Dr. Allison Phillips presents this two hour class on caring for patients with migraine headaches. She will review differential diagnosis and various treatment options including chiropractic care, physiotherapy, nutrition, and integrated care. Dr. Phillips also reviews common migrane triggers and medications given. Lifestyle changes for the patient are also outlined. This course also provides a resource in the headache diary form.
Module 1
- Dr. Phillip’s migraine story
- Migraine HA defined: signs, symptoms
- Differential diagnosis for migraine HA includes stroke and other types of HA
- Diagnosing migraine using POUND1
- Additional symptoms: aura, photophobia & phonophobia discussion
- Quiz
Module 2
- Patient care options for migraine: overview
- Chiropractic care for migraine
- Research regarding frequency and duration of chiropractic care
- Upper Cross syndrome: signs & symptoms discussion
- Upper cervical techniques for cervical and occipital subluxations
- HVLA and low force techniques- which to use?
- Quiz
Module 3
- Soft tissue manual therapy discussion and reasons to use them for Upper Cross Syndrome:
- Trigger point therapy
- Stretching
- Active Release Technique combines both
- Target: suboccipitals, SCM, trapezius, pectorals, levator scapula
- Instructions and demonstration of stretches for suboccipitals, SCM, trapezius, pectorals, levator scapula
- Quiz
Module 4
- Patient exercises: instructions and demonstrations for:
- Chin tucks
- Wall angels
- Nutrition and migraine: what to look for/be aware of?
- Dehydration
- Blood sugar levels
- Discussion of anti-inflammatory diet
- Introduction of Elimination Diet Overview
- Adverse food reactions (AFR) may trigger a migraine
- 4 steps to Elimination Diet
- Quiz
Module 5
- Details about the process to discover migraine triggers using the Elimination Diet
- Food cravings may increase inflammation
- Process of elimination
- Foods that cause a true allergic reaction should be avoided long term
- Elimination risks
- Malnutrition
- Watch for signs of disordered eating
- Anorexia nervosa
- Bulimia nervosa
- Orthorexia nervosa
Module 6
- Patients may benefit from nutritional supplements
- Butterbur- research, mechanism, and effect on migraine discussion
- Magnesium- research, mechanism, and effect on migraine discussion
- Riboflavin- research, mechanism, and effect on migraine discussion
- Additional Vitamin B support- research, mechanism, and effect on migraine discussion
- Co-Enzyme Q10- research, mechanism, and effect on migraine discussion
- Quiz
Module 7
- Patient lifestyle can affect migraine severity and frequency of migraines
- Hydration
- Sleep
- Caffeine
- Alcohol
- Smoking
- Integrated or co-managed care
- Quiz
Module 8
- Medical specialists that treat migraine:
- Neurologists
- Otolaryngologists/ENTs (vestibular migraines)
- Two purposes of medications
- Prophylactic medication discussion
- Abortive meds discussion
- Medication overuse and rebound migraines discussion
- Other treatments- PTs, Acupuncture, tinted glasses
- Quiz
Module 9
- Monitoring progress in migraine treatment
- Track headache incidence, severity, and impact on activities
- Track therapies used and their benefit
- Identify headache triggers for improved headache prevention
- Provide information for patients' doctors
- Assess progress and change over time
- Tools for tracking
- Quiz
Speaker(s)/Author(s)
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Allison Phillips, DC |
- Each module contains a video presentation and a short quiz. You must view the video prior to taking the quiz.
- FOR HELP: If you have technical issues, please contact the Continuing Education Department at 1-800-452-5032 or email at continuinged@palmer.edu.
- DISCLAIMER: While Palmer College of Chiropractic endeavors to bring diverse topics and viewpoints for continuing education options for Doctors of Chiropractic, the opinions of presenters do not necessarily represent the views of Palmer College.