HeadWise HeadWise: Volume 6, Issue 2 - Page 34

Alec : I spoke with another Curelator user , who was a doctor and who also had neck pain as a protector . He does daily massage of his shoulder muscles ; 5 to 10 minutes , lying – back down with a roller . He lies down on the roller and believes it lessens neck tension from sitting at a desk and also that it relieves his migraines . He added that he tries to be really conscious of when he is ‘ scrunched up ’ while sitting .
Helen : I am also much more aware of my posture now than before I started physiotherapy … when my physiotherapist taped my trapezius muscle , the relief was immediate . I left it on for 10 days and the goal was to retrain my muscles . I think the tension there starts off my neck pain .
Alec : Helen have you noticed a relationship between your neck pain exercises and your attacks ?
Helen : Yes , one point of interest is that due to an injury , I have had to stop all lower back exercises , and since then I ’ ve noticed a significant increase in headache intensity and duration , neck and shoulder pain . I also noticed a few days ago that the neck pain as a protector has suddenly disappeared . So , perhaps cutting back on my exercises is what caused neck pain to disappear as a protector and that may help explain my increase in headaches .
INSTRUCTION FOR CERVICAL NECK RETRACTION :
1 . Lean against a wall , shoulders and bottom touching , knees slightly bent , 6 inches from wall , hip width apart .
2 . Lean back of head against wall . Slide head up the wall , bringing chin down , but not looking down , giving yourself a double chin . Hold this position . Build up to 5 minutes .
Alec : That is very interesting – you were actually doing a natural experiment ! The other unusual protector that appeared on your maps is sadness .
Helen : Yes , I was surprised to see that too . It was associated with a bereavement . There was no time for sitting down and moping around . So I felt incredibly sad but I was with people . There have been other times when I was really sad and didn ’ t have a headache , probably because we were remembering the fun times or the good times . They both had to do with bereavements .
Alec : There is substantial evidence in clinical literature and among physiotherapists to support the use of Cervical Neck Retraction to alleviate headaches associated with neck pain . However , it is advisable for patients to consult their personal physicians before trying the exercises described in this article . HW
1 . Aokhealth , NeckTek , Cervical Pain and the Deep Neck Flexors . Access at : https :// aokhealth . securestand . com / xq / ASP / SellerID . 4750 / ProductID . 2626 / qx / pdf / Cervical _ Pain _ and _ the _ Deep _ Neck _ Flexors . pdf
2 . Mian A , Donoghue S . A new tool for identifying headache triggers and symptoms . Head Wise 2015 ; 5:22-25 .
3 . Page P . Cervicogenic headaches : An evidence-led approach to clinical management . Int J Sports Phys Ther 2011 ; 6:254 – 266 .
4 . van Ettekoven , Lucas C . Efficacy of physiotherapy including a craniocervical training programme for tensiontype headache ; A randomized clinical trial . Cephalalgia 2006 ; 26:983 – 991 .
34 HeadWise ® | Volume 6 , Issue 2 • 2016
Alec: I spoke with another Curelator user, who was a doc- tor and who also had neck pain as a protector. He does daily massage of his shoulder muscles; 5 to 10 minutes, lying – back down with a roller. He lies down on the roller and believes it lessens neck tension from sitting at a desk and also that it relieves his migraines. He add- ed that he tries to be really conscious of when he is ‘scrunched up’ while sitting. Helen: I am also much more aware of my posture now than before I started physiotherapy…when my physiotherapist taped my trapezius muscle, the relief was immediate. I left it on for 10 days and the goal was to retrain my muscles. I think the tension there starts off my neck pain. Alec: Helen have you noticed a relationship between your neck pain exercises and your attacks? Helen: Yes, one point of interest is that due to an injury, I have had to stop all lower back exercises, and since then I’ve noticed a significant increase in headache intensity and duration, neck and shoulder pain. I also noticed a few day ˜Y]HXZ[\HX܈\Y[H\\ BX\Y \\][Xۈ^H^\\\\]]\YXZ[\\X\\HX܈[]X^B[^Z[^H[ܙX\H[XYX\˂SPSӈԂTPSPUPSӎKHX[YZ[H[ [\[BX[ۙY\YH[  [\B[ \Y\\ HX[XوXYYZ[[ YHXY\H[ [[[ۋ][™ۋ][[\[HXH[\œ][ۋZ[\ HZ[]\˂[XΈ]\\H[\\[8$[H\HXX[H[B]\[^\[Y[HH\[\X[X܈]\ BX\Yۈ[\X\\Y\˂[[Y\H\\\YYH]ˈ]\\BX]Y]H\X][Y[ \H\[YH܈][™ۈ[[[\[ H[[ܙYXHY]H\][K\H]HY[\[Y\[H\KB[HY[Y&]]HHXYXKؘXHX]\HB\H[Y[X\[H[[Y\܈H[Y\ˈ^BY]\X][Y[˂[XΈ\H\X[X[]Y[H[[X[]\]\B[[[ۙ\[\\\\ܝH\Hو\KB[X]X[ۈ[]X]HXYX\\X]Y]XZ[]\]\Y\XH܈]Y[ۜ[Z\\ۘ[\XX[YܙHZ[H^\\\KBܚXY[\\XKŒKB[X[ XZ\X[Z[[HY\X‘^ܜˈX\]΋[X[ X\\[ KžKT [\Q L XQ ^ \KBB[Z[[WY\әXћ^ܜ˜ZX[KۛYHˈH]܈Y[YZ[XYXBY\[[\\ˈXY\H MN NLK˂BYH \X[XXYX\Έ[]Y[K[Y\ BX[X[X[Y[Y[ [ܝ\\ LN M8$̍ B[]Zݙ[X\ˈYXXHو\[\\H[BY[Hܘ[[\X[Z[[ܘ[[YH܈[[ۋB\HXYXNH[Z^Y[X[X[ \[[XB N $NLKXY\H0[YH \YH 8( M