Musculoskeletal Evaluation of Patient
- Observe head and neck posture
- Discuss body mechanics related to head and neck postures
- Assess cervical ranges of motion
- Palpate muscle for myofascial trigger points
- Palpate joints for segmental pain
Two Types of Headache
There are 2 headache types: primary and secondary.
Tension-Type Headaches
Tension-type headaches often are associated with several history and exam findings.
Characteristics
- Mild to moderate pain
- Bilateral
- Non-throbbing
- No nausea or vomiting
- Not aggravated by activity, sound, or light
Precipitating Factors
- Neck movement
- Sustained head and neck postures
Exam Findings
- Tenderness (taut bands) in the head, neck or shoulder muscles
- Pericranial muscle tenderness (temporomandibular joint)
Physical Therapy and Chiropractic Treatments
Physical therapy and chiropractic treatments can be helpful for managing chronic headaches.
Manual mobilization of cervical facet joints
Post-Isometric Relaxation and Muscle Stretching
Physical Therapy and Chiropractic Treatments
Physical therapy and chiropractic treatments can be helpful for managing chronic headaches.
Manual Myofascial Trigger Point Release (Deep Tissue Massage)
Manual or Mechanical Cervical Traction
Posture Advice and Work Station Ergonomics
Self-Care and Home Exercises
Physical Therapists and Nurses
Physical therapists should work together with nurses to promote patient health and wellness.
Reinforce Lifestyle Modifications
Provide Non-Pharmacological Interventions