Needle and maneuver efficacy treatment of cervicogenic headache.doc

 PAGE \* MERGEFORMAT 8 Needle and maneuver efficacy treatment of cervicogenic headache [Keywords:] needle-knife technique efficacy treatment of cervicogenic headache The reasons are complex headache, spinal headache-related disease is one of the reasons, particularly given the nature of work and work environment factors of the cervical spine and neck soft tissue disorders caused by pathological changes of cervicogenic headache has shown an increasing trend spine surgery hospital clinic since January 2004 to December 2008 using needle knife approach treatment of cervicogenic headache with 67 patients achieved satisfactory results, are reported below. 1 Clinical data 1.1 General Information of this group 32 males and 35 female, aged 21 to 56 years, average 39.3 years old; course of 1 month to 6 years, an average of 6 months; of which 28 cases of migraine headache, bilateral pain in 17 cases, posterior and 22 cases of head pain, headache associated with dizziness, blurred vision, insomnia, throat discomfort in 23 cases. 1.2 Imaging anteroposterior cervical spine were taken in this group, lateral and open mouth position X-ray film, the performance of cervical physiological curvature changes, location changes of vertebral ring, C2 spinous process location changes, the upper cervical facet joint bilateral shadow. Mouth bit X ray shows C1, C2 anatomical abnormalities. some patients no abnormal changes in X-ray films. 1.3 The diagnosis is based on headache, dizziness associated with occipital discomfort, some have originated from the neck to the amount of orbital Bleeding, pain episodes and fatigue, stress, cold and other relevant experience; palpation or skew a joint C2 spinous process Department tenderness, transverse side tenderness, severe local soft tissue can be touched, “thickening of the flu.” clinical manifestations and imaging findings consistent with those for diagnosis, with typical clinical manifestations of cervical headache, and normal