#PhysioTalk Transcript
Healthcare social media transcript of the #PhysioTalk hashtag.
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See #PhysioTalk Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Janet Thomas @JanetThomas47 Hi I'm hoping to join in from somewhere between London and Edinburgh following #AGILEat40 I'm currently just South of Durham! #physiotalk |
| Janet Thomas @JanetThomas47 Guesses as to where I'll be by the end of the chat! #physiotalk |
| Janet Thomas @JanetThomas47 Proof of current location! #physiotalk https://t.co/6Kh1vfp3He |
 | Annika W @annika_skane Following from Helsingborg, Sweden. Meet headache every week #physiotalk |
| Janet Thomas @JanetThomas47 Yes I must do but I only ever ask about them if I'm doing a dizzy assessment #physiotalk |
 | Anne-Marie Logan @AnneMarieLogan2 My practice is a bit specialised so certainly everyone has headache. Most have migraine and it is very rare that we see someone with tension type headache (TTH) #physiotalk |
| Annika W @annika_skane I mostly treat tension-type related to cervical problems #physiotalk |
 | Anne Campbell @annescampbell CGH TTH M mainly, better prepared for CGH usually #physiotalk |
| Janet Thomas @JanetThomas47 I'm not referred anyone just for headaches though #physiotalk |
 | Sarah Edwards @lloydandsarah25 @physiotalk #physiotalk Cervicogenic and Migraine headaches but often feel not confident am asking the right questions. |
| Anne Campbell @annescampbell Also post concussion HA #physiotalk |
| Janet Thomas @JanetThomas47 No! I ask about as screening and feel a little relieved when they say they don't have headaches #physiotalk |
| Anne-Marie Logan @AnneMarieLogan2 The interesting thing about all those headaches is that they all often have neck pain and are all very similar. It is hard to distinguish one from another. #physiotalk |
| Annika W @annika_skane And many of them have an altered posture - where we as physios are experts #physiotalk |
| Janet Thomas @JanetThomas47 @PT_sevda @AnneMarieLogan2 By using the hashtag - as you have done - so all can see your tweets as part of the discussion #physiotalk |
| Anne-Marie Logan @AnneMarieLogan2 We were taught very little and yet are meant to be the specialists in CGH. I think in some places that is changing but it is not widespread #physiotalk |
| Sarah Edwards @lloydandsarah25 @physiotalk Not much as an undergraduate and only once discussion and treatment options discussed in our local In-Service Training in our locality in past few years....#physiotalk |
| Janet Thomas @JanetThomas47 A location update... #physiotalk https://t.co/geiuZDE0bu |
| Anne-Marie Logan @AnneMarieLogan2 I think first of all that Physios should not feel that it is just our profession that struggles with headache. Nurses, doctors Pharmacists all find headache difficult and get little teaching. #physiotalk |
| Janet Thomas @JanetThomas47 Am I OK to say that I go by a self report? Do you get migraines? #physiotalk |
| Anne Campbell @annescampbell Migraine - time of onset, triggers, site, could be -ve o/e tests #physiotalk |
| Janet Thomas @JanetThomas47 @PT_sevda @AnneMarieLogan2 Search for the hashtag if on a Twitter app and click latest and you'll see all the tweets #physiotalk |
| Anne-Marie Logan @AnneMarieLogan2 ID – migraine test Question 1: You felt nauseated/sick? Question 2: Light bothered you (a lot more than when you didn’t have a headache)? Question 3: Your headache limited your ability to work, study, play ? This one is on the National Migraine Centre website #physiotalk |
| Anne-Marie Logan @AnneMarieLogan2 There are many screening tests for migraine but the quickest is the ID migraine as before. It looks for the limited function, photophobia and nausea that are so common in migraine #physiotalk |
| Sarah Edwards @lloydandsarah25 @physiotalk Photophobia, dislike of noise, a constant nature and aura's often leads me to think migraine..#physiotalk |
| Anne Campbell @annescampbell CGH usually side-locked, pain locally on palpation, provoked by Cx motion UCx, quick onset. #physiotalk |
| Sarah Edwards @lloydandsarah25 @physiotalk If cervical movements reproduce symptoms then it is likely the cause of their symptoms. Also if symptoms are unilateral it is indicative of cervicogenic headaches. #physiotalk |
| Janet Thomas @JanetThomas47 @annescampbell Side locked? Sorry if being a bit slow.. #physiotalk |
| Janet Thomas @JanetThomas47 @IanTyrrell5 @Louise_Brennan_ @physiotalk Now now - the new word is versitilist I do believe! #physiotalk |
| Anne-Marie Logan @AnneMarieLogan2 @physiotalk @IanTyrrell5 side locked is just a way of saying that a headache stays on one side of the headache and doesn't switch #physiotalk |
| Janet Thomas @JanetThomas47 @AnneMarieLogan2 @physiotalk @IanTyrrell5 Thank you! #physiotalk |
| Anne Campbell @annescampbell Checking out, will read transcript, thanks, busy clinic #physiotalk |
| Janet Thomas @JanetThomas47 @IanTyrrell5 @Louise_Brennan_ @physiotalk That's what I said at the weekend (The spelling that is....) #physiotalk |
| Anne-Marie Logan @AnneMarieLogan2 @lloydandsarah25 @physiotalk What is important about an MDT approach with CGH is that when you know you neurology department or local headache service, greater occipital nerve blocks can be a useful adjunct to allow therapy to help these patients. #physiotalk |
| Janet Thomas @JanetThomas47 @physiotalk I don't know... So something for me to read up about then... #physiotalk |
| Anne-Marie Logan @AnneMarieLogan2 @physiotalk I get asked to see headache patients in our physio department and the two reasons why the physios are struggling are either that the patient has chronic migraine or that they have medication overuse headache #physiotalk |
| Sarah Edwards @lloydandsarah25 @physiotalk I have seen them but not identified until after a talk form a clinical psychologist that takes about medication overuse at a study day. We see so many people on so many medications and they don't know why or what for....#physiotalk |
| Anne-Marie Logan @AnneMarieLogan2 @IanTyrrell5 @physiotalk If the patient has a tendancy to headache ie Migraine or TTH then frequent painkillers can give them a daily headache called Medication Overuse Headache (MOH) over a few months #physiotalk |
| Anne-Marie Logan @AnneMarieLogan2 @JoFallsPhysio @physiotalk The headache stops responding to simple painkillers over time and may fluctuate through the day with painkiller use. Patients often move up to opiates when paracetamol, ibuprofen etc stops working. The pain becomes near constant. #physiotalk |
| Anne-Marie Logan @AnneMarieLogan2 @IanTyrrell5 @physiotalk Opiates/ triptans taken on more than 10 days a month or simple analgesics on more than 15 days per month is the general rule. #physiotalk |
| Janet Thomas @JanetThomas47 @spiteri_anna @AnneMarieLogan2 @JoFallsPhysio @physiotalk Stop the meds? Or not... #physiotalk |
| Annika W @annika_skane What do you mean with ”simple” painkillers? Which substance is most common? #physiotalk |
| Janet Thomas @JanetThomas47 My journey continues...#physiotalk https://t.co/Kpid1iBuJ2 |
| Anne-Marie Logan @AnneMarieLogan2 @JoFallsPhysio @physiotalk If you are a non prescriber then we can alert the GP to the fact that the patient may have medication overuse headache. Migraine Trust has more information as does BASH guidelines https://t.co/xS0vN4qx0Z it is one of the biggest reasons for prophylactic failure. #physiotalk |
| Anne-Marie Logan @AnneMarieLogan2 @annika_skane Simple painkillers are the ones that only have one drug in the tablet, like paracetamol or ibuprofen. The common ones. #physiotalk |
| Anne-Marie Logan @AnneMarieLogan2 @PT_sevda @physiotalk Glad you found the article useful. It is really the questions that are so important that tease out the diagnosis. #physiotalk |
| Anne-Marie Logan @AnneMarieLogan2 @physiotalk As Ian will have experienced in ED, headaches can sometimes be worrying and really headache is a team game. I feel that headache is not a first contact practitioner condition. We do not have the training or knowledge of the vast range of potential headache diagnoses #physiotalk |
| Anne-Marie Logan @AnneMarieLogan2 @PT_sevda @physiotalk An excellent place to start. There are a lot of Neurologists who feel that TTH is actually part of a continuum with migraine but it is a seperate condition in the classification at the moment. #physiotalk |
| Janet Thomas @JanetThomas47 @AnneMarieLogan2 @physiotalk Which team though? Who to refer to? #physiotalk |
| Sarah Edwards @lloydandsarah25 @physiotalk If there were neurological deficits alongside headaches such as limb weakness or visual loss (check cranial nerves) /effects-jaw claudication (temporal arteritis) and if there was signs of infection/sickness along with headache these would be my red flag worries..#physiotalk |
| Janet Thomas @JanetThomas47 @physiotalk @AnneMarieLogan2 And now I need to read more! #physiotalk |
| Anne-Marie Logan @AnneMarieLogan2 @mariand84 @physiotalk One of the reasons to discuss with the referrer. Over the age of 50 new onset headaches have a higher risk of secondary pathology so you would be checking to see whether the patient really had never had any headaches in the past. #physiotalk |
| Janet Thomas @JanetThomas47 RT @physiotalk: |
| Sarah Edwards @lloydandsarah25 @physiotalk @AnneMarieLogan2 Thank you-more reading to do and much food for thought...first "Tweet Chat" and I really enjoyed it...when I finally worked out what to do!!#physiotalk |
| Anne-Marie Logan @AnneMarieLogan2 @spiteri_anna @physiotalk Migraine is underdiagnosed and undertreated so the best thing we can do is recognise it and alert our GP / neurologist colleagues. It responds to graded exercise, regular lifestyles, managed anxiety and depression, no delays in meals and medication when needed. #physiotalk |
| Anne-Marie Logan @AnneMarieLogan2 @spiteri_anna @physiotalk Headache diaries are really important to tell the frequency. #physiotalk |
| Anne-Marie Logan @AnneMarieLogan2 @physiotalk Thanks so much for your time. Do look up the brilliant charity https://t.co/Gk8f7UKvWA for more information on all headaches and the guidelines.. https://t.co/cHvBj4hKbc https://t.co/xS0vN4qx0Z #physiotalk |
| Sarah Edwards @lloydandsarah25 @physiotalk @TaylorAlanJ @AnneMarieLogan2 Really good blog...thanks Alan... #physiotalk |
| Anne-Marie Logan @AnneMarieLogan2 @hipsterlife85 @JoFallsPhysio @physiotalk It can happen when painkillers are used for any condition. This is difficult when the patient has arthritis for instance as well as migraine. It needs careful management of the arthritis without frequent painkillers without provoking the chronic headache #physiotalk |
| Janet Thomas @JanetThomas47 Following tonight's #physiotalk I feel a headache coming on😐 I know what I need though - A good night's sleep! It's been a busy few days... |
| Anne-Marie Logan @AnneMarieLogan2 @physiotalk @TaylorAlanJ We didn't really get a chance to talk about red flags. They are listed in the NICE guidelines CG150 https://t.co/ZZurnqhh01 #physiotalk |
#PhysioTalk content from Twitter.