Session 052201-3 is a special mini-series focusing on headaches with the help of Audrey Long, a physiotherapist and MDT diplomat in Calgary Canada, as well as faculty for the Mckenzie Institute Canada. She's also a published author, most notably for the "Does it matter which exercise? A randomized control trial from 2004. This series is brought to you as a joint effort with the McKenzie Institute Canada and we're pleased to offer these three cases to MI Canada's pro/plus members. Audrey shares 3 separate headache cases with separate and unique aspects to each.

In this third case she shares, Darryl, a 52 year old make with severe headaches and other symptoms including different types of headaches along with dizziness and vertigo. Audrey shares his report of symptoms consistent with "Alice in Wonderland" syndrome, his report of Serotonin syndrome, her reasoning in prioritizing one complaint over another, how she interpreted his initial response through repeated movements and sustained position and why she didn't push to increase the load early on when he began to describe a slight improvement. She also walks us through careful and slow and steady changes and her education she provided so he was equipped to know what response he should expect or might see. Her thought process through deciding to stay in the sagittal plane versus going lateral. She mentions a migraine tracking app he used and how that helped them both appreciate subtle changes. More than any fancy or sophisticated or unique loading strategy, Audrey illustrates, through Darryl's case, how standard MDT loading strategies and proper adherence to McKenzie principles can take a patient with life-paralyzing symptoms and transform them to a successfully outcome!

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