Brian Halterman ABMP Education Program Coordinator

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1 Common Causes of Neck Pain and Headaches with Dr. Ben Benjamin Brian Halterman ABMP Education Program Coordinator Atlanta, May 20-22, 2011 ABMP Global Education Sponsor Log on to for members discounts on courses and webinars! 1

2 Dr. Ben Benjamin o Author, educator owww.benbenjamin.com Common Causes and Treatment of Neck Pain and Headaches Instructor: Ben Benjamin, Ph.D. Instructor: Ben Benjamin, Ph.D. 2

3 Webinar Goal Learn techniques to keep your head & neck healthy and pain-free Time: 1 hour Logistics Schedule: Presentation minutes Questions minutes Ongoing questions: Use Question box. If I don t get to your question, ask Dr Benjamin on his Facebook page after the webinar. Get a pen and paper please Pretest 1. Injuries to which ligament(s) cause headache-like pain? 2. The ligaments that attach the tips of the spinous processes are called what? 3. The most commonly injured ligament to cause chronic neck pain is what? 4. Where can neck injuries refer pain? 5. How many people suffer from neck pain in the U.S.? Pretest 1. Injuries to which ligament(s) cause headache-like pain? a) The lower nuchal ligament b) The C5 supraspinous ligament c) The intertransverse ligaments at C1, 2, and 3 d) The intertransverse ligaments at C4, 5, and

4 Pretest Pretest 2. The ligaments that attach the tips of the spinous processes are called 3. The most commonly injured ligament to cause chronic neck pain is a) Interspinous ligaments b) Supraspinous ligaments c) Anterior longitudinal ligaments d) Posterior longitudinal ligaments a) C3 b) C4 c) C5 d) C Pretest Pretest 4. Neck injuries can refer pain a) To the low back b) Into the arm but not into the hand c) To the head, arm, hand, upper back, and chest d) To the legs 5. How many people suffer from neck pain in the U.S.? a) About 10 million b) Over 50 million c) About 20 million d) About 30 million

5 The Neck A Vulnerable Area 50 million Americans have headaches 40 million have neck pain Pain may result from many different factors Healing with a Full Range of Motion Without a full range of motion: Adhesive scar tissue in inappropriate places Injury becomes chronic Movement and activities are restricted With a full range of motion: Limited scar tissue in a well-defined area No internal or external adhesions Adjacent structures remain strong and flexible Healing with a Full Range of Motion Without a full range of motion: Adhesive scar tissue in inappropriate places Injury becomes chronic Movement and activities are restricted With a full range of motion: Limited scar tissue in a well-defined area No internal or external adhesions Adjacent structures remain strong and flexible Common Causes of Head & Neck Pain 1. Injuries to neck ligaments 2. Loss of range of motion in the neck 3. Chronic accumulation of muscle tension in the muscles of the face, jaw, and neck 5

6 1: Injuries to Neck Ligaments Referred Pain Patterns in the Neck 18 ligaments: supraspinous & intertransverse Supraspinous ligament Intertransverse ligament Referred Pain Patterns in the Neck 2: Lost Range of Motion We forget we have lost that range and do things that cause injury This causes strain in muscles, tendons, fascia, ligaments, and joints 6

7 3: Accumulated Muscle Tension Chronic tension in the face, jaw, and occipital region Millions of people suffer from tension headaches Massage therapy is very effective in reducing frequency and intensity Normal number of headaches is 3 to 4 per year Neck Injury Assessment Tests Rotation Side-flexion 7

8 Flexion Extension Remedial & Preventive Action Myofascial therapy Friction therapy Neck Flexibility Assessment Tests 8

9 Active rotations Active side-flexion Active flexion Active extension 9

10 Remedial & Preventive Action Active Isolated Stretching techniques Neck Tension Assessment Knuckle testing of the occiput Occipital Muscles Occipitalis Sub-occipital muscles 10

11 Remedial & Preventive Action Ligament Injury Chronic Muscle Tension Loss of Flexibility Friction Therapy Friction Therapy for the supraspinous ligament Remedial & Preventive Action Massage Neck relaxer device AIS Neck Stretches Flexion Side-flexion Flexion at 45 degrees Oblique flexion Rotation 11

12 Flexion Flexion at 45 degrees Oblique flexion Side-flexion 12

13 Rotation Questions Review: Treatment & Prevention Neck relaxer device AIS Friction and myofascial therapy WEBINAR SERIES Unraveling the Mystery of Ankle Pain with Ben Benjamin Starts January 18 th Unraveling the Mystery of Low Back Pain Unraveling the Mystery of Cervical Pain Unraveling the Mystery of Shoulder Pain Unraveling the Mystery of Knee Pain 52 13

14 Special Offers for the next 7 days ONLY Join our List and Receive FREE: NEW Ebook: Assessment & Treatment of the Low Back Pain AND Keep Learning 3 videos clips: Neck Relaxer, Neck Friction, Self Neck Stretches Call toll-free PAIN (7246) To join our list: Directions for Taking the Quiz 14

15 15

16 Insurance Billing with Diana Thompson January 19, p.m. Mountain 16

17 THANK YOU FROM ABMP! 17

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