-
4 things chiropractors successfully treat
- acute, subacute, and chronic neck pain
- headaches
- cervicogenic vertico
- postural abnormalities and syndromes
-
normal head carriage
- ear lines up with shoulder
- head and neck act as a first class lever
- designed for balance- held in place by anterior and posterior muscles while using little energy
-
3 causes of anterior head carriage
- postural
- traumatic
- congenital
-
how does posture cause anterior head carriage
- either poor resting or poor working posture
- causes inbalance between anterior and posterior muscles
- shoulders roll forward
- upper crossed syndrome
-
what is upper crossed syndrome
- tight neck extensors and pecs with weak deep cervical flexors, traps, and serratus anterior
- causes elevated/protracted shouldser, winged scapula, and protracted head
-
how does trauma cause anterior head carriage
extension from car accident leading to facet syndrome
-
how can anterior head carriage be caused congenitally
hyperplastic cervical articular pillars changing the curve of the cervical spine
-
what are the symptoms of anterior head carriage
- neck pain
- headaches
- mid/upper thoracic pain
-
what are the effects of anterior head carriage
- muscle stress: spasms, strains, and trigger points in posterior muscles. Tightened/contractures in weakened muscles
- Joint stress: upper cervicals, mid cervicals, T4
-
treatment for anterior head carriage
- postural retraining: visualizations, practice, training devices/braces
- stretch tight muscles
- strengthen weak muscles
- massage
- manipulation
- redesign work environment
- frequent stretch breaks
-
types of primary headaches
- muscle tension
- migraine
- cluster
- paroxysmal hemicrania
-
prevelance of muscle tension headaches
- about 74% of population gets on in a year
- 20-30% have more than 1 a month
- if 15 or greater days a month considered chronic
-
episodic muscle tension headaches
- most common form of headaches
- good response to conservative therapy
- mild and infrequent
-
diagostic criteria of episodic muscle tension headaches
- at least 10 previous headaches (less than 15 days/month)
- lasts from 30 min- 7 days
- no nausea/vomitting
- either photo/phonophobia or neither
-
at least 2 of the following criteria must be met for an episodic muscle tension headache
- bilateral location
- pressing/tightening quality
- mild/moderate intensity
- not aggrevated by ADL
-
chronic muscle tension headaches
- continuous but seldom disabeling
- fluctuates in intensity
- might have mild migrainous features
- may last for years without treatment
-
diagnosis of chronic muscle tension headaches
- headache for 15 or more days a month
- lasts for hours/continuous
- only 1: photo, phonophobia, or mild nausea
- neither mod/severe nausea or vomitting
-
2 of the following criteria must be met for a chronic muscle tension headache diagnosis
- bilateral location
- pressing/tightening quality
- mild/moderate intensity
- not aggrevated by ADL
-
treatment of chronic muscle tension headaches
- soft tissue, MFTP work
- correct posture (cervical and CT)
- workplace modifications
- patient education
- CMT
-
general migraine headache information
- females 3:1
- unilateral in adults
- frontotemporal location
- a single person may experiance different migraines
-
possible phases of migraine headaches
- premonitory
- aura
- headache
- resolution
- (dont need to experiance all phases)
-
migraine without aura
- twice as common as auras
- idiopathic
- recurring
- 4-72 hours
- throbbing
- severe
- aggrevated by ADL
-
diagnosis of migraines without aura
- at least 5 attacks
- lasts 4-72 hours
- at least 1:
- a. nausea and/or vomitting
- b. photo AND phonophobia
-
at least 2 of the following criteria must be met for a migraine without aura
- unilateral
- pulsating
- severe
- aggrevated by ADL
-
aura
a complex of neurologic symptoms that occur just before/at the onset of a headache (headache may be absent)
-
diagnosis of migraines with aura
- at least 2 attacks
- aura
- other typical migraine features
-
visual auras
- most common
- scintillating zig zag lines, spots, ect. (colorful or dull)
- flashing lights
- vision changes
- scotomas (tunnel vision)
|
|
