What is a migraine headache?

Migraine headache with or without aura is a primary type headache and can be very disabling with photophobia and phonophobia. Here are the characteristics and clinical presentation of migraines.
ENROLL IN OUR COURSE: bit.ly/PTMSK
GET OUR ASSESSMENT BOOK ▶︎▶︎ bit.ly/GETPT ◀︎◀︎
OUR APP:
📱 iPhone/iPad: goo.gl/eUuF7w
🤖 Android: goo.gl/3NKzJX
🆕Merchandise: teespring.com/...
🚨 HELP TRANSLATE THIS VIDEO 🚨
If you liked this video, help people in other countries enjoy it too by creating subtitles for it. Spread the love and impact. Here is how to do it: • Video
👉🏼 SUPPORT THIS CHANNEL 😊 : bit.ly/SPPRTPT 👈🏼
📚 ARTICLES: IHS Guideline: www.ihs-headach...
HIT-6: neurohealth.inf...
Visit our Website: bit.ly/web_PT
Like us on Facebook: bit.ly/like_PT
Follow on Instagram: bit.ly/IG_PT
Follow on Twitter: bit.ly/Tweet_PT
Snapchat: bit.ly/Snap_PT
#physiotutors #migraines #headache
------
This is not medical advice! The content is intended to be educational only for health professionals and students. If you are a patient, seek care of a health care professional.

[@lachainesanteyoutube]

Finally a good video about migraine!

[@Physiotutors]

Appreciate it!

[@jonathankhoo1718]

A good differential between.migrsine and cva. Migraine aura slowly builds and then fades whereas cva generally happens very quickly and stays

[@mahidharreddy10]

Really a good insight, do you provide any online physiotherapy sessions online? It helps a lot for us in India.

[@simonavelcheva4672]

Hey, physiotutors! Are you going to upload a video about interventions for migraine. Big thanks🙏🏻

[@Physiotutors]

Not so much fancy treatments. Evidence suggests that cardio is an effective treatment option.

[@simonavelcheva4672]

I’ll try then. I’m hoping that it will help. 🙏🏻 Thank you again!

[@fatimatay9765]

Great😍😍

[@Physiotutors]

Thx Fatima!

[@diejeekoen]

Migraine sufferers diagnosed as such by a headache neurologist turned out way to often have cervicogenic cause. There is a big task waiting for us physiotherapists. A lot of them can be cured and become medicaments independent eben after decades! In fact when you know how to look and to treat, a lot of primary headache patients turns out to have an important causal factor in the upper neck. And that is also the explanation why some patients don't fit in a classification, or develop from a tension type headache patient to a migraine patient, sometimes over years when their neck worsens, sometimes during an attack, and why sone patients have alternating migraine. I treat 2 to 4 headache patients per day since more then 10 years. ( Not the same patients😀) look for the Dean Watson Headache method.

[@Physiotutors]

Hm, not sure regarding the low prevalence of cervicogenic headache in the literature of 0,17-4,1% (Knackstedt et al. 2010; Antonaci et al. 2011; Sjaastad et al. 2008). There is definitely a lot of studies showing MSK impairments in migraine patients that healthy subjects don't have. No evidence out there atm for the effectiveness of MT in migraine, but for aerobic training. Can you explain what Watson suggests in a nutshell?

[@diejeekoen]

@@Physiotutors Hi Andreas, before Sjaastad described the criteria for cervicogenic headache it was practically non existent and headache was only diagnosed and treated by neurologists. However his criteria for cervicogenic headache may be far too selective and the conclusion that when you don't fulfill this criteria there is no cervicogenic cause, too premature. Rene Castien promoted for example on his research that MT is effective by TTH: www.ncbi.nlm.nih.gov/pubmed/20647241.He found that weakness and training of the deep neck flexors has some effect. In the theory of Dean Watson the upper cervcal spine and particulary a disturbance of the C2-3 disc may play often a major role in all sort of headaches. The disturbance of the C2-3 disc causes malposition of the upper cervcal spine and hypertonus of some upper cervical musculature ( more often symmetric by tension headache and more unilateral by migraine or cluster haeadache). This leads to sensitisation of structures in the upper cervical spine what leads to nociceptive simulation of the TCN. (and yeah, because of the disturbances the upper neck flexors may become deactivated and performe worse and may become weak as a result). The assement of Dean Watson looks for a C2-3 disc disturbance, the malposition of the upper vertebraes and reproduction and resolution of the patients typical headache pattern. When found positive, key of the treatment is to normalize the behaviour of the C2-3 disc first and then treat the sentisized structures. To continue the treatment there must me some succes within 6 treatments. When the treatments of the upper cervical spine is succesfull and the nociceptive input from the spine was the main factor of the senstisation of the TCN, the headache and migraine will disappear and the sensitivity for other triggers also. My critics to the method is that it is mainly passive ( except for posture instructions) and the method relies for a important part on palpation skills. I found it difficult to learn this manual skills and I still have my doubts if when the therapy fails by some patients it is because of me. But as the succesrate I reach under the bottomline is that high by the population that comes to me (some may have selected themselves as they think there headache has something to do with their neck) and the burden of the patiënts is often that high and the meaning of the relief that important, I have to stick to it. Here some literature headachejournal.onlinelibrary.wiley.com/doi/full/10.1111/head.12336 and headachejournal.onlinelibrary.wiley.com/doi/abs/10.1111/j.1526-4610.2012.02169.x For more puplications look on Deanäs website under the header publications: watsonheadache.com/about-dr-dean-watson/ Hope it arouses your interest.

[@Physiotutors]

There is certainly a lot that can be done for headache patients by physios. Not sure how a disc at c2/c3 can be "normalized". We'll have a look at the papers

[@diejeekoen]

@@Physiotutors you can check with patients without and with headache/neck complaints how good the C2-3 moves toward extension, by lying the patient supine with the head outside of the treatment table and with the indexfinger on spinosus C3 to fixate his position and supporting with the other hand C210. Then make an gliding extension by sinking and angulating the head downwards. (From the form of the vertebrae and disc it is assumable C2-3 should act a bit like a saddle joint) I predict a lot of headache patients have way less movement in relation to none headache sufferers. Only the latter will also experience pain from the pressure of your indexfinger. What could block this movement and be so painfull? The intervertebral disc is most plausible to me. But nonetheless patients report when treated succesfully, less upper cervical muscle tone, less headache to total resolution, and the gain in extension ROM in sitting is clear, often upon 30 degrees. So yeah I cannot convince you scientifically, because this is not proven in literature that this theoretical model is right, but I thought the input from the practical point of view can be worthfull too, because there so much severe headache sufferers. Some them I treated were suicidal...By the way i like the way of how your channel communicates respectfully and like the no nonsense scientific and clear input. Keep going!

[@nishashoamya674]

Wow..keep going

[@Physiotutors]

For sure!

[@JasvirSingh-hz2yr]

very helpful as usual..... could you guys please make a video on documentation in physiotherapy ?.. in formats like SOATAP/SOAP. .. just a request.... cheers

[@Physiotutors]

We don’t personally use the SOAP method. We know it’s widely used in Canada and the states. We work with the RPS form

[@RAVI-tm6ky]

👍

[@vidushigulia2998]

Deadly pain

[@jamigen1]

My headaches last from 7- 20minutes but some every 2-4 hours.

[@Physiotutors]

For any personal health or rehab questions we recommend to consult with our partners at yourphysio.online for a remote physiotherapy consultation.

[@4ksandknives]

T___T. I have 4/6 of the symptoms. Best tip, identify the triggers and mitigate those bastards.