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June Newsletter 2022


June is National Migraine & Headache Awareness Month

Can Physical Therapy Help with a Migraine and Headache?

Migraine is a neurological condition marked by intense, often debilitating headaches. It can also be accompanied by symptoms like nausea, sensitivity to light or sound, and numbness or tingling. There are various treatments for migraine, and physical therapy may be helpful in treating migraine for some people.

Physical therapy exercises and techniques for migraine

Physical therapy techniques for migraine can vary, depending on the person and symptoms. The physical therapist will examine you to determine what is needed and how they can best help.


Physical therapy can involve stretching and guidance on body mechanics as well as posture. This can help people position their head and neck in a better way, minimizing tension and odd positioning. In turn, the muscles are not as strained or tense, potentially helping to reduce migraine symptoms.

Read more about stretches for migraine relief.


Soft tissue mobilization is also a tool that physical therapists use in the treatment of migraine. This may help relax trigger points that worsen migraine headache symptoms.


Education is a part of many physical therapy appointments. The physical therapist may provide guidance on how to:

  • sit properly

  • align your head and neck

  • exercise and stretch so that your muscles are more relaxed, and to increase range of motion

  • reduce muscle tension

Does physical therapy treat other types of headaches?

Physical therapy can be used to treat other types of headache, such as cervicogenic headache. While migraine headaches originate in the brain (which may be why physical therapy has mixed results), cervicogenic headache stems from structures in the cervical spine.

Physical therapy is often prescribed for those with cervicogenic headache, according to the National Headache Foundation. The therapist can examine you to see which areas are contributing to symptoms, and then do manual techniques in order to relieve tension and pain, and improve head and neck range of motion. Soft tissue mobilization may be done, as well as education about posture and stretching.

A 2019 review of controlled trials found that physical therapy is more effective than placebo for tension-type headache. These headaches are caused by muscle contractions in the head and neck areas, and can be related to stress. Physical therapy may relieve tension in the head and neck areas, help with posture and positioning, and provide education on how to move to reduce tension and consciously relax under stress.

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Injury Corner

Snapping Hip Syndrome

Snapping hip syndrome is a common injury where tendons of the hip "snap" or have an audible "pop" over a bony area or from intra-articular pathology. There are 3 types of snapping hip: external, internal or intra-articular.

External snapping hip involves the iliotibial band, also known as IT band, or gluteus maximus tendon slipping over the greater trochanter of the femur.

Internal snapping hip involves the iliopsoas tendon moving over the femoral head, iliopectineal eminence, the lesser trochanter of the femur or AIIS, anterior inferior iliac spine.

Intra-articular snapping hip involves pathology inside the hip joint such as a labral tear or a loose-body within the joint.

In physical therapy, we work to reduce tendon inflammation and improve flexibility by means of manual therapy, stretching and modalities such as iontophoresis patching, laser therapy, trigger point dry needling and cryotherapy. We also use PNF techniques to promote appropriate muscle use and proper mechanics, strengthening the correct muscles to reduce overuse of compensatory muscles.


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Greek Chicken & Marinade

  • 1-1/2 pounds fresh chicken breast sliced in half to make thinner