{"id":57,"date":"2009-03-14T18:25:34","date_gmt":"2009-03-14T18:25:34","guid":{"rendered":"http:\/\/abbottcenterblog.wordpress.com\/?p=57"},"modified":"2023-01-02T15:58:02","modified_gmt":"2023-01-02T15:58:02","slug":"headache-pain-in-a-teenager-neuromuscular-therapy-view","status":"publish","type":"post","link":"https:\/\/abbottcenter.com\/bostonpaintherapy\/2009\/03\/14\/headache-pain-in-a-teenager-neuromuscular-therapy-view\/","title":{"rendered":"Headache pain in a teenager: A Neuromuscular Therapy point of view"},"content":{"rendered":"<p>As a <strong>Neuromuscular Therapist<\/strong>, how did I think about the case of Katy H.?<\/p>\n<p>First I thought about <strong>Trigger Points<\/strong> because that is the focus of NMT evaluation and treatment. There are three muscles that have this pain pattern, so I examined Katy and found hyperactive twitching and Trigger\u00a0Points in the <strong>suboccipitals,\u00a0<span style=\"font-weight: normal;\">referred pain when compressing the <strong>upper trapezius<\/strong>, and\u00a0Trigger\u00a0Points to the head and throat from the\u00a0<strong>SCM (sternocleidomastoid).\u00a0<span style=\"font-weight: normal;\">Recall that one of her first symptoms was a sore throat?\u00a0All three muscle groups were tight and referred\u00a0to where she complained about <strong>pain in her head<\/strong>.<\/span><\/strong><\/span><\/strong><\/p>\n<p><strong><strong><\/strong><\/strong><\/p>\n<p><strong><strong><\/strong><\/strong><\/p>\n<p><strong><strong><\/strong><\/strong><\/p>\n<p><strong><strong><\/p>\n<figure id=\"attachment_514\" aria-describedby=\"caption-attachment-514\" style=\"width: 110px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-514 \" title=\"2321\" src=\"https:\/\/abbottcenter.com\/bostonpaintherapy\/wp-content\/uploads\/2009\/03\/2321-184x300.jpg\" alt=\"Upper trap TrPs\" width=\"110\" height=\"180\" \/><figcaption id=\"caption-attachment-514\" class=\"wp-caption-text\">Upper trap TrPs<\/figcaption><\/figure>\n<figure id=\"attachment_512\" aria-describedby=\"caption-attachment-512\" style=\"width: 107px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-512 \" title=\"2313\" src=\"https:\/\/abbottcenter.com\/bostonpaintherapy\/wp-content\/uploads\/2009\/03\/2313-179x300.jpg\" alt=\"Suboccipital TrPs\" width=\"107\" height=\"180\" \/><figcaption id=\"caption-attachment-512\" class=\"wp-caption-text\">Suboccipital TrPs<\/figcaption><\/figure>\n<figure id=\"attachment_513\" aria-describedby=\"caption-attachment-513\" style=\"width: 107px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-513 \" title=\"2411\" src=\"https:\/\/abbottcenter.com\/bostonpaintherapy\/wp-content\/uploads\/2009\/03\/2411-178x300.jpg\" alt=\"SCM TrPs\" width=\"107\" height=\"180\" \/><figcaption id=\"caption-attachment-513\" class=\"wp-caption-text\">SCM TrPs<\/figcaption><\/figure>\n<p><\/strong><\/strong><\/p>\n<p>\u00a0<\/p>\n<p>\u00a0<\/p>\n<figure id=\"attachment_511\" aria-describedby=\"caption-attachment-511\" style=\"width: 90px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-511 \" title=\"Levator Scapula Trigger Points\" src=\"https:\/\/abbottcenter.com\/bostonpaintherapy\/wp-content\/uploads\/2009\/03\/211-150x300.jpg\" alt=\"Levator Scapula TrPs\" width=\"90\" height=\"180\" \/><figcaption id=\"caption-attachment-511\" class=\"wp-caption-text\">Levator Scapula TrPs<\/figcaption><\/figure>\n<p>For the pain at the angle of her neck and shoulder, the <strong>levator scapula <span style=\"font-weight: normal;\">muscle\u00a0<\/span><span style=\"font-weight: normal;\">that lifts her shoulder was examined.<\/span><\/strong><\/p>\n<p>\u00a0<\/p>\n<p><strong><\/strong><\/p>\n<p><strong> <\/strong><\/p>\n<p>\u00a0<\/p>\n<p><strong>Thinking about sources for pain:<\/strong> posture, a heavy backpack and stress were the suspected three main contributors.\u00a0<\/p>\n<p><strong><\/strong><\/p>\n<p><strong><\/strong><\/p>\n<p><strong><\/p>\n<div class=\"mceTemp\"><\/div>\n<div class=\"mceTemp\"><\/div>\n<div class=\"mceTemp\"><\/div>\n<div class=\"mceTemp\"><span style=\"font-weight: normal;\">Relief from headache pain<\/span><span style=\"font-weight: normal;\"> in teenagers comes from treating the hyperactive Trigger Points and releasing tension in the neck, tops of the shoulders and upper back. Icing and a home stretch program are helpful, and corrections to postural habits and backpack choices will be necessary to prevent recurrence.<\/span><\/div>\n<p><\/strong><\/p>\n<p>\u00a0<\/p>\n<p>\u00a0<\/p>\n<p>\u00a0<\/p>\n<p><strong><br \/>\n<\/strong><\/p>\n<p><a href=\"http:\/\/abbottcenterblog.wordpress.com\/2009\/03\/14\/headache-pain-in-a-teenager-treatment\/\"><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>As a Neuromuscular Therapist, how did I think about the case of Katy H.? First I thought about Trigger Points because that is the focus of NMT evaluation and treatment. There are three muscles that have this pain pattern, so I examined Katy and found hyperactive twitching and Trigger\u00a0Points in the suboccipitals,\u00a0referred pain when compressing [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20,30],"tags":[825,289,290,845],"class_list":["post-57","post","type-post","status-publish","format-standard","hentry","category-headaches","category-neck-pain","tag-backpacks","tag-head-pain","tag-headache","tag-neck-pain"],"_links":{"self":[{"href":"https:\/\/abbottcenter.com\/bostonpaintherapy\/wp-json\/wp\/v2\/posts\/57","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/abbottcenter.com\/bostonpaintherapy\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/abbottcenter.com\/bostonpaintherapy\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/abbottcenter.com\/bostonpaintherapy\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/abbottcenter.com\/bostonpaintherapy\/wp-json\/wp\/v2\/comments?post=57"}],"version-history":[{"count":1,"href":"https:\/\/abbottcenter.com\/bostonpaintherapy\/wp-json\/wp\/v2\/posts\/57\/revisions"}],"predecessor-version":[{"id":4541,"href":"https:\/\/abbottcenter.com\/bostonpaintherapy\/wp-json\/wp\/v2\/posts\/57\/revisions\/4541"}],"wp:attachment":[{"href":"https:\/\/abbottcenter.com\/bostonpaintherapy\/wp-json\/wp\/v2\/media?parent=57"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/abbottcenter.com\/bostonpaintherapy\/wp-json\/wp\/v2\/categories?post=57"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/abbottcenter.com\/bostonpaintherapy\/wp-json\/wp\/v2\/tags?post=57"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}