With Cervicogenic Management Recent evidence suggests that migraine is a progressive condition in which over time, episodes become more frequent, more severe, less responsive to medication, and last longer. Research has shown that by (surgically) treating/removing disorders (which were evident on an MRI scan) in the upper cervical (neck) decreased the long-term worsening of the
Reproduction of Headache That reproduction of headache when examining the upper cervical structures is inappropriate… is to be avoided – wrong! It is crucial! Reproduction (and resolution) is exactly what is needed24 – without it you are in ‘no man’s (or woman’s) land’… the guessing game continues! References: Kaube H, Katasavara Z, Przywara S, Drepper
Is Your Headache or Migraine Preceded or Accompanied by These Symptoms? If so, this is a strong indicator that your neck is involved. Although neck pain is common in the general population it is even more common headache and migraine patients. In a study of migraine and tension headache patients, 76% and 89% respectively reported
Psychosocial Factors Are Not Instrumental For decades, studies focusing on personality and psychological profiles of those with migraine have dominated journals. The end result suggests that depression and anxiety is increased among migraineurs,1 and a strong correlation between pathological personality and migraine.2 I was intrigued and bemused by a recent study demonstrating that those with
Has There Been a Gradual Increase Over the Years? If yes, this is a clear indicator that your neck is involved. A gradual (as distinct from a sudden, recent) increase in headache or migraine frequency indicates that a neck disorder (usually stiffness of one or more of then top three spinal segments) is worsening, resulting
Is It Useful To Assess In Headache? In a recent international survey, 17 internationally recognised physiotherapy headache experts was conducted to identify which physical examination tests are considered most clinically useful.1 In addition, the international experts were asked to specify for which types of headache i.e. Cervicogenic Headache (CH), Tension-type headache (TTH) and Migraine (M)
