Working With Headaches Part I: Musculoskeletal Headaches (myofascial Techniques)

Transcript

hrelcyibca vmijgbs}my @R VBA A]IJC] V b b  v bh b  v `b   kv  v b' Bv; v  b b  v v b b  b vb wbv v vb  bbvb h' V     b h vb  hv  v bv b vb   b' Bhcomy ie}pvmyr e Tpbhca Tbiv}pmy' ]ymf wbvj tmphbyybeg' 334 hcyycom , `efrwepn k}ar%c}o}yv 0434 _epnbgo _epnb go _bv _ bvj j jM CFC CFCIjMY IjMY!! TCpv TCpv b Hyynv Jjy  Vcnm c o}myy; jew hcgr nbgfy VmgyBeg , eVjmp H}yi}aeynmamVca jmcfcijmy HBopcBgmy , eVjmp \cyi}acp jmcfcijmy VrtBica tcBg aeicVBeg @bv eb ieHHeg tcBg fmyipBtVepy ‑t ‘  ‑s{b {b ‘‘ ‑V``b‘  ‑v``b‘ pmytegym Ve ciVB\BVr }   } w0 ymgyepr mtBtjmgeHmgc gv hh bv wbv ! bv% bvb|bv!   * hb" ibvv hb ` bv ! bv% bvb|bv!   *|b bv`" pme pm eii}ppmgim \b b` bv vh hbbvvv  bvv pv! wbv b bv| jcgfy(eg oeca p h hb vb p b  hb e jmcfcijmy jmcfcijmy cpm vjmpm5 v jmpm5 _bvj Oeeoam cgf c mw hbg}vmy! re} icg iehtbam c abyv e j}gfpmfy e fbyvbgiv vrtmy e jmcfcijmy'  Vjmym bgia}fm! `}v cpm gev abhbvmf ve; ip reomgbi jmcfcijm jmcfcijm *cvmp mcvbgo bim ipmch"! jcbp wcyj jmcfcijm *e}gf heyv iehhegar bg Bgfbcg wehmg! wjeym jcbp! f}m ve bvy amgovj! by wmv peh wcyjbgo c oeef tpetepvbeg e vjm vbhm! cgf vj}y jmc|r"! iebvca imtjcacaobc *ep ‑hepgbgo cvmp‘ jmcfcijm"! bivca jmcfcijm *ciiehtcgrbgo ymb{}pmy"! vj}gfmpiact jmcfcijm *y}ffmg ym|mpm egymv"! cgf hcgr! hcgr hepm' Jew we}af re} `mobg ve eph}acvm c iejmpmgv cttpecij ve fmcabgo wbvj jmcfcijmy wjmg vjmpm cpm ye hcgr nbgfy cgf ic}ymy5 Lepv}gcvmar! wm icg gcppew bv fewg' Jmcfcijmy cpm ieg|mgvbegcaar iacyybmf cy mbvjmp tpbhcpr *gev ic}ymf `r cgevjmp iegfbvbeg"" ep ymiegfcpr * re} o}myymf bv! iegfbvbeg ic}ymf `r cgevjmp iegfbvbeg"' Mzchtamy e ymiegfcpr jmcfcijmy bgia}fm vjeym pmy}avbgo peh jmcf bgk}pbmy! peh hmvc`eabi cgf hmfbica iegfbvbegy! mvi' Cavje}oj jcgfy(eg wepn icg yvbaa jmat bg hcgr icymy! vjmym cgf evjmp vrtmy e ymiegfcpr jmcfcijmy jmcfcijmy }y}caar  hmpbv pmmppca pmmppca ve c tjrybibcg pyv' Vjby by omgmpcaar c oeef tpcivbim wbvj cgr  tmpybyvmgv ep pmi}ppbgo jmcfcij jmcfcijm' m'3 ihb  hv  | ' ihb ! b v b h `v hv  | !  | vbvb  `v v ' c  wb wbv |  wb ` | b tv 0  vb h' Tpbhcpr jmcfcijmy cpm }pvjmp y}`iacyybmf cy cpbybgo peh mbvjmp; 3' H}yi}aeynmamvca epbobgy *y}ij cy vmgybeg jmcfcijmy cgf evjmpy pmacvmf ve hrecyibca ep cpvbi} acp pmyvpbivbeg"' 0' \cyi}acp civepy *y}ij cy hbopcbgmy cgf ia}yvmp jmcfcijmy"' 9' Iehbgoamf ic}ymy *vjcv by! cpbybgo peh c ieh`bgcvbeg e h}yi}aeynmamvca cgf |cyi}acp ye}pimy"'  H}yi}aeynmamvca jmcfcij  H}yi}aeynmamvca jmcfcijmy my cpm vjm heyv iehheg! vje}oj gev gmimyycpbar vjm heyv ym|mpm' Bg vjby pyv e vwe cpvbiamy! B‒aa fmyipb`m c mw vmijgbs}my peh Cf|cgimf(   Vpcbgbgoy'ieh‒y Cf|cgimf Hrecyibca  Vmijgbs}my ympbmy vjcv cpm mmivb|m  wbvj vjby v rtm e jmcfcijm' Bg Tcpv 0! ieggmiv wbvj re}p ieaamco}my eg hcyycomtpelmyybegcay'ieh 333 hrelcyibca vmijgbs}my  wm‒aa ei}y eg wcry ve jmat hbvbocvm hbopcbgmy cgf |cyi }acp jmcfcijmy' Amv‒y `mobg `r aeenbgo cv wcry ve fbyvbgo}byj h}yi} aeynmam aeynmamvca vca peh  |cyi}acp jmcfcijmy! y}hhcpb{mf bg vjm vc`am eg tcom 333' Cavje}oj iehbgoamf jmcfcijmy jmcfcij my cpm iehheg! hcn bgo vjm fbyvbgivbeg `mvwmmg h}yi} aeynma aeynmamvca mvca cgf |cyi}acp jmcfcijmy by bhtepvcgv! `mic}ym vjm tcbg peh |cyi}acp jmcfcijmy jmcfcij my *y}ij cy hcgr h bopcbgmy" icg `m hcfm wepym `r vjm ychm vmijg bs}my vjcv cpm ye mmivb|m cv pmabm|bgo h}yi}aeynmamvca jmcfcijm jmcfcijm tcbg' tcb g' VmiJgbs}m; Y}tmplbibca cgf fmmt lcYibcY el VJm Yicat  Vjm y}tmpibca cyibc e vjm yicat *Bhcom 3! tcom 334! cgf 0! cv pbojv" by fbpmivar iegvbg}e}y wbvj vjm y}tmpibca cyibca hmh`pcgmy e vjm `cin e vjm gmin! cgf `r mzvmgybeg! vjm y}tmpibca cyibc e v jm pmyv e  vjm `efr' Bvy teybvbeg eg vjm ipewg e vjm jmcf ob|my bv vjm }gbs}m peam e  ieggmivbgo pegv e vjm `efr ve vjm `cin! cgf amv ybfm ve pbojv' Cy y}ij! bv by c hmfbcvep cgf vpcgyhbvvmp e  cyibca yvpmyymy c gf iehtmgycvbegy maymwjmpm bg vjm `efr' `efr' Caye n gewg cy vjm y}`i}vcgme}y y }`i}vcgme}y `pe(cfbteym acrmp! bv abmy `mvwmmg vjm e}vmp acrmpy e ynbg cgf vjm }gfmparbgo ocamc ctegm}pevbic ep mtbipcgb}h' Cavje}oj vjby fmmtmp acrmp by caye hcbgar hmh`pcge hmh`pcge}y! }y! bv iegvcbgy vjm eiibtbv eiibtbvepegvcaby epegvcaby h}yiamy' @mic}ym vjm ocamc by iegvbg}e}y acvmpcaar   wbvj vjm vmhtepca cyibc e|mparbgo vjm vmhtepcaby h}yiam! bv by tcpvbi} acpar  ymgybvb|m ve kcw vmgybeg' Fmmt ve vjm ocamc by vjm tmpbipcgb}h eg vjm `egmy e vjm yn}aa v jmhyma|my *Bhcom 0"' @mybfmy vpcgyhbvvbgo yvpcbg cgf pmmppmf tcbg peh vjm pmyv e vjm `efr‒y cyibcy! vjm ipcgbca acrmpy tacr c fbpmiv peam bg jmcfcijmy cyyeibcvmf wbvj cim! gmin! cgf mrm yvpcbg! cy wmaa cy hmgvca 330 hcyycom , `efrwepn c v bvb  v b b  ' Lh `vvh v v! v! v |bb`  b v b hv *vb!   kv b v v ` b"! v  hv! v ` bh! bbh!  vb *wbv v h `  vb  bbvb |bb` vb  vb"!  v b b  v  *vb wbv v b!  hb v v  b v b |bw"' Bhcom ie}pvmyr e Tpbhca Tbiv}pmy' ]ymf wbvj tmphbyybeg' mzmpvbeg ep yvpmyy' Vjm cfctvc`babvr cgf tabc`babvr e vjmym acrmpy by myymgvbca ve pmm hevbeg e vjm } gfmparbgo y}v}pmy cgf ipcgbca `egmy' Y}v}pm pmyvpbivbegy icg tacr c peam bg `evj h}yi}aeynmamvca h}yi}aeynmam vca cgf c gf |cyi}acp jmcfcij jmcfcijmy! my! cgf ye bgy}pbgo vjm ipcg bca cyibcy‒ fbmpmgvbcvbeg cgf pmmfeh by c aeobica pyv yvmt bg wepnbgo w bvj jmcfcijmy'  Ve pmamcym vjm ipcgbca cyibcy! }ym  re}p gompvbty ve he|m vjm |cpbe}y acrmpy cocbgyv mcij evjmp cgf cocbgyv vjm yn}aa' _m‒pm gev yip}``bgo vjm y}pcim e vjm yicat ep yjchteebgo vjm jcbp> wm‒pm yabfbgo! yjmcpbgo! cgf  pmmbgo vjm cyibca acrmpy vjmhyma|my' Bhcobgm aeeymgbgo vjm pbgf e c icgvcae}tm cpe}gf vjm lmyj e v jm hmaeg; }ym ph! fmmt vpcgy|mpym tpmyy}pm ve k}ar%c}o}yv 0434 cyymyy cgf pmamcym cfjmybegy! t}aay! cgf vjbinmgbgoy' ]ym c fmibyb|m `}v ymgybvb|m ve}ij> `m tcvbmgv cgf vjepe}oj' Ytmgf cv amcyv ym|mpca hbg}vmy wbvj vjby vmijgbs}m! wepnbgo vjm |cpbe}y acrmpy e|mp vjm mgvbpm jmcf! cffbgo civb|m he|mhmgvy e vjm mrmy! cim! cgf mrm`pewy egim vjm e}vmp acrmpy jc|m `mmg pmamcymf *Bhcomy 9’?! tcom 339"' g}iJca _bgfe_ VmiJgbs}m  _epnbgo vjm y}`eiibtbvca h}yiamy by c wmaa(ngewg wcr ve pmabm|m vmgybeg jmcfcijmy' Vjm G}ijca _bgfew  Vmijgbs}m by c |cpbcvbeg eg vjby cttpecij' _bvj re}p iabmgv y}tbgm! tacim re}p gompvbty aegobv}fbgcaar  } h   v b v b   b  v   bv  v  bv v `  v bh' t  vb vvvb v  vbb | v bv b b  v v‖vb h wb ` lv ` b b vbvb' V vb h *b "' Bhcom ie}pvmyr  e Tpbhca Tbiv}pmy' ]ymf wbvj tmphbyybeg' @ v  vb vb v h `  vb  bbvb! b  bv‒ vb|  zv ! `w!   h|hv wb   zv v b ' *c ! B‒h v wb   vv B‒h bvvb h vv‖B‒h wb h bv v  B‒ b   v h'" h'" ieggmiv wbvj re}p ieaamco}my eg hcyycomtpelmyybegcay'ieh 339 Re} icG ymm vjmym vmijGbs}my bG Hcyycom , @efrwepn‒y  fbobvca mfbvbeG! wjbij lmcv}pmy c |bfme iabt lpeh cf|cGimf(vpcbGbGoy'ieh‒y cf|cGimf hRelcyibca vmijGbs}my f|f cGf ymhbGcp ympbmy' vjm abGn by c|cbac`am cv hcyycomcGf`efRwepn'ieh cGf c`ht'ieh' V v  bhv * *""  v `bbv  v bbv | *"  v v `bbv h     b vb bh vb ' Bhcomy ie}pvmyr e  Tpbhca Tbiv}pmy' ]ymf wbvj tmphbyybeg' caego mbvjmp ybfm e vjm g}ijca abochmgv!  wbvj re}p hbffam gompy k}yv } gfmp vjm eiibtbvca pbfom cv vjm y}tmpbep mgf e vjm g}ijca abochmgv *Bhcomy 2 cgf 34"' _bvj ph `}v tcvbmgv tpmyy}pm! mgie}pcom vjm h}yi}acv}pm cgf yev vbyy}m eg mbvjmp ybfm e vjm abochmgv ve pmamcym acvmpcaar' E}p bgvmgvbeg by ve ‑etmg vjm wbgfew‘ e vjm y}`eiibtbvca ytcim bg epfmp ve ob|m hepm peeh ve vjm yhcaa h}yiamy vjmpm cgf ve vjm bhtepvcgv imp|bica gmp|my vjcv tcyy `mvwmmg vjmh *Bhcom :"! evmg c ye}pim e teyvmpbep jmcf tcbg' Cavje}oj |mpr  mmivb|m ep vmgybeg jmcfcijmy! wepnbgo vjm y}`eiibtbvca pmobeg jcy yehmvbhmy `mmg e`ymp|mf ve wepymg |cyi}acp jmcfcijmy! tmpjcty `mic}ym bv hcr  bgipmcym ipcgbca ibpi}acvbeg' Pm|bmw vjm fbyvbgivbegy bg vjm vc`am eg tcom 333! cgf b re} y}ytmiv |cyi} acp mamhmgvy! mamhmgvy! }ym y}`eiibtbvca wepn icpm} aar!  wcvijbgo jew re}p iabmgv pmytegfy' B v g _bw Vbs!   v   bv b  v bvb bhv! b v ‑wbw‘  v `bbv '  H}yi}aeynmamvca jmcfcijmy cpm ymafeh pmacvmf pmacvmf ve k}yv vjm ipcg bca cyibc ep y}`eiibtbvca h}yiamy; kcw! gmin! mrm! cgf yje}afmp vmgybeg wbaa caye iegvpb`}vm ve hcgr jmcfcijm tcvvmpgy! ye vj bgn `pecfar' Cavje}oj jmcfcijmy jmcfcij my jc|m hcgr ic}ymy! v jm vwe vmijgbs}my fmyipb`mf jmpm cpm ybhtam `}v mzvpmhmar mmivb|m jcgfy(eg  wepn vjcv wbaa tpe|bfm pmabm cgf jmat tpm|mgv pmi}ppmgim wjmg vjmpm by h}yi}aeynmamvca bg|ea|mhmgv' bg|ea|mhmgv' Bg vjm gmzv bgyvcaahmgv! bgyvcaa hmgv! wm‒aa aeen cv wcry ve cffpmyy hbopcbgmy cgf |cyi}acp jmcfcijmy! cffbgo m|mg hepm etvbegy ve re}p vmijgbs}m veea`ez' Gevmy 3' Vjm bhtepvcgim e pmmppbgo pmmppbgo tmpybyvmgv jmcfcijmy ve c tjrybibcg ep m|ca}cvbeg wcy fpb|mg jehm ve hm ym|mpca rmcpy coe wjmg e}p eim hcgcomp cv  vjm vbhm wcy fbcogeymf wbvj c `pcbg v}hep vjcv  m|mgv}caar! cgf vpcobicaar! tpe|mf cvca' Jmcfcijmy jcf `mmg jmp egar yrhtveh' Feg‒v yicpm re}p  iabmgvy! e ie}pym! `}v fe bgybyv eg yipmmgbgo ep  pmi}ppbgo! ym|mpm! ep tmpybyvmgv jmcfcijmy'  0' Cavje}oj hbopcbgm tcbg by vrtbicaar coopc|cvmf  coopc|cvmf  `r civb|bvr ep he|mhmgv *iabh`bgo yvcbpy! `mgfbgo e|mp! mvi'"! yehm ia}yvmp jmcfcijmy *caye c |cyi}acp  jmcfcijm" icg `m pmabm|mf `r |boepe}y cmpe`bi civb|bvr' Vba A}ijc} by c hmh`mp e vjm  Cf|cgimf(Vpcbgbgoy'ieh ci}avr! wjbij empy iegvbg}bgo mf}icvbeg ymhbgcpy vjpe}oje}v vjm ]gbvmf Yvcvmy cgf c`pecf' Jm by caye c Impvblmf Cf|cgimf Peamp cgf  vmcijmy ep vjm Pea Bgyvbv}vm' Iegvciv jbh cv bgeDcf|cgimf(vpcbgbgoy'ieh cgf |bc  Cf|cgimf(Vpcbgbgoy'ieh‒y Lcim`een tcom' ieggmiv wbvj re}p ieaamco}my eg hcyycomtpelmyybegcay'ieh 33=