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1. 

   Chip Patterson
   Member

   Hey guys, wanted to run through a patient with you. I am currently seeing a 15-yr old female patient. Her Chief complaints are headaches and dizzyness. ~4 weeks duration. From patients' description, the pain travels up the right and left side of the head, also from the back of the head up to the top of the head and is constant. They do not wrap around or travel to the forehead, behind the eyes, etc. Sometimes the actual top/back of the head is tender/painful upon palpation. Pain medication does not alleviate the pain. Initial SEMG/Thermal scans show quite a bit of activity in the cervical region, xrays reveal reversed cervical curve with a pretty significant head forward posture. Patient has already had CT and MRI, which show up normal.

   I am using Activator protocol and instrument for all adjusting, but am curious if I am missing something. After the first 3-4 adjustments patient showed some good progress. Less intense pain, and went for a day or two with no headaches. Since then, the headaches have been fairly constant with little to no improvement. I have been adjusting her for about 4 weeks now...last friday, I was more hopeful, she didn't have the headache if she was standing up or walking around, but the pain would return if she was sitting or lying down.

   Any suggestions out there? After the first few adjustments, she was starting to hold better, but not much change since. Sorry, this is kind of rambling, I'm just trying to paint as clear a picture as I can. Thanks in advance for your help.

   Posted 1 year ago #
2. 

   DrPerron
   Member

   Dr. Paul, great use of the forum and that was not rambling. Look at my posts for a better example. :)

   Very common for dizziness that goes with or without headaches is C2 laterality. You can test with position four but I just like to pressure test up there. Simple give the spinous a little swipe left and check the feet, if nothing then swipe right and take a look at the feet again. VERY likely going to show up and typically on the first swipe to the left. Then the adjustment is would be to gently stabilize the right side of the spinous with your thumb and adjust on the left into the pedicle area (I don't do technical speak) check the Activator manual if you are not sure but the test has become known at my office as the check for the "dizzy button". Also headaches that go to the top of the head come from the C1 C2 area so it is probably a package deal. Also check inferior C1 and C2 which is common with a tight neck and the kyphosis would certainly accomplish that even if it is improving.

   It's sounds like you have done pretty well with her so far with the ground work, which is often what the protocol for Activator will do. Now is the "fun" part where you get to use a little imagination and put the pieces together AFTER you have basically cleared things up according to the protocol. Dr. Thackeray has a huge bag of tricks so you might want to give her a quick call as well.

   Posted 1 year ago #
3. 

   Chip Patterson
   Member

   She's coming in today, so I'll let you know...thanks for the help

   Posted 1 year ago #

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