Tension-type headaches are headaches related to muscle trigger points or muscle tenderness in the head and neck and are the most common type of headache in adults. In our Boulder physical therapy practice, we utilize hands-on techniques addressing muscles and joints of the upper cervical region for headaches. A recent systematic review and meta-analysis (Jiang...
Neck Pain Background Information Neck pain affects 10-15% of the population at any one time, with a lifetime incidence of 22-70% (1). Only 6% of patients with neck pain report resolution of symptoms at one year (2). A recent systematic review demonstrated the prognosis from idiopathic neck pain is poor (3) and 50-75% of patients with neck...
By Dr. Ian Nay, PT DPT OCS Overview Headaches are extremely common in our population, especially in athletes and people who spend a lot of time on the computer or phone. Examples of athletes who may have these symptoms are football lineman who are looking up constantly, cyclists, CrossFitters and weightlifters who perform overhead motions...
Time and money are two finite resources especially in today’s healthcare environment of rising deductibles and decreased access to primary care services. Thankfully in Colorado patients have a choice on who to see first for their muscle, tendon, and joint pain. State law enables Coloradans to see a Physical Therapist without a prior referral. This...
Spinal manipulation may be one of the oldest forms of treatment in medicine dating at least back to Hippocrates. This intervention is most commonly performed by Physical Therapists, physicians, and chiropractors. In our Boulder and Lafayette Physical Therapy clinics our Physical Therapists have advanced training in the utilization of manipulation for both the spine and...
Headache Background Headaches cause nearly $31 billion in indirect costs annually in the US (10). Within patients with headaches, a cervicogenic source can be found in 4% of the general population, 17.5% of those with severe headaches, and up to 53% of those with headache post whiplash injury(11). The upper cervical (C2/C3) facet joints have...
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...
Headaches are a common source of pain and disability with total costs estimated over 30 billion dollars per year. Patients’ signs and symptoms help classify headaches into categories including migraine, tension type, cluster, and cervicogenic but some are found to be multifactorial in nature. Some of the most effective interventions for headache are provided by...
Concussions have received significant media and medical research attention over the last decade due to in part to the incidence of chronic traumatic encephalopathy (CTE) among former football athletes. This increase in attention to brain injuries has led to improved medical training and early recognition of concussion symptoms leading to improved care of athletes and...
By: Maggie Gebhardt, PT, DPT, OCS, FAAOMPT Myofascial pain can mean a lot of things, but in essence it is the painful condition that results from alterations in the muscle and fascial system of the body. Any area of the body can be affected, and it can manifest as muscle pain, referred pain, stiffness, and...
