EP. 065: More than Meds - Exploring Physiotherapy for Migraine Management with Kerstin Luedtke
Release Date: 06/01/2024
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Physiotutors Podcast
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Physiotutors Podcast
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Physiotutors Podcast
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Physiotutors Podcast
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Physiotutors Podcast
In Episode 74 of the Physiotutors podcast, host Kai is joined by Dr. Erik Thoomes, an expert in musculoskeletal conditions, particularly cervical radiculopathy. Dr. Thoomes provides an in-depth discussion on cervical radiculopathy, distinguishing it from nonspecific neck pain. He explains that cervical radiculopathy involves radiating arm pain due to nerve root irritation or compression, often caused by disc herniation or spondylotic changes, contrasting it with lumbar radiculopathy. The episode emphasizes the importance of thorough patient history in diagnosis and suggests a cluster of tests...
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Physiotutors Podcast
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Physiotutors Podcast
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In this episode of the Physiotutors podcast, Kai interviews Serena Simmons, a seasoned psychologist with over 30 years of experience, about behavioral change and patient buy-in in healthcare. Serena highlights the challenges that healthcare providers face due to the lack of psychological training in their initial education, which often leaves them unequipped to effectively promote behavioral change in patients. She emphasizes the importance of understanding both the practitioner's and the patient's psychology to foster meaningful interactions and facilitate change. Serena discusses the...
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EP. 069: Seeing the Unseen - Diagnostic MSK Ultrasound with Niek Vink
Physiotutors Podcast
In this episode of the Physiotutors podcast, Kai interviews Niek Vink, a physiotherapist and manager at the National Training Center for Ultrasound (NT-E) in Utrecht, Netherlands. They discuss the role and benefits of ultrasound in physiotherapy. Niek explains the basics of ultrasound imaging, comparing it to other imaging techniques like MRI and X-ray. He emphasizes that while ultrasound offers high spatial resolution and is useful for assessing soft tissues, it cannot see inside bones. The conversation also highlights the importance of dynamic scanning and sono-palpation in physiotherapy, as...
info_outlineIn 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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