Migraine and Headaches how Physiotherapy can help

In previous articles in our blog we have talked about the different types of migraine and some tips to help with them.

Article available at the following link: https://www.5starclinicltd.com/migraine/

In this article we want to talk in depth about how and where the non-drug therapy can help with migraine and headaches.

To do so we need to categorise them in few groups, a great work in regard has been done from Roland Solére.

1)Musculoskeletal Migraines/Headaches: these usually are associated with muscle tension in neck, shoulders and trapezius area(area showed in the picture) and sometimes can extend in the upper back. Also present a restriction of movement in one or more planes.

How can you get a first step to understand if there are restriction in the movement of your neck?

For example you can try to turn you neck to the Right and to the Left. Can you look on the Right as far you can to on the left and vice versa?

Can you move you neck up, down, right, left and side by side without feeling an uncomfortable tension in your neck?

Can you easily rotate and move in each direction both your shoulders in the same way?

Any question answered NO could be due to a restriction of movement or a lack of strength in you cervico-thoracic muscles.

 

Another cause could be a trauma, for example if you have had any Road Traffic accident or any other head/neck trauma.

 

 

 

 

 

 


Some other associate conditions may be: premenstrual syndrome low back pain, hip pain, cold feet/hands, spastic colon, bloating, dyspepsia, heart burn, bladder issues.

2)Visceral/hormonal Migraines/Headaches: which present every time during the menstruation(period) or on the ovulatory phase and is related with hormonal changes and with the pelvic blood circulation.

3)”Energetic” migraine/Headaches : described as a head pain which manifests on quiet environment. It benefits from physical activity, warm, pressure on the temples.

4)Migraines/Headaches with associate autonomic symptoms or mental health problems: some associated symptoms or mental health problems are:

  • Migrant pains in the body
  • Muscles cramp
  • Muscle twitches
  • Dizziness
  • Tinnitus
  • Rapid or increased heart rate (palpitations)
  • Sudden warm or cold or sweating
  • Over-Under sensitive smelling
  • Runny nose or nose clogged
  • Dry skin, numb skin
  • Itchy skin, current sensation on the skin
  • Over-Under sensitive hearing
  • Excessive sweating
  • Dry or watery eyes and/or mouth
  • Bowel and/or Stomach problems, such as heart burn or stipsi, diarrhea, diffuclties to digest,bloating bowel etc.
  • Sleep patterns: such as difficulties to fall asleep or to wake up/get up in the morning, awake in the the night, not restorative sleep.
  • Anxiety,
  • Irritable,
  • Depression,
  • No motivation,
  • Frequently goose pimples or butterflies in the stomach,
  • Panic attack
  • Need to go to the toilet in particular situations.

Let’s see what Non-drug treatment as physiotherapy, osteopathy, chiropractic, acupuncture can do.

 1)Musculoskeletal Migraines/Headaches:

Non-drug treatment

(physiotherapy, osteopathy, chiropractic,acupuncture)

 

Self help *

(what can you do on your own?)

Therapeutic ExerciseMobility and Strengthening exercises
Spinal manipulationSelf-massage
Soft tissue mobilisation
Acupuncture

  * To learn more about the self help section follow https://www.5starclinicltd.com/musculoskeletal-migraines-headaches/

 2)Visceral/hormonal Migraine/Headaches:

Non-drug treatment

(physiotherapy, osteopathy, chiropractic,acupuncture)

Self help

(what can you do on your own?)

Visceral treatmentsDietary and Lifestyle modifications
Therapeutic ExerciseExercises
Diaphragmatic exercises

 3)”Energetic” migraine/Headaches :

Non-drug treatment

(physiotherapy, osteopathy, chiropractic,acupuncture)

Self help

(what can you do on your own?)

Acupuncture(best approach)Self-massage
Spinal manipulationHot
Soft tissue mobilisationExercises
Therapeutic Exercise

 4)Migraines/Headaches with associate autonomic symptoms or mental health problems: *

Non-drug treatment

(physiotherapy, osteopathy, chiropractic,acupuncture)

Self help

(what can you do on your own?)

Acupuncture*Meditation,
Therapeutic ExerciseYoga, Pilates
Relaxation Techniques
Sports

 * These are the most difficult to treat and they require more than any other a multidisciplinary approach.

* The acupuncture approach in this case aim to help to balance the autonomic nervous system, lower the level of stress and influencing the sleep and the mood status.

In the next articles we will examine for each group how the non drug treatment aim to help you and how you can help yourself on your own.

COVID-19 NOTICE

 

5 STAR CLINIC LTD has put in place several measures to assess and manage the risk of Covid-19 transmission.
Be aware that is not possible to completely eliminate this risk and that a face to face consultation will increase
the likelihood of you contracting COVID-19.

Full information here: 5 STAR CLINIC LTD COVID-19 POLICY

 

BEFORE BOOKING A FACE TO FACE APPOINTMENT:

We are following the CSP chart “Virtual first”, therefore you will be required to have
a Video Consultation at first(15min FREE), where a Triage questionnaire will be also administered.

At the end of the Video Consultation, we will decide if is deemed necessary
a FACE to FACE appointment or if we need to proceed with a virtual consultation.

CLICK: REMOTE OR FACE TO FACE CONSULTATIONS GUIDANCE

 

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    Please DO NOT ATTEND:

    1. If you have you been in close contact (<1m for at least 15 minutes without any protection) with a confirmed case of COVD-19
    2. If are you in the list of clinically extremely vulnerable people, click here: VULNERABLE GROUP
    3. If either you or one of your household has been ill in the last two weeks
    4. If you are suffering from any of the below:
      • Shortness of breath.
      • New persistent cough.
      • Fever over 38 degrees C.
      • Change or loss of taste/smell.

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      SUMMARY OF MEASURE IN PLACE TO REDUCED THE RISK OF COVID-19 TRANSMISSION:

    • We follow hand and hygiene practices throughout the meeting.
    • We provide hand sanitizing facilities and a surgical mask (Type IIR)
    • We minimise contact time closer than 2 metres and for less than 15 minutes
    • We keep at least 15min gap between patient for environment decontamination
    • We provide adequate air changes (average of 15min/hour with 4 to 6 air changes)
    • We provide cleaning and decontamination of equipment, surface and areas
      between each patient
    • Throughout the clinic are placed relevant posters to raise awareness and help in
      managing the risk of transmission
    • We follow safe removal and disposal of PPE in accordance with infection prevention
      and control during Covid-19 document
    • In the waiting area, a maximum of 2 people at a time at a distance>2m will be allowed.
      The patients know where to sit, as in the sitting area 2 chairs are provided only.
    • We follow Respiratory and cough hygiene – ‘Catch it, bin it, kill it’. Disposable, single-use tissues
      should be used to cover the nose and mouth when sneezing, coughing or wiping and blowing the nose,
      used tissues should be disposed of promptly in the nearest waste bin tissues. To be followed from hand hygiene.
    • We are only using disposable or washable material (such as couch covers, paper tissue, couch/pillow etc.)
      The therapist will be wearing PPE in line with government guidelines (disposable gloves, plastic apron,
      surgical mask (Type IIR), eye protection or Visor will be used if at risk of droplets)

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      WHAT DO WE REQUIRE FROM YOU?

    • To arrive on time for your appointment.
    • To do not arrive before or late to avoid crowding in the waiting area.
    • On arrival will be taken a contactless temperature reading.
    • To wear a surgical type mask during the waiting and the treatment*.
      a mask will need to be purchased at the clinic if you do not bring one.
    • To wash or clean the hands with hand sanitizer on the arrival and before.
      leaving and whenever may be needed to reduce the risk of contamination.
    • Please try not to use the toilet if possible and DO NOT USE self-service area.
    • On each face to face consultation, you will be required to fill and sign a Triage questionnaire.
    • Maintain 2 metres separation where possible, for instance, during the subjective examination.
    • To avoid cash payments preferably using contactless payments as much as possible), or online transfers.
    • To come alone unless strictly necessary to be accompanied. After entered the building, the companion will be allowed
      to enter only if strictly necessary (see below chaperone/translator).On the other hand, will be asked to leave and wait in the car.
    • In the case of chaperone/ translator is required will be asked to stay 2m apart of all the time from everyone, also they will need
      to complete a pre-screening questionnaire.
    • Follow Respiratory and cough hygiene – ‘Catch it, bin it, kill it’. Disposable, single-use tissues should be used to cover the nose
      and mouth when sneezing, coughing or wiping and blowing the nose, used tissues should be disposed of promptly in the nearest
      waste bin tissues. To be followed from hand hygiene.
    • Confirm contact details for the patient and each person accompanying the patient and inform them that these details may be used
      for contact tracing if required.
    • If possible, an electronic signature will be used on all of the document, if not a signature with a clean pen, after the hands have
      been sanitized

 

* Patient use of face masks

In clinical areas, common waiting areas or during face to face treatments patients is required to wear a surgical face mask.
The aim of this is to minimise the dispersal of respiratory secretions and reduce environmental contamination.
A surgical face mask should not be worn by patients if there is potential for their clinical care to be compromised (such as when receiving oxygen therapy).

 

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For more detailed information Covid-19 policy click HERE.