 Certification Course in 2014, Rob is a Watson Headache® Certified Practitioner.
Now with three established headache centers across Sydney and over 13 000 consultations performed, Rob’s experience with the neurological pathology of Migraine patients revealed a significant correlation with Concussion presentations. Rob’s passion and history in both Headache and Sports Physiotherapy, together with a desire to explore this association further, has led to the establishment of Sydney Concussion Centre, providing treatment, education and prevention strategies for people impacted by Concussion.