When your head hurts, nothing is easy. Just the act of smiling is hard let alone getting your job done or managing your life. There are various reasons for head pain. This month's issue looks at Cervicogenic headaches and Migraines. Give your head some heart (i.e., love) this month.
Migraine vs Cervicogenic Pain
The symptoms of a cervicogenic headache can mimic those of a migraine, making the diagnosis difficult. Some common symptoms of both are:
Feel sick to your stomach
Have pain in your arm or shoulder
Feel sick or uncomfortable in bright light
Feel sick or uncomfortable with loud noise
Have blurry vision
However, there are subtle differences in a cervicogenic headache that you need to be aware of and they are:
Pain that only occurs on one side of your head or face
Headaches that are triggered by neck movement
Awkward head positions
Pressure on certain parts of the neck
Migraine Headaches and PT
Migraine headaches can be a severe, disabling condition and "cures" are generally elusive. So where does physical therapy fit in? The answer depends on the individual.
Migraine is a centrally-mediated pain disorder. This means that there is a disorder in the central nervous system (the brain and spinal cord), involving the nerves and blood vessels, which results in the pain and the neurologic symptoms associated with a migraine headache. Whereas medications affect the central nervous system in an attempt to address dysfunction, physical therapy primarily involves work on the muscles and joints in the peripheral system. This means that how an individual migraine sufferer responds to physical therapy depends partly on the extent to which the muscles and joints are involved in his or her headache.
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WHAT IS A CERVICOGENIC HEADACHE?
Headaches happen for lots of reasons. It can be hard to know what kind you have and what's causing it. But if it's related to a problem in your neck, there's a good chance it's a cervicogenic headache (CH).
One sign of CH is pain that comes from a sudden movement of your neck. Another is that you get head pain when your neck remains in the same position for some time.
Other signs may include:
Pain on one side of your head or face
Steady pain that doesn't throb
Head pain when you cough, sneeze, or take a deep breath
An attack of pain that can last for hours or days
Stiff neck - you can't move your neck normally
Pain that stays in one spot, like the back, front, or side of your head or your eye
MIGRAINE HEADACHES TREATED WITH TRIGGER-POINT THERAPY
Angelie lived with migraine headaches for decades, experiencing 2-3 episodes per month that could last for several days. Physical side effects included nausea and visual disturbances, all of which caused Angelie to retreat from the life she loved, declining social invitations and professional opportunities in anticipation of yet another migraine.
JENN BERRY TESTIFIES REGARDING PHYSICAL THERAPY BILL
On January 23, Jenn Berry testified on behalf of the Colorado APTA in support of the Physical Therapists Practice Act bill in a committee hearing of the House Public Health Care and Human Services Committee. The Colorado APTA presented 5 amendments to the original recommendations. The committee voted to introduce the bill including the additional 5 amendments which is an important first step in passage of our practice act. The Physical Therapist Practice act defines what a licensed PT is allowed to do as a part of his/her practice in Colorado. This bill includes language describing the exam, evaluation, assessment and interventions as well as requirements for continuing education. Next the complete bill will be reintroduced to the committee and they will vote again to move the bill to the general assembly for a full vote of the House.
Renee Gonzalez is currently on leave from PTIS. She is in Kuwait serving our country and will return to PTIS in mid-August.
We appreciate your patience while we figure out how to do her job without her.
Currently on hold. More information to come in May.
INDIVIDUAL TRX INSTRUCTION
If you would feel more comfortable with a one-on-one session, just let us know.
We can do that!
The FMS (Functional Movement Screen) looks at fundamental movements, motor control within movements, and a competence of basic movement patterns.
Its job is to determine movement deficiency and uncover asymmetry.
With a thorough evaluation of your strength, range of motion, and posture, we can tailor an individual exercise routine specific to your needs by identifying areas that may lead to injury, and strengthening areas that will add power to your game.
MESSAGE FROM GAIL, BEV AND BOB
We appreciate your support and business throughout the last 20+ years. We hope to keep helping you stay active for all your WORK. SPORT. PLAY. for another 20+ years.
Gail Molloy, Beverly Parrott & Robert Letendre
and all the staff at Physical Therapy & Injury Specialists