Posts tagged headache
Significant Cervical Weakness Found Among Patients With Migraine
migraine-headache-treatment-strengthening

According to the Global Health Burden studies, Migraine is the 3rd most prevalent disorder (14.7% of global population: 1 in 7 people)  and 3rd most cause of disability in those under 50 years old. It is more prevalent than diabetes, epilepsy and asthma combined. Migraines occur with 17% of women and 6% of men.  Symptoms of migraine include: Headache on bilateral or unilateral sides around temporal region, with or without visual disturbances.

A recent study (JOSPT 2019) investigated the role of the musculature in the cervical spine in those with migraines. A lack in neck endurance strength of the neck musculature has been shown to be correlated with chronic migraines. The authors found a significant difference in neck extensor and flexor strength with those with and without migraines. The findings of the study suggest addressing the strength of the musculature of the neck to assist in management of headaches

Upper Cervical Spine Treatment Improves Outcomes In Patients with Jaw Pain and Headache
boulder-jaw-pain-TMJ-TMD-treatments

Temporomandibular joint (TMJ) pain or Temporomandibular Disorder (TMD) is a painful condition limiting a patient’s ability to utilize the joint moving the lower jaw on the skull. When painful this joint limits an individual’s ability to eat, speak, and yawn. Pain is often felt in front of the ear over the joint surfaces. In addition to joint pain, patients often experience significant soft tissue and pain in the muscles involved in the aforementioned functions. Frequently patients with TMD experience concurrent headache symptoms driven from the cervical spine.

The upper cervical spine composed of the upper two vertebrae and the skull has an important contribution to TMJ function. These two regions of the upper quarter work closely together during normal head, neck, and jaw movements. Researchers and clinicians often find restrictions in the mobility and motor function of the upper cervical spine in patients with jaw pain. In our Boulder Physical Therapy practice, we find optimal outcomes after treating both regions in patients with jaw pain. A recent research article supports this treatment approach.

Calixtre and colleagues examined the impact of upper cervical manual therapy and deep cervical flexor strengthening in patients with TMD and headache (J Oral Rehabil. 2018). Authors randomized 61 patients to either upper cervical mobilizations and strengthening exercises or a control group. Patients in the intervention group received manual therapy and exercise interventions over 5 weeks. Authors reported significant reductions in both headache symptoms and oral, facial pain in the intervention group. This study highlights the importance of examining and treating adjacent body regions to the area of a patient’s pain.

Click Here To Schedule Your Initial Evaluation and Treatment With The Experts At MEND