MTST-281 Lecture Notes - Lecture 2: Tension Headache, Facet Joint, Migraine
15 Jul 2018
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Four components of tx plan: evaluation, tx planning, tx, discharge - then start over. Causes: muscle tension, trp, stress, facet joint irritation, trauma. For headaches: rule out meningitis (fever and neck pain), do slump test. Stand to drain, drains inferiorly: ethmoidal - upper part nasal area, maxillary - cheeks. Drains to side, tilt head to opposite side that"s filled. Tapotement helps - rattles mucosal lining, detaches from membrane. Try not to put in prone because pressure is a lot. Damage to bone, discs, blood vessels, soft tissue, musculature, nerve roots (as a result of swelling), ligaments, esophagus, trachea. Neurological symptoms: if facets are pinching nerve roots. Factors that determine severity: speed, direction of impact, if you"re tensed up - what you"re doing at time of impact. Did you see a doctor? (diagnosis, xrays etc. ) How do you feel? (emotional impact, are they angry) Symptoms: numbness in fingers, pressure in head, inflammation, bruising.
