In this podcast episode, Dr. Kerstin Luedtkee discusses the topic of migraine headaches, providing insights into the definition, classification, and pathophysiological theories behind migraines. She explains the criteria for diagnosing migraine headaches, including the presence of associated symptoms such as nausea and sensitivity to light or sound. Dr. Luedtkee delves into the role of the hypothalamus as a key structure in triggering migraine attacks and highlights the importance of understanding the central nervous system changes that occur in individuals with migraines. Moreover, she emphasizes the need for a holistic approach in managing migraines, incorporating physiotherapy interventions alongside pharmacological treatments. Dr. Luedtkee suggests addressing musculoskeletal dysfunctions in the neck, providing education on migraine triggers and symptoms, promoting relaxation techniques, and encouraging aerobic exercise. She also mentions ongoing research areas focused on patient perspectives, the effectiveness of physiotherapy in migraine treatment, and the importance of incorporating patient feedback into future studies to enhance the overall management of migraines.
Content
00:00 Introduction
00:37 Definition of Migraine Headaches
01:40 Migraine with Aura
03:30 Pathophysiology
05:30 The role of the Hypothalamus
07:36 Risk Factors for Migraine
13:25 Prevalence
16:44 The typical patient
18:29 Migraine and Chronic Pain
21:30 Red Flags
23:13 Other Diagnostic Measures
29:00 MSK Dysfunctions in Headache
31:18 The role of Vestibular Assessment
33:25 Subtype Vestibular Migraine
34:34 Physical Therapy Effectiveness
40:11 Guideline Management Approach
45:15 Added benefit of moving more?
46:16 Hot topics in Migraine Research
48:30 The Importance of the Patient’s perspective
49:56 Contact Info
51:15 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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