Update on Headache Classification and the Implications for Orthopaedic Physical Therapists

Abstract

The purpose of this article is to provide an update on headache diagnosis and classification relative to the role of orthopaedic physical therapy. This article uses the terminology accepted by the International Headache Society in 1988 and attempts to define the role of physical therapy in the various categories of headache mentioned. In some headache categories, for example, tension-type; there is an obvious place for the utilization of manipulative and other orthopaedic approaches whereas in categories such as migraine without aura the use of electro-therapeutic approaches can be useful. Also mentioned are those headaches which require an immediate medical referral. Because of the various complications of chronic drug use many physicians and dentists are looking more to the physical therapy profession for assistance in managing recurring headache patients. Therefore, we, as physical therapists, must be familiar with their terminology and confident with our clinical skills within the practice of physical therapy.

Keywords:

• Recurring Headache
• Classification
• Orthopaedic Physical Therapy
• Mechanical Versus Non-mechanical