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Headache patients – dream or nightmare? Top tips from my headache student clinics · MSKMag OutLoud

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  SPEAKER_00: Patients, dream or nightmare?
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  SPEAKER_00: Top tips for my headache student clinics.
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  SPEAKER_00: Written by Helena Bridge.
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  SPEAKER_00: Sponsored by PhysEquip.
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  SPEAKER_00: Equipping the NHS private clinics and elite sports teams with world-class technology
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  SPEAKER_00: and education.
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  SPEAKER_00: Are you ever uneasy when faced with a headache patient?
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  SPEAKER_00: Could you recognize potential trouble and respond appropriately?
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  SPEAKER_00: Headache disorders are commonly seen in our practices.
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  SPEAKER_00: Almost 10% of osteopathy appointments solely for help with headaches and facial pain.
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  SPEAKER_00: This statistic shocked me into headache education research myself and ultimately
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  SPEAKER_00: into helping to create an evidence-based headache education program
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  SPEAKER_00: for allied health professionals.
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  SPEAKER_00: Historically, we barely had any headache education in our undergraduate program.
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  SPEAKER_00: Did you?
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  SPEAKER_00: Most of us will experience a headache in our lifetime.
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  SPEAKER_00: About one in seven people live with migraine, increasing in women in their late 30s, early 40s.
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  SPEAKER_00: In those diagnosed with migraine, almost one in five have sought help from a physiotherapist.
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  SPEAKER_00: About 5% of us have more headache days than clear days.
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  SPEAKER_00: These are known as chronic headaches.
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  SPEAKER_00: These disorders are associated with personal and societal burdens
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  SPEAKER_00: of debilitating pain and disability,
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  SPEAKER_00: damaged quality of life, and unthinkable personal and societal financial cost.
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  SPEAKER_00: We can legally put cervicogenic headache and migraine prevention on our websites,
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  SPEAKER_00: yet are we really ready for the forensic attention to detail demanded of us
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  SPEAKER_00: by our headache patients?
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  SPEAKER_00: Headache specialists do routinely refer their patients
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  SPEAKER_00: for physical intervention alongside pharmacological therapy,
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  SPEAKER_00: especially if neck pain with movement restriction is present.
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  SPEAKER_00: Physiotherapy is most used by neurologists for some patients
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  SPEAKER_00: with cervicogenic headache, chronic migraine and tension type headache.
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  SPEAKER_00: Evidence for the usefulness of physiotherapy combining manual therapy
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  SPEAKER_00: with exercise training and patient education abounds but is not perfect.
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  SPEAKER_00: A whole bunch of tests exist
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  SPEAKER_00: to help diagnose cervicogenic headache plus likely cervicogenic triggers and drivers
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  SPEAKER_00: for migraine and tension type headaches.
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  SPEAKER_00: It's good to know that only four tests are most useful.