Headache Was Alleviated In 75 Percent of Patients Analysing diagnostic blocks in 166 patients fulfilling diagnostic criteria for Cervicogenic Headache I have been consulting exclusively those with chronic headache/migraine for the past 30 years i.e. 33000 hours of clinical experience with over 8300 patients. The Watson Headache® Approach, which I have been teaching internationally since
In Headache and Migraine One of the confusing phenomena about Cervicogenic Headache is that its symptoms can present as Migraine, Tension Headache or even Cluster Headache.2-6 So even though your headache may have been diagnosed as Migraine, Tension Headache, Cluster Headache etc., it may actually be a ‘Cervicogenic Headache’… and there is one feature, which
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
CGRP Under the Magnifying Glass There is now widespread agreement that vasodilation is neither necessary nor of a magnitude to be responsible for migraine pain; migraine is a complex neuronal disorder with vascular epiphenomenon.1 Interest in calcitonin gene-related peptide (CGRP) comes from research which suggests that CGRP could play an important role of migraine pathophysiology.
When Managing Headache and Migraine A colleague recently sought to question some of my criticism of medical diagnosis in migraine, see Commentary for Health Professionals, ‘Managing Headache and Migraine: Why Treatment Often Fails‘. My thoughts on my colleague’s comments/queries (in bold italics) follow. Yes there is no test for migraine so the diagnosis is based
In Trigeminal Autonomic Cephalalgias It is refreshing to come across a case study which supports my clinical experience. This study1 describes a woman with a cluster-like pattern of presumably [R] side-locked face and neck pain with associated periorbital and mandibular swelling, tearing, conjunctival injection, and allodynia which was ameliorated by third occipital nerve lesioning –
