Diagnose headaches with cervical flexion-rotation test

Headache is one of the most common presenting complaint of chiropractic patients. A recent study compared the findings and identified the diagnostic accuracy of the cervical flexion-rotation test (FRT) between subjects with probable cervicogenic headache (CGH), migraine without aura (Migraine), and multiple headache forms (MHF).

Sixty subjects were evaluated: 20 with CGH, 20 with Migraine, and 20 with MHF. The average range of unilateral rotation to the most restricted side was 25 degrees, 42 degrees and 35 degrees for groups CGH, Migraine and MHF, respectively. Range of rotation was significantly reduced in the CGH group when compared to groups Migraine and MHF. The study found that “An experienced examiner using FRT was able to make the correct diagnosis 85% of the time (P<0.001)…”

This recent research continues to confirm the importance of a simple flexion rotation test (FRT) in the differential diagnoses of headaches. Many headache cases are often similar in terms of presenting symptom and the FRT has demonstrated in multiple research studies to be highly sensitive to identifying cervicogenic headache from migraine and multiple headache forms.

Reference: Hall TM, Briffa K, Hopper D, Robinson K. Comparative analysis and diagnostic accuracy of the cervical flexion-rotation test. J Headache Pain. 2010 May 28.

Dr. David P. Chen
Chiropractor in Laurel Maryland
Laurel Regional Chiropractic

Chiropractic usage by intercollegiate athletes

It's estimated that more than one-third of the American public uses the services of doctors of chiropractic and other complementary and alternative medicine (CAM) providers each year. Among those who take full advantage of CAM's benefits are professional athletes; in fact, many pro sports teams now have chiropractors and other CAM providers as part of their medical or training staff. A new study shows that chiropractic and other types of CAM are extremely popular among athletes on the college level as well.

In this study, researchers gave a survey to more than 300 college athletes attending a Division I school in Hawaii. The survey asked the athletes about their use of different types of CAM in the previous year, along with their use of traditional medical care. Fifty-six percent of the athletes reported using some type of CAM within the past 12 months, with more women using CAM than men. Chiropractic was the second most popular form of CAM, just behind massage; 29 percent of the athletes said they had used chiropractic at least once in the past year.

While considerable evidence suggests chiropractic can improve the performance of elite athletes, there's just as much evidence which shows chiropractic care is effective for a variety of everyday problems, too. Back pain, neck pain and migraine headaches are just a few of the many conditions that can be treated by a well-trained doctor of chiropractic.

Source: Nichols AW, Harrigan R. Complementary and alternative medicine usage by intercollegiate athletes. Clinical Journal of Sport Medicine May 2006;16(3):232-7.

Dr. David Chen
Chiropractor in Laurel, MD
Laurel Regional Chiropractic