Newsletter – OC3 in Headache Matters

Walking past Watson’s office, Watson’s colleague notices the door is open.  “Do you have a moment, Watson?”  “Yes, of course.” “I know we have discussed your views of unilateral head pain and its behavior, but a colleague of mine has a bilateral headache, which he believes is coming from his neck. However, his doctor has

Watson’s colleague was intrigued by their previous conversation. “You alluded to the crude, primitive techniques used to reproduce patients’ signature head pain.” The Frustration “Yes,” replies Watson, recognising that his colleague is in another searching mood, “essentially, the basis of my frustration is that a comprehensive diagnostic examination for CGH, a musculoskeletal condition, is being

‘Happy New Year, Watson. Let’s toast 2024!’ They do so with their customary glass of 2012 Albert Bichot Cote de Nuits Villages Burgundy. In a vibrant, somewhat mischievous mood, Watson’s colleague ‘sticks his neck out’, “You are clearly frustrated with the medical model’s perspective of headache and migraine.  What would you like to see happen

“I know we are coming to the end of the year, but I want to raise cervicogenic headache (CGH),” requests Watson’s colleague.  “Arghhhh! I wish we could delete the label ‘CGH’,” exclaims Watson. “Why would you want that? It’s about the upper cervical spine and headache, right?” asks Watson’s colleague. “Well, the label ‘CGH’ is

Watson’s colleague has been pondering the value of the Flexion Rotation Test (FRT) since their last discussion. “I am not saying that the FRT should be abandoned; I am just questioning its role identifying C1-2, even if it (FRT) was provocative, as the referring segment”, reiterates Watson. “After our discussion, I looked up the paper

The Abandonment of C1-2 Watson’s colleague, still considering the implications of their last discussion, arrives in a reflective mood, “There is another issue that has been niggling me since we have been discussing headache and migraine. Recently, a paper[1] came across my desk which reported that the incidence of headache referral from C1-2 was only