Orlas Orthogonal Headaches

Closed head injuries are caused by blunt trauma in which a concussion, contusion, and laceration to the brain may result. The most severe of the closed head injuries is anoxal injury (diffuse type). Diffuse anoxal injury is used related to high speed acceleration/deceleration as with automobile accidents. (Workman, 2006). With this type of injury there is significant damage to the axons in the white matter. Lesions may be found in the corpus callosum, midbrain, cerebellum and upper brainstem. Depending on the severity, small areas of hemorrhage followed by possible enlargement of the lateral ventricles may be detected on CT scan. For severe cases, the majority present in a coma. Survivors usually require long term care.

Migraine headaches are the third most prevalent illness in the world, and ranked as the sixth most disabling illness. Statistics show that only about fifty percent of people who suffer from chronic headaches know that they’re suffering from a migraine. 76% of people who suffer from migraines worry that they will suffer for the rest of their lives, and 37% of sufferers worried about their migraines between attacks. Studies found that approximately 12% of Americans suffer from migraines, and 40% of Americans could benefit from preventative therapies. Even though studies show that at least 40% of sufferers could benefit from preventative therapies, only one in five sufferers are currently using preventative therapies. Studies also show that over 25% of people who suffer from migraine attacks miss at least one working day over the past three months, and nine out of ten sufferers say that they cannot “function normally” during those days. At least 98 percent of migraine attack sufferers take medications for temporary headache relief, whether it be over the counter or prescription. Only 12% of sufferers take preventative medications as opposed to the 98% of sufferers taking medications for relief. Severe migraines are ranked in the highest of seven disability classes, along with psychosis, dementia, and quadriplegia, published by the World Health Organization. People who participated in a survey who admitted to a

A first major argument is whether chiropractic care is effective. The word effective can be defined as, “Adequate to accomplish a purpose; producing the intended or expected result (“Effective”.)” Effective can be also defined in a working definition as, effective states you were successful in producing a desired result. Opponents of chiropractic care are making the claim it is not effective. The opponent makes the argument that at the beginning of your care a doctor might take x-rays to locate the so called problem in your body which can also be known as a subluxation. Though they believe it is not visible to the naked eye most times. Many

3. Cervical "drop" techniques: The patient is told to lie over a special table where the head drop-piece is lifted into a locked position. After that, the chiropractor places the hand over the spinal agreement for making an adjustment. A low to high velocity thrust is applied over the head to bring down the abnormalcy motion of the cervical

Search History: CINAHL complete: (cervical AND traction:ab) AND (manual AND therapy:ab), full text only, published between 2005 and 2014.

DOI: 07/16/2002. This is a 71-year-old male superintendent who sustained an injury when he hit his head on generator and hurt his neck. Patient is diagnosed with cervical strain, cervical degenerative disc disease, cervical facet arthropathy, cervicalgia, lumbago, lumbar degenerative disc disease, lumbar facet arthropathy, and sciatica. As per office visit note dated 5/18/2016, patient complains of flare-up of his muscle spasms. He requested for more chiropractic therapy, which he is currently receiving for his chronic pain. It allows him to have better range of motion of his neck, back, and bilateral upper extremities. He has been able to walk 1 mile every 2 to 3 days for exercise as well as perform at-home physical therapy. Prior to chiropractic

Guilbeau, J. R., & Lenahan, C. M. (2015). Assessment, diagnosis, and management of headache. International Journal of Aquatic Research & Education, 9(2),

Traumatic brain injuries (TBI) consist of pathological intracranial features of alteration in brain function cause by an outside force. TBI’s have plagued emergency rooms in recent years. TBI’s are the number one cause for death and disability in American youth and young adults. The drastic increase in TBI prognosis has been credited to reasons such as; increased competitiveness in sports, increased speeds of automobiles and/or speed limits, increased incidence of thrill seekers, as well as increased sensitivity of medical imaging modalities. The development of certain imaging protocols has made diagnosis of TBI’s more common. Computed tomography (CT) and magnetic resonance imaging (MRI) has paved the way in the imaging and identify process of TBI’s. There are different levels of severity in TBI’s and the diagnostic imaging and the associated application of the Glasgow Coma Scale (GCS) is crucial. The GCS is a point scale in which a clinician can rate the severity of a brain injury and use a numeric value to objectively track progress or decline in the patient’s health. In some cases, the TBI may inflict secondary vascular trauma in which the GCS may assist in detecting.

Due to the cause of this headache type being primarily musculoskeletal in nature, different manners of physical rehabilitation are often utilized. A research article published by the journal BMC Musculoskeletal Disorders studied the effects of upper cervical and upper thoracic manipulation versus mobilization and exercise in patients with cervicogenic headaches (Dunning et al., 2016). The results of the study propose that six to eight sessions of manipulation directed to both upper cervical (C1-C2) and upper thoracic (T1-T2) spinal levels were shown to be more effective than mobilization and exercise alone (Dunning et al., 2016). Individuals in the study experienced reductions in headache intensity, disability, frequency, duration, and medication intake; effects were maintained at a 3 month follow up. While encouraging, the study did present with some limitations, such as it is not known if the effects would have been maintained long term. Another limitation is that multiple secondary outcomes were included in the study, and that the results may not be generalizable to other kinds of manual therapy techniques. However, this study may provide evidence that the management of cervicogenic headaches should include some form of cervical manipulation (Dunning et al.,

Proper positioning of patient is one of the most significant components of physical therapy. Safe and comfortable position is recommended by health care professional. This process should apply immediately after accident and continue during all phases of recovery. Suitable positioning assists in stimulating motor function, raises sensory awareness, improve respiration and can help normal range of motion in trunk and extremities. One of the most important effects of positioning is to prevent pressure ulcers. Mostly patients lie on back, involved side of non-affected side. The body points that should be considered are shoulder and pelvis. Gluteus maximus and rhomboid muscles become stiff retract shoulder and pelvis. Due to this, shoulder and pelvis must be positioned in a bit protraction in order to decrease spasticity and tightness.(Mehrholz, 2012)

Epidemiological research has determined that headache disorders are the most prevalent of all neurological conditions; and have demonstrated that the psychosocial impact of headaches is significant (Shapiro & Goadsby, 2007; Smitherman, McDermott, & Buchanan, 2011). Additionally, migraine is the most prevalent disabling neurological condition which disproportionately affects approximately 17-18% of women (nearly three times more common than in men) during their prime productivity years (Graves, 2006; Shapiro & Goadsby, 2007). Chronic headaches, especially those severe in intensity, result in loss of productivity (i.e. missed days of school or work and/or related activities) and account for an estimated 10 million primary care provider office visits per year (Curry & Green, 2007).

Over the last several years there have been challenges in the various state legislatures against the physical therapy profession via legislation promoted by chiropractors attempting to prohibit the PT scope of practice since its inception. Manipulation techniques are manual (hands on) skilled passive movement treatment techniques used by Physical Therapists, Physicians, Osteopaths and Chiropractors. Chiropractors argue that physical therapists are not trained to practice TJM; Chiropractors also claim that manipulation provided by PTs place the public at risk for serious injury. Cervical spine manipulation techniques pose a risk of adverse effects that range from mild soreness to severe neurovascular injury. Adverse reactions to cervical spine manipulation may include a temporary increase in neck pain, radiating arm pain, headache, dizziness, impaired vision, or ringing in the ears.25 Although minor temporary adverse reactions to cervical spine manipulation are fairly common, catastrophic complications from cervical manipulation are extremely rare.

It poses a major health problem in higher income countries as it is the leading cause of mortality and disability in young people [1]. Brain trauma can be caused by a direct impact or by acceleration alone. In addition to the damage caused at the moment of injury, brain trauma causes secondary injury which includes a variety of events that take place in the minutes and days following the injury. These processes, which include alterations in cerebral blood flow and the pressure within the skull, contribute substantially to the damage from the initial

Introduction: Thunderclap headache (TCH), defined as a severe headache with acute-onset, is a well-known presentation of subarachnoid hemorrhage (SAH) and other intracranial pathologies involving the CNS.1 However, reversible cerebral vasoconstrictive syndrome (RCVS), defined by recurrent headaches (often TCHs) with or without focal deficits, and segmental vasoconstriction of the cerebral arteries, is a remarkably common yet under-recognized cause of TCH.1 While RCVS generally follows a benign course, RCVS may precipitate catastrophic complications including SAH and ischemic or hemorrhagic stroke in a minority of patients.2 This case aims to enhance the recognition of this relatively common, and potentially life-threatening, cause of TCH.

But muscles that attach to the rib cage should also be assessed for proper length. The pectoralis major attaches to the superior 6 costal cartilages. If there is limitation in horizontal abduction, one can assume that there will be resultant tightness in the rib mobility where the muscle attaches. If there is latissimus or intercostal tightness, there may be a limitation in shoulder flexion. Length of the anterior neck musculature can be assessed during exhalation. The sternum should be able to descend fully without concomitant posterior cranial