cervicgenic headache - The Headache Clinic Courses
 

The Headache Clinic Courses

This course challenges traditionally held beliefs. There are over 300 different types of headache described in the literature ??? are there 300 different causes of headache? No. There is not a year that goes by when another headache type is recognized including 'ponytail headache' and 'chewing gum headache'! Headache diagnosis is one of the longest lists of differential diagnosis in medicine.


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  ??? Potential Instability ??? it has been argued that at best, it is presumptive of us, and at worst dangerous, for us as physiotherapists to be assessing the craniovertebral ligamentous structures; the ability to recognize instability before you lay your hands on is crucial. To err is human, to forgive is divine. So we would indeed deem you to be divine if you forgive us for any misunderstandings that may arise in this article on Headache.

Reproduction and lessening of headache (as the technique is sustained) is crucial otherwise a false impression may be gained. Reproduction with subsequent lessening of symptoms implies that the dysfunction is relevant and, combined with knowledge of the relevant biomechanics and recognition of clinical patterns; it is possible to determine at a segmental level the source of the headache during a headache free period.

Research has demonstrated that cervicogenic dysfunction exists in different headache forms but is it relevant? Dean has developed innovative examination techniques, which not only ascertain if cervicogenic dysfunction is relevant to headache or migraine but can also determine which of the spinal segments or combination thereof is responsible. This diagnostic accuracy underpins successful management. Interesting is what we had aimed to make this article on Ponytail Headache. It is up to you to decide if we have succeeded in our mission!

The subjective examination of headache is arguably more important than in any other musculoskeletal condition for three reasons: ??? In other musculoskeletal conditions there are reproducible objective signs which can be reassessed but this is not the case in headache ??? there is an increased reliance on the subjective features; Time and tide waits for no man. So once we got an idea for writing on Headache Migraine, we decided not to waste time, but to get down to writing about it immediately!

 

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This is a highly practical course based on current research and Dean's unparalleled clinical experience (see profile) in the assessment (identification of) and management of relevant cervicogenic dysfunction in benign recurring headache.

Are you not confident using high velocity thrust techniques in the upper cervical spine? The treatment of relevant movement abnormalities does not involve high velocity thrust techniques. This course will demonstrate assessment and treatment on participants with headache and Dean also examines two unseen patients.

The course also reviews the standard examination techniques of craniovertebral stability (and the subjective features suggestive of potential instability). Arguably some of the tests are gross, potentially missing some of the minor instabilities we are presented with and at worst dangerous as they are stressing already vulnerable structures; alternative testing which lessens the impact on possibly already damaged structures will be demonstrated and practiced.


Kevin Higginson

 
 
     
 
 





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