Cluster Headache Case Study

Author/s

Emily Meyer, Colleen Niehoff, Mary Wray, Alex Norris, Lauren Snider

Abstract

100 word limit, non-structured description

Patient Characteristics

Tell us about your patient:

• 49 year old male
• Working as a constuction manager for the past 20 years
  
• Has had intermittent low back pain for as long as he can remember
• Other co-morbiditis include hypertension and diabetes type II, both of which are controlled with medication
  
• Patient has received previous outpatient care for his low back pain and describes that he had a decrease in pain for a period of time before the pain returned in his low back. 

Examination

SUBJECTIVE

• Patient History:
• Medical History:
• Prior or current services related to current episode
• Patient/family goals:

OBJECTIVE

• Physical Examination Tests and Measures

OUTCOME MEASURES 

• Self Reported Outcomes: Pain Rating Scale, Headache Disability Scale
• Physical Performance Measures:

The examination should also include ICF Findings:

• Body Functions and Structures
• Impairments
• Activity Limitations
• Participation Restrictions
• Environmental Factors

Clinical Hypothesis

What was your clinical impression of the patients problem.

Intervention

Multidisciplinary approach

Neurologist

• ENT
• PT: May need to rule out more serious complications before initiating PT

Postural exercises (1,3)

• Y's and T's
• Deep neck flexors

Manual Therapy

• Mobilizations to cervical spine (2)

Other

• General stretching to postural muscles (i.e. Upper Trap) (3)
• Heat (4)
• US (4)
• TENS (4)
• Soft tissue/trigger point massage (1,4)
• Balance and gait training with use of varying sensory inputs (3)
• Posture education (1,3)
• Education on ergonomics at home and in the workpalce (1)

Out of our scope

• Relaxation therapy (1,2,3)
• Biofeedback (1)
• Cognitive-behavioral therapy (stress-management) (4)
• Acupuncture (4)
• Medications (1-2)

Outcomes

What was the outcome of the intervention.

Discussion

This summary statement should include related findings in the literature, potential impact on clinical practices etc.

Related Pages

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References

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