Headache 2

Headaches

Article by John Miller

What is a Primary and Secondary Headache?

The International Headache Society classifies headaches as Primary or Secondary.

Primary headaches are not related to any other problem and include migrainestension-type headaches and cluster headaches.

Secondary headaches. Caused by an underlying problem and can include a post-whiplash headacheneck headache, jaw headache and drug withdrawal headache. “Ice cream headache” is a secondary headache caused by extreme cold within your mouth. In other words, a secondary headache is a symptom of something else being wrong rather than the cause itself. Treatment for a secondary headache involves treating the source, e.g. loosen some stiff upper neck joints or stop eating ice cream!

Mixed Headache-Migraine Types

You can simultaneously suffer one, two or more types of headache or migraine.

One type may cause another or overlap with another. For example, a painful neck can cause increased muscular tension, which will increase your blood pressure. In this scenario, you would be suffering a neck headache + a tension headache, + a migraine!

Migraine

In our experience, finding the primary source of your headache or a migraine is the key to successful management.

What Else Could Be Causing Your Headaches or a Migraine?

Your physiotherapist and doctor will be able to assist with your diagnosis and headache source. Sometimes specific tests can confirm your diagnosis. On other occasions, it can be by process of elimination.

Unfortunately, there is a sinister cause of your head pain in a small percentage of patients, which requires investigation. These can include brain tumours, aneurysms, meningitis and other systemic illnesses.

Your physiotherapist or doctor may recommend that you complete a headache or migraine questionnaire that will assist in your headache classification, diagnosis and treatment. Once you complete these questionnaires, please present your physiotherapist or doctor's results to help with your diagnosis and treatment.

At PhysioWorks, we are interested in assessing, diagnosing, and treating neck, stress, and jaw headaches.

Please consult with your healthcare practitioner for an accurate diagnosis and treatment pathway.

More info: Headaches & Migraines

Article by John Miller

Suffering a Headache or Migraine?

If you are suffering from a headache or migraine, it is appropriate that your first step is to consult your doctor. Your doctor will examine you and determine if a neurological opinion is required and whether a CT or MRI scan of your head is necessary. In the vast majority of cases, your scans will be reasonable. Occasionally, scans can identify significant but luckily uncommon headache sources such as an aneurysm or tumour.

If Your Scan is Normal?

Firstly, you should feel relieved. Scans will rule out the more sinister causes of headaches or migraines.

Discovering Your Headache Source?

headache treatmednt

We recommend that you should then commence a process of elimination, starting with the most commonly diagnosed and easily fixed sources.

Two familiar sources of headache that can undertake an assessment and elimination are neck headache and jaw headache.

Researchers believe that at least one in four headaches are neck origin. A thorough examination of your neck by a skilled headache physiotherapist is your next port of call. You'll have over a 25% chance that your physiotherapist will confirm and then relieve your headache at your first consultation.

More info:

Headache & Migraine

Neck Headache

Jaw Headache

What is Physiotherapy Treatment?

Physiotherapists help people affected by illness, injury or disability through exercise, manual joint therapy, soft tissue techniques, education and advice.  Physiotherapists maintain physical health, allow patients to manage pain and prevent disease for people of all ages. Physiotherapists help encourage pain relief, injury recovery, enabling people to stay playing a sport, working or performing daily living activities while assisting them to remain functionally independent.

There is a multitude of different physiotherapy treatment approaches.

Acute & Sub-Acute Injury Management

physiotherapy treatment

Hands-On Physiotherapy Techniques

Your physiotherapist's training includes hands-on physiotherapy techniques such as:

Your physiotherapist has skilled training. Physiotherapy techniques have expanded over the past few decades. They have researched, upskilled and educated themselves in a spectrum of allied health skills. These skills include techniques shared with other healthcare practitioners. Professions include exercise physiologists, remedial massage therapists, osteopaths, acupuncturists, kinesiologists, chiropractors and occupational therapists, to name a few.

Physiotherapy Taping

Your physiotherapist is a highly skilled professional who utilises strapping and taping techniques to prevent and assist injuries or pain relief and function.

Alternatively, your physiotherapist may recommend a supportive brace.

Acupuncture and Dry Needling

Many physiotherapists have acquired additional training in acupuncture and dry needling to assist pain relief and muscle function.

Physiotherapy Exercises

Physiotherapists have been trained in the use of exercise therapy to strengthen your muscles and improve your function. Physiotherapy exercises use evidence-based protocols where possible as an effective way that you can solve or prevent pain and injury. Your physiotherapist is highly skilled in prescribing the "best exercises" for you and the most appropriate "exercise dose" for you, depending on your rehabilitation status. Your physiotherapist will incorporate essential pilates, yoga and exercise physiology components to provide you with the best result. They may even use Real-Time Ultrasound Physiotherapy so that you can watch your muscles contract on a screen as you correctly retrain them.

Biomechanical Analysis

Biomechanical assessment, observation and diagnostic skills are paramount to the best treatment. Your physiotherapist is a highly skilled health professional. They possess superb diagnostic skills to detect and ultimately avoid musculoskeletal and sports injuries. Poor technique or posture is one of the most common sources of a repeat injury.

Hydrotherapy

Aquatic water exercises are an effective method to provide low bodyweight exercises.

Sports Physiotherapy

Sports physio requires an extra level of knowledge and physiotherapy to assist injury recovery, prevent injury and improve performance. For the best advice, consult a Sports & Exercise Physiotherapist.

Vestibular Physiotherapy

Women's Health

Women's Health Physiotherapy is a particular interest group of therapies.

Workplace Physiotherapy

Not only can your physiotherapist assist you in sport, but they can also help you at work. Ergonomics looks at the best postures and workstations set up for your body at work or home. Whether it be lifting technique improvement, education programs or workstation setups, your physiotherapist can help you.

Electrotherapy

Plus Much More

Your physiotherapist is a highly skilled body mechanic. A physiotherapist has particular interests in certain injuries or specific conditions. For advice regarding your problem, please get in touch with your PhysioWorks team.