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  • Mobilization of the cervical spine in chronic headaches
    Turk, Zmago ; Ratkolb, Otto
    Headache represents a great technical problem for modern medicine. Various specialists are engaged in the treatment of headaches and they use various therapeutic methods. Also in rheumatology we are ... engaged in the treatment of chronic headaches, since about 40% of all headaches are caused be degenerative processes in the cervical part of the spine. The author analyses 100 patients treated by manipulation of the cervical part of the spine. He established taht in 75% of headaches disappeared immediately after therapy and that at the control examination after 6 months 40% of the tested patients have no more headaches. In chronic headaches the author proposes mobilization and manipulation of the cervical spine, but he demands the following postulates: 1.An exact ECG diagnosis, 2. Strict consideration of all contradications, 3. A good knowledge of the manipulative technique. The author concludes that manipulation of the cervical part of the spine is a therapeutic method well appliable in the treatment of chronic headaches. "A person suffering from headaches is a medical stepchild. He makes the round of all specialists of the medical profession, endures all possible medical examinations and also operations to finally remain alone with his headache again". This conclusion was made by Moenche, one of the first physicians to concern himself with this disease. This statement proves taha headache is a multispecialist problem which does not concern just one specialist but a whole concordant team which must be unique in the treatment of the patient and must regard headache as a symptom of the disbalance of the entire organism. Because of his speciality the rheumatologist is to a great extent also a memeber of such a concordant team for the treatment of headaches, especially since it is well known that about 40% of all headaches are of cervicogenous origin. Such headaches bear various names: cervico-cephalic syndrome, cervical-radicular superior syndrome, cephalea posterior, rhinogenous headache, etc. The most frequent causes of such troubles are: occipitocervical displasia, degenerative or inflammatory processes on the cervical vertebrae with tumors, anatomic and functional changes in the blood vessels of the neck. There is hardly another place in the organism where so many vital organic structure are pressed into such a small space. Every minimal change in this space inevitably causes also a fubstional reaction of these structures. Pressure on these sensitive structures almost always caused a headache of the neuralgic or the vascular type. Most frequently the pain is localized in the occipitocervical region, but sometimes the headache may be diffused along the entire head. In my report today i will concentrate on headaches caused by cervical osteochondrosis, spoondylarthrosis or similar degenerative changes on the cervical vertebrae.
    Vir: Proceedings of the Second Yugoslav Greek Meeting of Rheumatology, Zagreb 11-12.XI 1985 (11. - 12. nov. 1985, Str.: 241-245)
    Vrsta gradiva - prispevek na konferenci
    Leto - 1985
    Jezik - hrvaški
    COBISS.SI-ID - 285092

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