Assessing Vascular Function in Patients With Neck Pain, Headache, and/or Orofacial Pain: part of the Job Description of All Physical Therapists

Nathan Hutting, Roger Kerry, Rik Kranenburg, Firas Mourad, Alan Taylor

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

SYNOPSIS: Vascular serious adverse events can occur after examining, manipulating, mobilizing, and prescribing exercise for the cervical spine. Patients presenting with neck pain and headache who develop a vascular serious adverse event during or after treatment may have vascular flow limitations that go unrecognized and are aggravated by treatment. Patients with neck pain and headache-the first nonischemic symptoms of arterial dissection-frequently access physical therapists as first-point providers, not all of whom have specialist training in orthopaedic manual physical therapy. All physical therapists, irrespective of their training, who are helping patients manage neck pain, headache, and/or facial symptoms must feel confident to identify potential vascular flow limitations of the neck prior to providing treatment. J Orthop Sports Phys Ther 2021;51(9):418-421. Epub 10 May 2021. doi:10.2519/jospt.2021.10408.

Original languageEnglish
Pages (from-to)418-421
Number of pages4
JournalJournal of Orthopaedic and Sports Physical Therapy
Volume51
Issue number9
DOIs
Publication statusPublished - Sep 2021

Keywords

  • cervical vertebrae
  • facial pain
  • headache
  • humans
  • neck pain
  • Physical Examination
  • vertebral artery dissection
  • blood supply
  • diagnosis

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