Case # 44 Mark Miller

Headache.jpg
Headache.jpg

Case # 44 Mark Miller

15.00

In case #44 I'm joined by Mr. Mark Miller of Tallahassee Florida USA.  We discuss a young woman with a six month history of symmetrical headaches and jaw pain.  Mark gives great insights on the most important information from the patient to investigate further and what that information means.  He shares considerations within the physical exam and in conducting the repeated movement and sustained position assessment section.  Decades of experience on a patient condition that can be elusive to resolve in many cases.  (49min, 45sec)

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This case illustrates helpful direction from Mark when taking a history and how he finds younger therapists separating the interview from the exam and how has learned to integrate the two.  A great example of focusing in on the patient's own discoveries as to positions and maneuvers from which she'd found, at least, temporary relief.  Mark goes in depth as to how to progress the forces to rule in or out the cervical versus the thoracic spine as the origin and where the reductive force exists.  Thorough discussion of modifications to loading that he has seen effective and alternative to the more common techniques most of us are familiar with is had.  He shares his observations of the sequence of which change comes first, the mechanical change or the symptomatic and how long one should expect for the other to show response too.  The possibility of TMD or non-mechanical headache as origin of this patient's symptoms is also discussed at length. This patient's multiple areas of symptoms, her plateau of improvement and the variability of some symptoms responding while others are not, all create a great learning opportunity for listeners of this case.