Neck Pain Headache Nausea

28 Jun 2014

Patients suffering from migraine and neck pain are frequently seen in physiotherapy practice and are one of the most common clinical presentations. Patients suffering from headache, although less common, are also often seen. Pain is usually caused by local structures .

Character of the Headache4cfd2a11bca52eb7da948420add5ed16_migraine-and-neck-pain3

Interestingly, the specific character and location of a headache is only sometimes directly related to the underlying cause. For example, benign tension headaches can present in various ways. They can involve only one area of the head or the whole head. They are generally dull or pounding in nature. However, in some specific examples, the specific nature of the headache can help point you toward the diagnosis.

For example, a sudden, sharp, stabbing headache can be indicative of a subarachnoid hemorrhage, bleeding into the space around the brain, most commonly caused by the rupture of a brain aneurysm. These headache symptoms can also be accompanied by neck pain and stiffness, nausea and vomiting and a depressed level of consciousness (such as lethargy or coma).

Coping With Head Pain

If you have one or more of these headaches, what should you do about them? Let’s start with the neck/back of head pain. After an accident, your doctor may send you to a physical therapist. It is important to find a physical therapist who is familiar with this problem. The first time a physical therapist works on your neck, the pain may get much worse. I’ve even had one or two people say the pain was so bad that they passed out. And this was just from simple moving or stretching.

Many people say “I went to this physical therapist and it made me worse so I’m not going back.” Tell your physical therapist that you hurt. But remember, it gets worse before it gets better. Physical therapy alone may not be enough. You may have to continue loosening these muscles up by exercising. Of all the exercise approaches, most of my patients feel that swimming is a big benefit. A warm water pool is probably one of the very best ways of preventing these headaches. It’s also very helpful for a lot of people who have back pain.


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