HEADACHE & MIGRAINE
CURIOUS ABOUT HOW WE CAN TREAT YOUR MIGRAINE OR HEADACHE ISSUES?
Are You A Chronic Headache Or Migraine Sufferer?
Have you tried many treatments in the past with little to no lasting relief?
We UNDERSTAND how frustrating it is for you. We KNOW what you are going through.
The Headache and Migraine Clinic at Refine Health is a dedicated clinic that specialises in the treatment of all forms of Headaches and Migraines. The treatment is simple and effective and long-lasting, and we strive to create a comfortable environment to allow you to relax throughout our treatments for your migraines and headaches.
WATSON HEADACHE APPROACH
A NEW TREATMENT FOR MIGRAINES
At Refine Health Group, our Headache Clinicians are trained under the Watson Headache Approach to deliver a revolutionary, medication-free physiotherapy treatment that is proven to help resolve or significantly reduce your headache and migraine pains.
Listed below are some common Headache conditions that we can treat, do you know which form of Headache or Migraine you are suffering from?
THE TREATMENT PROCESS
EXPLORING THE WATSON HEADACHE APPROACH
The Queensland Migraine and Headache Centre is a dedicated clinic for the treatment of all headaches and migraine types. A thorough examination of the structures involved in headache pain is undertaken in order to identify the precise cause of your presentation.
The Clinicians at The Queensland Migraine and Headache Centre are trained under the Watson Headache Approach, which aims to identify and establish the involvement of the upper three cervical segments in Primary and Secondary Headache conditions.
A Comprehensive and thorough examination is performed within the initial consultation with a Headache Clinician at The Queensland Migraine and Headache Centre.
The assessment involves a detailed subjective history-taking and objective measures to appropriately exclude the potential presence of sinister pathologies. The Manual examination consist of various test for the stability of the ligamentous structures within the upper cervical spine, and the tests for insufficiency of the arteries supplying the head and neck.
These test aim to rule out the potential secondary causes for migraine and headache symptoms, so that the structure of the upper cervical spine can be identified as the discernible contributing structure for your presentation.
The gold-standard clinical sign to determine the relevance of the upper cervical spine in you headache or migraine condition is indicated by the relative reproduction and resolution of your headache pain upon examination. This is achieved by producing sustained pressures on the upper three cervical segments to asses the sensitivity of the Brain stem, a large collection of nerves located within the neck.
At the end of the assessment, when a diagnosis has been reached, we will provide you with a clear explanation of your condition and the possible treatment options available to you. The Headache Clinician will be able to determine whether your headache or migraine condition is suitable for the Watson Headache Approach. If we find that we are unable to help with you headache and migraines, we will provide you with a suitable referral.
WHAT TO EXPECT
BOOK AN APPOINTMENT WITH BRISBANE’S HEADACHE CLINICIANS TODAY
In the initial assessment, you can expect a thorough and comprehensive subjective examination and history-taking to determine your exact diagnosis.
At the end of this session, we will give you a clear explanation of your condition and an evidence-backed treatment program that tailored specifically to your needs in order to get you where you need to be. If we find that we are unable to help with your headache and migraines, we will provide you with a suitable referral.
At Refine Health Group, we specialise in providing effective long term solutions for headaches and migraines, as well as physiotherapy and Pilates treatments for other body pains.
We proudly serve the Fortitude Valley, Spring Hill and Hamilton regions with our services.
If you’re struggling to get on top of your headache pains, book in today to get the expert help you deserve.
COMMON HEADACHE TYPES
Tension-Type Headache or TTH accounts for up to 90% of primary headaches, making it the most common headache type by far. The duration can last anywhere from a few minutes to a few days and is described as a tight pressure around the head, usually across the temples and forehead. The severity can range from mild-moderate and is categorised further into 3 classifications depending on the frequency and chronicity.
Episodic presentations of headache that is either frequent or infrequent, that is bilateral (affecting both sides), and is described as a tightening pressure of band-like quality at the frontal and temporal region. Episodes can last from minutes to days and the pain is usually of a mild to moderate intensity. Unlike Migraine, Tension-Type Headache is not aggravated by exertion and is not associated with nausea and vomiting. The pain is constant and does not have a pulsating quality. Sensitivity to light and sound may present in some cases.
(2a) Episodic Tension-Type Headache
(2ai) Infrequent Episodic Tension-Type Headache:
Classification of Infrequent Episodic T-TH relies on the frequency of headache occurrence to be less than 1 episode per month, with each attack lasting between 30 minutes and 7 days.
(2aii) Frequent Episodic Tension-Type Headache:
Classification of Frequent Episodic T-TH is recognised upon headache occurrence of 10 episodes within 14 days, with each attack lasting between 30 minutes and 7 days.
(2c) Chronic Tension-Type Headache: Also known as New Daily Persistent Headache
A more severe version of Frequent Episodic Tension-Type Headache, this disorder is one of the most disabling headache diseases due to its chronicity and unrelenting quality. To classify for this headache diagnosis, the frequency of headache occurrence must be greater than 15 days of headaches per month for a period of more than 3 months.
CDH closely mimics the symptoms of Tension-Type Headache, however the diagnosis is reached only when the following criteria is fulfilled; (1) pain that is experienced in the head, neck and face that is present for; (2) at least 15 days a month, for more than 3 months in a year. It is closely associated with medication overuse and differentiation of the conditions is crucial.
Severe and intense pain that is commonly unilateral (one-sided), Migraines are considered one of the most disabling and incapacitating disorders. Migraines account for up to 30% of all headache types. The characteristic signs of Migraine are the accompaniment of “associated features”, most notably, visual disturbances and aura, nausea and vomiting or sensitivity to light, smell or sound. Contrastingly, migraines can also present without aura and are classified as “Migraine without aura”.
Severe and intense pain that is commonly unilateral (one-sided), Migraines are considered one of the most disabling and incapacitating disorders, and account for nearly 30% of all headache presentations. The characteristic signs of Migraine are the accompaniment of “associated features”, most notably, visual disturbances and aura, nausea and vomiting or sensitivity to light, smell or sound. Contrastingly, migraines can also present without aura and are classified as “Migraine without aura”.
(1a) Migraine with Aura:
Migraine with aura presents as headache accompanied with varying neurological symptoms such as visual or auditory hallucinations/disturbances. These symptoms may occur before and after the headache and are termed, “Prodromal” and “Postdromal” symptoms, respectively. These two phases may last hours or days preceding and succeeding the migraine pain. Prodromal and Postdromal symptoms can include increased or decreased alertness, depression and fatigue, cravings for particular foods, repetitive yawning, and neck pain.
(1b) Migraine without Aura:
The less common form of migraine with a presentation unaccompanied by true aura symptoms. Typical characteristics include one-sided locality of head pain which is of; pulsing or throbbing quality, that is moderate to severe in intensity, and is aggravated upon exertion. Associated features may also include the accompaniment of nausea and vomiting, and sensitivity to light, sound and smell.
(1c) Menstrual Migraine:
The occurrence of migraine pain in relation to the menstrual cycle is a common feature in the majority of female migraine sufferers. This sub-type of Migraine can be further classified into; (1ci) Pure Menstrual Migraine and (1cii) Menstrually-related Migraine. The migraine can occur at any time prior, during or succeeding the menstrual cycle. Common associated symptoms include fatigue, changes in appetite, joint pain, and lack of coordination.
Menstrual Migraine is considered when symptoms of classic Migraine occur in close relation with the menstrual cycle, either immediately before, during or after. Previous theories pointed to hormone level imbalances as the culprit, however, research has concluded definitively that this may not be the case. Results from numerous studies have identified no difference in hormone level changes in Menstrual Migraine sufferers and controls (Migraine-free individuals). MM is considered a Primary Headache disorder as the cause remains unknown. Menstrual Migraine is a serious condition that affects 60% of female migraine sufferers.
The most common Headache type within the third category of Primary Headaches, Cluster Headaches are also termed “Suicide Headaches” due to the extreme nature of pain that is experienced within an episode. The attacks occur in ‘clusters’ of minutes to hours at a time. Individuals can experience several episodes in a day. The symptoms of Cluster Headache are readily identifiable and distinguishable in comparison to the other headache types. Typically, Cluster Headache sufferers will experience alternating periods of remission (headache-free periods) and symptomatic periods lasting for months at a time.
Attacks which occur in “clusters” lasting weeks to months, with variable periods of intermission. The intensity of headache is widely regarded as the most severe pain of all headache types, often referred to colloquially as the “Suicide Headache” due to the common reported desire to commit suicide due to the extreme nature of the pain.
The pain is strictly unilateral (one-sided), and commonly located behind, or above the eye, and in the temple. Attacks occur between 15-180 minutes and in episodes ranging from once a day up to 8 times per day. Characteristic symptoms of Cluster Headache include the following; teary eyes, red or itchy eyes, nasal congestion, dripping nose, facial sweating, drooping eyelid, restlessness and agitation.
Similar Disorders Include;
(3b) Paroxysmal Hemicrania:
Presentation as above, with the substitution of attacks occurring at a frequency of more than 5 per day, within episodes lasting 2-30 minutes, accepts a diagnosis of Paroxysmal Hemicrania, in the absence of another pathology that does not better account for this presentation.
(3c) Short Lasting Unilateral Neuralgiform Headaches with Conjuctival Tearing (SUNCT):
Presentation as above, with the substitution of attacks occurring at least once a day, within short lasting episodes of 1-600 seconds per episode. Described often as a single stab, series of stabs or oscillating pattern.
(3d) Hemicrania Continua:
Presentation similar to (3b) Paroxysmal Hemicrania, that is present for more than 3 months. This disorder responds absolutely to indomethacin.
SEEING YOUR PRACTITIONERS FOR HEADACHES AND MIGRAINES
Classification and identification of your specific Headache type is vital in determining what treatment options may be available to you. Within the first assessment, your Headache Clinician will be able to identify your likely Headache diagnosis, the treatment options available for the identified condition, and, if determined that treatment is likely to succeed, a recommendation of a suitable plan for the treatment of your Headaches or Migraines.
If you’d like to book an appointment or enquire more about headache and migraine, feel free to contact us for a chat today.
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Refine Physiotherapy & Pilates Clinic
22 Campbell St, Bowen Hills QLD 4006
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