Orthopaedic Rehabilitation

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| Orthopaedic Rehabilitation -


| Headaches & Migraine -

 

Classification of headache :
  • Vascular(migraine/cluster/aneurism)
  • Tension(muscle contraction)
  • Pressure/Inflammatory(brain tumor,infection, cva)
  • Cranial neuralgias(trigrminal neuralgia,dysfunction of TMJ/assoc muscles)
  • psychotic (usually delusional ie. feels worms inside their head)
Headache Case History Taking Sieve
  • where is the pain?
  • What type of pain?
  • How severe is the pain?
  • What is the duration?
  • What is the onset?
  • What is the frequency?
  • Is it acute or chronic and re-occurring?
  • If chronichas it changed its characteristics or become progressively severe?
  • Does the pain occur at the same time every day
  • Does coughing and sneezing or changing the position of the head affect the headache?
  •  

    Painful structures in the head

  • INTRACRANIAL
  • Venous sinuses
  • Cortical veins
  • Basal arteries
  • Dura of anterior,middle and posterior fossa
  • EXTRA CRANIAL
  • Scalp vessels
  • Scalp muscles
  • Orbital contents
  • Mucus membranes-para/nasal
  • External and middle ear
  • Teeth and gums
  • Examination
  • Active/ passive movements of the cervical spine/temporomandibular joint
  • Compression
  • Blood pressure
  • Eye/vision examination
  • Neurological examination including cranial nerve testing
  • Tap over frontal and maxillary sinuses(if u suspect sinusitis)
  • Kernig’s sign
  • Vertebro basilar insufficiency
  • Migraine  There are a number of trigger factors causing a migraine headache and these can range from the following
  • Chemical toxins
  • Various E numbers
  • Red wine
  • Cheese
  • Chocolate
  • Bright light
  • Enquire Now