Already on ArticleSlash?

Forgot your password? Sign Up

The Headache Clinic Courses


Visitors: 390

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.

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.

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;
  • Recognition of the ‘Red Flags’ — intracranial pathology; tumors (particularly in children) or a low volume slow leaking aneurysm which are misdiagnosed significantly — up to 60 per cent; and
  • 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.

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.

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.

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.


Article Source:

Rate this Article: 
The Best Golf Courses in the World - A Top 10 of Golf Courses Guaranteed to ..
Rated 4 / 5
based on 5 votes

Related Articles:

Best vaser liposuction surgery clinic in London Harley Body Clinic

by: Amelia Aitken (January 18, 2013) 
(Health and Fitness/Womens Issues)

Visit a beauty clinic or a laser clinic for latest services

by: Edmund Brunetti (April 24, 2012) 
(Health and Fitness/Beauty)

A Cluster Headache Worse Than The Mind Numbing Migraine Headache? Is That ..

by: Neil Day (April 15, 2007) 
(Health and Fitness)

Headache Pain - 3 Ways to Reduce Headache Frequency

by: Robert Deveau (July 15, 2008) 
(Health and Fitness/Pain Management)

Headache Remedies How to Reduce Your Headache Frequency

by: Robert Deveau (June 25, 2008) 
(Health and Fitness/Headaches Migraines)

Headache Management How Can Coffee Help Your Headache

by: Robert Deveau (July 17, 2008) 
(Health and Fitness/Pain Management)

Hair Transplant Surgery Clinic - Tips to Choose the Best Surgery Clinic

by: Bertil Hjert (June 20, 2008) 
(Health and Fitness/Hair Loss)

Cure Headache- 3 Natural Ways To Cure Headache Fast

by: Mike Bedard (July 01, 2007) 
(Health and Fitness)

Headache Pregnancy - Treatment And Prevention Of Headache During Pregnancy

by: Karin I Manning (August 19, 2007) 
(Home and Family/Pregnancy)

The Best Golf Courses in the World - A Top 10 of Golf Courses Guaranteed to ..

by: Morgan Clarke (December 21, 2007) 
(Recreation and Sports/Golf)