Psychosocial Issues relevant to Cervical Headaches Headaches are common conditions which are seen in 66% of the global population, therefore causing disturbance to both quality of life (QoL) and psychosocial state (Stovner, L., et al. 2007). Cervical Headache or more commonly known as Cervicogenic headache (CGH) is mainly characterized by unilateral headache symptoms which arise from the cervical spine radiating to the fronto-temporal and possibly to the supraorbital region (Pfaffenrath, V. and Kaube, H. 1990; Nilsson, N. 1995). There is controversial evidence on the strict definition of CGH, with some criteria’s including; unilateral headache, neck pain or neck trauma injury (whiplash), reduced cervical range of motion. Although prevalent …show more content…
(2000), undertook a study looking at psychosocial correlates of chronic tension-type headaches, 245 patients went through the assessment protocol, Beck Depression Inventory, Primary Care Evaluation for Mental Disorders. Results shown that headache suffers were 3 to 15 times more likely to receive diagnosis of a psychological disorder when compared to the control (healthy), with questionnaire results demonstrate that social functioning, quality of life, work, and emotional well-being were areas most frequently impaired. Self-efficacy is negatively impacted by cervicogenic headaches by individuals not wanting to successfully engage in everyday activities, this limitation is a barrier that needs to be addressed if treatment for CGH and positive rehabilitation response is wanting to be achieved (Penzien, D.B., et al. 2005). French, D., et al. (2000) found that psychosocial influences do have a significant implication in relation to participation and activity levels in patients. The research revealed that certain psychosocial interventions such as; confidence building, positive reinforcement (when performing tasks), and management strategies for physical activity, this would be directional for developing physical activity promotion interventions thus targeting the crucial psychosocial
Patient states that she has had no head injuries, past or present. Patient states she has never suffered from vertigo or dizziness. BB states that she rarely suffers from generalized headaches. Patient avoids taking pain relievers of any kind when she does present with head pain.
Now, in response to your email dated May 16, 2017, I would rate Dr. Scharf’s report using only a single string. Dr. Scharf’s description of the 3% impairment to the applicant’s headaches appears to be a pain add on to neck injury. If you look at Dr. Scharf’s diagnostic finding, you will note that he describes the residual headaches as predominately cervical/occipitally mediated. Therefore, I believe Dr. Scharf is under the opinion that the applicant’s headaches are stemming predominately from the neck injury. Therefore, treating a 3% Whole Person Impairment as a pain add on seems to be more appropriate on this case.
Migraines can also be treated and prevented with non-drug approaches and lifestyle changes such as a healthier diet, a good amount of sleep, and other approaches. Behavioral treatments such as biofeedback therapy, relaxation techniques, and cognitive-behavioral therapy are one type of technique that may reduce stress and help fight migraine attacks. This technique may help stop the tendency for muscle contractions and uneven blood flow that is associated with some attacks. Behavioral treatments show to be most beneficial to patients who cannot take migraine medications such as children, adolescents and pregnant or nursing women. Biofeedback teaches the patient to realize and modify the physical responses, such as tensing muscles, which are
For the past couple of years, I have witnessed first hand the effects that trigeminal neuralgia does to the human body. My mother was diagnosed with trigeminal neuralgia in 2010. She was suffering from the pain of the condition for more than two years before she was correctly diagnosed at MD Anderson in Houston, Texas. My mother always explained her pain as worse than childbirth, and that is because she has had four children. It caused my mom to have multiple sleepless nights, an aching jaws, constant and excruciating pain, and in one extreme incident, her job locked while she was chewing causing her to choke and had to receive the Heimlich maneuver. Being that she said it was the worst pain in her life, my family knew it was something more than chronic migraines: which is what one of the doctors she saw in the Rio Grande Valley diagnosed her with.
DOI: 6/23/2015. Patient is a 44-year-old male assembler who sustained injury while he was reaching for a part, pulled axle from rack and felt pain in the cervical spine. Per OMNI, the patient is diagnosed with acute cervical sprain and cervical radiculopathy.
Cervical arthritis is a condition that develops in the upper parts of the spine and neck. This is a very painful form of arthritis that affects a number of people. This form of arthritis may develop due to age, but it can also be the result of injury. Fortunately, there are specific treatment options for this form of arthritis.
08/19/14 Progress Report documented that the originally apportioned permanent psychiatric disability in the10/11/13 report. On p. 37, he apportioned 67% of permanent psychiatric disability to headaches and back pain. This means that, of the 67% permanent psychiatric disability caused by pain and limitations, about half or 33.5%, is caused by headaches. Based on Dr. Abeliuk 's most recent report, 10% of this 33.5% or 3.3% is caused by non-industrial factors. The 33.5% of permanent psychiatric disability
Manipulation Technique, Dr. Scott Rosa demonstrated the relationship between decreased CSF flow and intracranial pressure headaches. Two patients presented with severe, long standing headaches following a motor vehicle accident (MVA) whiplash injury. The patients were examined in an upright MRI with cerebral spinal fluid (CSF) flow cine software. The MRI denoted significantly reduced CSF flow at the cranio-cervical
Do you find yourself in serious pain at the end of your working day (or week)? It might just be due to sitting down for a long period of time, or perhaps from standing all day. Muscle aches are common for both types of workers, leaving muscles stiff, sore, and cramped from inactivity or overactivity. However, there are a lot of muscle aches and pains that are blamed on the work day when they may be the result of dehydration and diet.
Neck pain is a common condition, ranking as the fourth most burdensome disease worldwide. Evidence suggests that rates of recurrence and chronicity are high (Borghouts et al, 1998; Hoving et al, 2001), which results in considerable functional and economic implications (Vos et al., 2010). Joint mobilization (JM) is widely acknowledged as an effective intervention (Childs et al., 2008); and the UPA is an entry-level form of JM commonly used by physiotherapists globally. However, a Cochrane review indicated that the most effective cervical JM dosage has yet to be determined (Gross et al., 2010). Unilateral anterior glide (UPA) appears to be more efficacious for pain relief and outcomes in patients with unilateral neck pain compared to other JM techniques (Egwu, 2008). The rationale behind the pain modulation attained with JM has been suggested to be as a result of neurophysiologic mechanisms (Bialosky et al., 2008). For example, spinal manipulative therapy has been associated with increased afferent discharge (Colloca et al., 2003), motoneuron pool depression (Dishman et al., 2005), changes in motor activity (Herzog, 1999; DeVocht, 2005) and reduction of pain perception in response to a standard stimulus (George, 2006; Vicenzino, 1996). The neurophysiologic system that alters pain overlaps with blood pressure (BP) as observed in BP-related hypoalgesia (Vincenzino, 1998; Sterling, 2001). Therefore, BP is a pertinent and easily quantified variable to examine to ensure
Neck pain is a common condition, ranking as the fourth most burdensome disease worldwide. Evidence suggests that rates of recurrence and chronicity are high (Borghouts et al., 1998; Hoving et al., 2001), which results in considerable functional and economic implications (Vos et al., 2012). Joint mobilization (JM) is widely acknowledged as an effective intervention (Childs et al., 2008). However, a Cochrane review indicated that the most effective cervical JM dosage has yet to be determined (Gross et al., 2010). Multiple studies have established a sympatho-excitatory effect resulting from cervical JM (McGuiness et al., 1997; Vicenzino et al., 1998; La Touche et al., 2013). On the contrary, Yung et al. (2014) developed a distinctive dose using anterior-to-posterior pressures (AP) of the cervical spine that resulted in a reduction in systolic blood pressure (SBP) and heart rate (HR), suggesting a sympatho-inhibitory effect. Therefore, it is indeterminate whether cervical JM results in sympatho-excitatory or sympatho-inhibitory effect if the dosage (Yung et al., 2015) is different from the traditional 3 sets of continuous 30-90 second regimen.
I chose cervical cancer because cancer is very common in my family, and my sister was diagnosed with cervical cancer a year ago. Luckily they were able to catch it early and she is now cancer free, but I do believe it is important to know the symptoms and signs in order to help catch these types of things early.
headache, post herpetic neuralgia etc.) or referred pain as a result of convergence and central
Literature review: Articles for cervicogenic dizziness were searched in databases such as PubMed, Ovid, MEDLINE and Scopus. Articles mentioned about the dizziness related to imbalance in the neck and head movement and inflexible neck were considered. Articles mentioned about the dizziness due to other reasons like vertigo and psychogenic dizziness were excluded. In the literature there were very less articles available for the cervicogenic dizziness.
The significant results shown in the above mentioned studies, provide extra support to the theory that a cranial-suture-dysfunction, materialized and felt as a headache, can be easily relieved by way of cranial manipulation. Namely, the CV-4 technique. Applying direct pressure to the fourth ventricle cause a slight separation of the parietal bones which relieves sutural compression and increases brain volume. This increase in brain volume causes the ventricles to enlarge and thereby triggering a state of relaxation. It is for this reason that the CV-4 technique is considered by many therapists as a vital element for the treatment of tension-type headaches.