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Tension-Type and Cervicogenic Headache: Pathophysiology, Diagnosis, and Management

Author(s): César Fernández-de-las-Peñas, PT, DO, MSc, PhD, Professor, Physical Therapy, Occupational Theory Physical Medicine and Rehabilitation, Esthesiology Laboratory, Universidad Rey Juan Carlos, Madrid, Spain, Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Aalborg University, Denmark
Lars Arendt-Nielsen, PhD, Laboratory for Experimental Pain Research, Center for Sensory-Motor Interaction, Aalborg University
Robert D. Gerwin, MD, President and Medical Director, Pain & Rehabilitation Medicine, Department of Neurology, John Hopkins University
Details:
  • ISBN-13: 9780763752835
  • ISBN-10:0763752835
  • Hardcover    509 pages      © 2010
Price: $199.95 US List
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The first book for Jones and Bartlett's new Series:
Contemporary Issues in Physical Therapy and Rehabilitation Medicine

The first textbook covering physical therapy as well as physical medicine aspects of these two highly prevalent headache disorders from both a clinical and evidence-based perspective.

Doody's Book Review, Score 94: 5 Stars!

Written and contributed by international experts, Tension-Type and Cervicogenic Headache: Pathophysiology, Diagnosis, and Management provides the best current evidence on the pathophysiology, diagnosis, and management of patients with the highly prevalent tension type and cervicogenic headache, integrating the most recent clinical research data with basic science knowledge. It covers both physical therapy and physical medicine approaches to the management of these headache disorders, paying special attention to the relevance of the cervical joints and muscles in the etiology of these two headache types.

Tension-Type and Cervicogenic Headache: Pathophysiology, Diagnosis, and Management offers clear guidance for physical examination and identification of underlying patho-physiological and functional causative and maintaining features, together with manual as well as more invasive treatment options. It is the first text to provide such a comprehensive compilation of the best evidence - both empirical and clinical - regarding physical therapy care of patients with tension and cervicogenic headache.

Important topics include:

  • the manual examination of both joint and muscles of the cervical and thoracic spine
  • examination techniques supported by clinical reasoning procedure and based on the most recent research
  • the research basis and—in absence of sufficient research evidence—the pathophysiologic rationale for the use of the various physical therapy management techniques
  • a detailed and well-illustrated review of non-invasive physical therapy management techniques available to the clinician
  • spinal manipulative procedures including joint mobilization, manipulation, muscle energy, and soft tissues techniques directed at the cervical and thoracic spine and the temporomandibular joints
  • a variety of therapeutic tools for the management of several musculoskeletal disorders that frequently cause tension-type and cervicogenic headache
  • relevant invasive physical therapy and physical medicine techniques including dry needling and injection of botulinum toxin, commonly used in the management of headache disordersthe pharmacological interventions most commonly used for the prophylactic and therapeutic treatment of these headache disorders

Click on the Samples tab to view a sample chapter and the Introduction to the Series.
 

Applicable Courses

Ideal for undergraduate and graduate courses in physical therapy, manual therapy, chiropractic, medicine, and osteopathy. 

Part  I  Introduction
  Chapter  1  Introduction
  Chapter  2  Epidemiology of Headache
  Chapter  3  Medical Approach to Headaches
Part  II  Patho-physiology of Tension Type Headache
  Chapter  4  Nature of Muscle Pain
  Chapter  5  Patho-physiology of Referred Muscle Pain
  Chapter  6  Muscle Trigger points in Tension Type Headache
  Chapter  7  Suboccipital Muscle Contribution to Tension Type Headache
  Chapter  8  Forward Head Posture in Headaches
  Chapter  9  Sensitization in Tension Type Headache: A Pain Model
Part  III  Patho-physiology of Cervicogenic Headache
  Chapter  10  The Anatomy and Physiology of the Trigemino-Cervical Complex
  Chapter  11  Cervicogenic Headache: Consideration on Pathogenesis
  Chapter  12  Motor Control Impairment in Cervicogenic Headache
Part  IV  Physical Examination of Patients with Headache
  Chapter  13  Clinical Reasoning in the Diagnosis: History Taking in Patients with Headache
  Chapter  14  Cervical Spine Assessment in Patients with Headache
  Chapter  15  Thoracic Spine Assessment in Patients with Headache
  Chapter  16  Manual Identification of Trigger Points in the Muscles Associated with Headache
  Chapter  17  Examination of the Orofacial Region in Patients with Headache
Part  V  Neuro-physiological Effects of Some Physical Therapy Interventions
  Chapter  18  Neuro-physiological Effects of Spinal Manipulation
  Chapter  19  Therapeutic Mechanisms Underlying Muscle Energy Approaches
  Chapter  20  Neuro-physiological Effects of Neural Mobilization Maneuvers
  Chapter  21  Neuro-physiological Effects of Needling Therapies
Part  VI  Conservative Management of Tension Type and Cervicogenic Headaches
  Chapter  22  Cervical Joint Mobilization Techniques in Patients with Headache
  Chapter  23  Cervical Joint Manipulation Procedures Applied to Patients with Headaches
  Chapter  24  Thoracic Spine Interventions for the Management of Patients with Headache
  Chapter  25  Muscle Energy Techniques
  Chapter  26  Neuromuscular Approaches
  Chapter  27  Myofascial Induction Approaches for Patients with Headache
  Chapter  28  Physical Therapy Interventions for the Orofacial Region
  Chapter  29  Therapeutic Exercise of the Cervical Spine for Patients with Headache
  Chapter  30  Neurodynamic Interventions for the Management of Patients with Headache
  Chapter  31  Needling of Head, Neck and Shoulder Muscle Trigger Points Relevant to Headache
  Chapter  32  Botulinum Toxin A in the Treatment of Headaches
  Chapter  33  Psychological Aspects of Chronic Headache Treatment
  Chapter  34  Physical Therapy Diagnosis and Management of a Patient with Chronic Daily Headache: Translating Knowledge to Clinical Practice

César Fernández-de-las-Peñas, PT, DO, MSc, PhD-Professor, Physical Therapy, Occupational Theory Physical Medicine and Rehabilitation, Esthesiology Laboratory, Universidad Rey Juan Carlos, Madrid, Spain, Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Aalborg University, Denmark

Dr. Fernández de las Peñas PT, DO, PhD, currently holds faculty positions in the Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, and Esthesiology Laboratory, at the Universidad Rey Juan Carlos, Madrid, Spain; and the Centre for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Aalborg University, Denmark. He has published over 100 publications concentrating on clinical human pain research, drug screening and interaction between motor control and chronic pain. The most relevant topics of his research are focused on neck pain, headache and neuro-physiological effects of manual therapy. His research activities are concentrated on biomedical sciences within neuroscience with specific research areas on pain and assessment of pain in volunteers and chronic pain patients, and a main focus on human clinical chronic pain research. He has participated in over 50 conferences with related published abstracts/ proceedings and he has given several lectures at Spanish and foreign universities and hospitals. He also lectures at international meetings/workshops/seminars. He is a supervisor of PhD students, and he is founder and head of the Esthesiology Laboratory, Universidad Rey Juan Carlos. Along with his university teaching experience, he has experience teaching physiotherapists, and he has held specialized courses for medical doctors within neurology and orthopaedics.

Additional Titles by this Author

Lars Arendt-Nielsen, PhD-Laboratory for Experimental Pain Research, Center for Sensory-Motor Interaction, Aalborg University

Robert D. Gerwin, MD-President and Medical Director, Pain & Rehabilitation Medicine, Department of Neurology, John Hopkins University

  • "This book can be helpful to all physical therapists who work with patients presenting with headache as part of their symptom complex. The short chapters make it easy for the reader to find considerable information on specific aspects of the headache dilemma. It is especially useful to those clinicians who are looking to select interventions most suited to their patients with cervical, thoracic, or orofacial aspects of headache, and to broaden their understanding of the current theories for pain generation and mediation in tension-type and cervicogenic headache."

    Linda A. Steiner, PT, DPT, MS, OCS
    MGH Institute of Health Professions, Boston, MA
    (for Journal of Orthopaedic & Sports Physical Therapy, volume 40, number 4, April 2010)

  • "The specific but integrated coverage makes this work stand alone as a valuable resource. Clinicians and researchers will be able to appreciate each others' expertise in how to best use clinical care and science to improve patient outcomes for this challenging population. Even if therapists do not routinely work with patients with these conditions, they will benefit from learning more about pain, cervical and thoracic influences, and the application of science-based care to patients who present with musculoskeletal conditions in the upper quarter. This book is an excellent resource.

    The eclectic array of author backgrounds and topics makes this book suitable for physical therapists, osteopaths, chiropractors, primary care physicians, neurologists, physiatrists, and pain specialists."

    ~ Christopher Hughes,  PT, PhD, OCS, CSCS, Slippery Rock University (Doody's Book Review, 2010. Score 94: 5 Stars)

  • “This book was designed to target experienced professionals of different disciplines who wish to have access to an evidence-based scientific work, but is also targeted at novice clinicians who would like to delve into the clinical reasoning, assessment and therapeutic approaches used in headache disorders.

     

    From a general point of view, it is a high quality piece of work, probably unique, in that it successfully combines harmonically theory and practice. Specifically, it presents the theoretical background behind headache disorders so as to facilitate the understanding of their complexity.

     

    Overall, it is a tool that every clinician involved in the rehabilitation of pain at the cervical region should definitely have in their disposal for every day use.”

     

    ~ Konstantina Chanou, Physiotherapist, MSc

    PhD Student at the University of Thessaly Trikala, Thessaly, Greece

    for International Journal of Therapy and Rehabilitation, September 2010