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Chiropractic Research Review

Get Rid of Those Headaches

The success of manipulation in the management of headache relies foremost on an accurate differential diagnosis of a cervical-musculoskeletal origin to the headache. Dysfunction in the upper three cervical joints, poor activation levels and endurance capacity of the deep and postural supporting muscles of the neck and shoulder-girdle region, and deficits in kinesthesia have been identified in the cervical headache patient.

Treatment needs to be precise, comprehensive, and address each aspect of this interrelated dysfunction if long-term success of treatment is to be achieved. Examination should identify a symptomatic pattern of headache characteristic of neck dysfunction, and these symptoms must be associated with relevant physical impairments in the cervical, articular and muscle systems.

Jull G. Management of cervical headache. Manual Therapy, Nov. 1997;2(4), pp182-90.
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Chiropractic Research Review

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