Headache 2

Question 1

Where does C-HA arise from?

Answer 1

Msk impairment - DJD, sedentary posture or trauma

Question 2

What is the single most common symptom following neck trauma?

Answer 2

C-HA

Question 3

Describe the symptoms of C-HA

Answer 3

Can be unilateral or bilateral pain, usually one side is more dominant than the other. C-HA has side consistency

Question 4

What precipitates or aggravates a C-HA

Answer 4

Aggravated by special neck movements or sustained neck posture.

Question 5

Describe the intensity of pain in a C-HA

Answer 5

moderate, fluctuating, builds in intensity

Question 6

Describe the frequency and duration of C-HA

Answer 6

Lacks a regular pattern

Question 7

What factors aggravate and relieve C-HA?

Answer 7

Agg: Sustained neck postures and stress
Rel: Not obvious - doesn’t respond to analgesics

Question 8

What is the upper complex?

Answer 8

C0 C1 C2 C3

Question 9

Why is it difficult to diagnose C-HA?

Answer 9

Restricted Range of Motion
Active - is not sensitive because people without neck pain can have restricted range of motion
Passive - is not reliable, because because in different session will have different range of motion. (eg may have slept funny one night)

Question 10

Discuss muscular contribution to C-HA

Answer 10

Mobilising, stabilising muscles, deep muscles in the area and how they contribute to fascial connection through neural tissue tightness

Question 11

Discuss the contribution of neural tissue in C-HA

Answer 11

Irritation of neural tissue is connected to muscle tightness. They have done studies to prove this

Question 12

Describe key findings of C-HA

Answer 12

DEFINATELY : 
Painful upper C joint dysfunction 
MAYBE: 
Impaired muscular control *
DNF
Scapular postural mm
Cervical kinesthetic deficit
Postural abnormality *
Muscle tightness (in mobiliser mm) *
Neural tissue mechanosensitivity

Question 13

What causes C2 Neuralgia

Answer 13

The C2 spinal nerves run behind the C1/2 facet joints and are therefore vulnerable to irritation in disorders of the these joints eg:

Fibrotic changes of chronic inflammation
Space occupying lesions e.g. osteophytes
Vascular anomalies e.g. vertebral arteries

Question 14

Describe clinical features of C2 Neuralgia

Answer 14

Intermittent lancinating pain in the occipital region.

May be associated with lacrimation or ciliary injection.