#PhysioTalk Transcript
Healthcare social media transcript of the #PhysioTalk hashtag.
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| Profile | Tweet |
|---|---|
 | physiotalk @physiotalk Hello everyone! Tonight we’re tweetchatting about #headaches with our specialist host @AnneMarieLogan2. #physiotalk |
| physiotalk @physiotalk Have you had a chance to look at the pre-chat info? 👇 https://t.co/9ciJNumJru #physiotalk |
| physiotalk @physiotalk So who is joining us tonight? Say hello and let us know where you’re tweeting from! #physiotalk |
 | 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 |
 | Ian Tyrrell @IanTyrrell5 @physiotalk I’m around, not my area of expertise but am sure I can generate an opinion or two #physiotalk |
 | Helen Harte @Hartey_PainPT @physiotalk Hi Helen here. Looking forward to tonights tweetchat. A new area of practice for me. #physiotalk |
| Janet Thomas @JanetThomas47 Guesses as to where I'll be by the end of the chat! #physiotalk |
 | Jo Kitchen @JoFallsPhysio @physiotalk Hi, not something I do in my day-to-day but my husband gets migraines and so I was quite interested in headaches when working in MSK #physiotalk |
| Janet Thomas @JanetThomas47 Proof of current location! #physiotalk https://t.co/6Kh1vfp3He |
| Helen Harte @Hartey_PainPT RT @physiotalk: Hello everyone! Tonight we’re tweetchatting about #headaches with our specialist host @AnneMarieLogan2. #physiotalk |
| physiotalk @physiotalk @IanTyrrell5 Of course :-) it'll be a learning experience for us too! #physiotalk |
 | M-J Sharp @hipsterlife85 @physiotalk Hello #physiotalk I am joining in tonight! |
 | Mari @mariand84 @physiotalk Mari from Sweden #physiotalk |
 | Alan J Taylor @TaylorAlanJ Hi folks ... #physiotalk |
 | Louise Brennan @Louise_Brennan_ @physiotalk Hi all! Louise from Dublin/Seville here! Looking forward to learning a bit about headaches tonight #physiotalk |
| physiotalk @physiotalk Great to see you all joining in tonight! Any first-timers or lurkers out there, feel free to get involved 😊 #physiotalk |
 | Annika W @annika_skane Following from Helsingborg, Sweden. Meet headache every week #physiotalk |
| physiotalk @physiotalk And a gentle reminder to use #physiotalk hastag in all your tweets – this means we can all see each other’s tweets & follow the conversation better #physiotalk |
| Helen Harte @Hartey_PainPT RT @physiotalk: And a gentle reminder to use #physiotalk hastag in all your tweets – this means we can all see each other’s tweets & follow… |
| physiotalk @physiotalk Ok, time to get started with the questions! #physiotalk |
| physiotalk @physiotalk Q In your practice, do you come across patients with headaches? What types are most common and do you feel prepared to treat them? #physiotalk |
| Janet Thomas @JanetThomas47 Yes I must do but I only ever ask about them if I'm doing a dizzy assessment #physiotalk |
| Mari @mariand84 @physiotalk Yes. Cervicogenic, yes. #physiotalk |
 | Daniel Gerber @GlasgowOsteo @physiotalk Cervogenic, or stress/tension headaches yes.... #physiotalk others maybe or no... |
 | 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 |
| Ian Tyrrell @IanTyrrell5 @physiotalk In A&E infrequently but do come across migraine hemiparisis and functional weakness at times. Ct=NAD, unable to walk, refer to physio to enable discharge #thanks #headscratcher #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 |
| physiotalk @physiotalk Interesting - a few different types of headaches being seen by Physios out there - do you feel well prepared to treat them? #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 |
| physiotalk @physiotalk @lloydandsarah25 I wonder how much it's covered in our undergrad education and post-qualification CPD? #physiotalk |
| Daniel Gerber @GlasgowOsteo @lloydandsarah25 @physiotalk Good point. Do you feel if the right right questions aren’t being asked , sometimes possibly missing certain tests? #physiotalk |
 | Tom Pointing @PointingPhysio @physiotalk We were taught this at Uni on Thursday mainly about cervicogenic headaches, we were taught to treat holistically throughout the biopsychosocial model but otherwise I wouldn’t know where to start for other types #physiotalk |
| Ian Tyrrell @IanTyrrell5 @physiotalk I work in a niche area,I know how to deal with what I have to deal with in this area. This is from experience, couldn’t say I work on an evidence base, just do what has worked in the past for me. #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 |
| physiotalk @physiotalk So we’ve got the ball rolling on #headaches Let’s get a little more specific now! #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 |
| Helen Harte @Hartey_PainPT #physiotalk |
| physiotalk @physiotalk Q From your experience, how can you tell if a patient has migraine? #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 |
| physiotalk @physiotalk #Physiotalk |
| physiotalk @physiotalk #physiotalk |
| 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 |
 | Daniel Gerber @DanOsteopath #physiotalk |
| Anne Campbell @annescampbell Migraine - time of onset, triggers, site, could be -ve o/e tests #physiotalk |
| Ian Tyrrell @IanTyrrell5 @physiotalk I can never tell. But I always explore all issues including pyshcosocial issues #physiotalk |
| physiotalk @physiotalk @chrislinakruger Welcome @chrislinakruger! translation worked great! Don't forget to add #physiotalk to the end of every message so we can all see you |
| physiotalk @physiotalk Don’t forget the hashtag #physiotalk even in your replies https://t.co/VZYaCrTHuD |
| 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 |
| Louise Brennan @Louise_Brennan_ @IanTyrrell5 @physiotalk Do you have access to another clinician who could make that diagnosis? #physiotalk |
| physiotalk @physiotalk Alright, let’s get going with question 3.. #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 |
| physiotalk @physiotalk Q Cervicogenic headache can often be confused with migraine - how can Physiotherapists differentiate between them? #physiotalk |
| Sarah Edwards @lloydandsarah25 @physiotalk Photophobia, dislike of noise, a constant nature and aura's often leads me to think migraine..#physiotalk |
| Alan J Taylor @TaylorAlanJ @physiotalk @lloydandsarah25 We teach risk and rehabilitation at UG & PG @UoNPhysio with an initial screening for CAD or neurological involvement ... followed by a holistic BPS approach with an emphasis on self Mx / rehab. #Physiotalk |
| Ian Tyrrell @IanTyrrell5 @Louise_Brennan_ @physiotalk No, I work in A&E so if I’m referred someone with a headache related neurology I’m often the first to ask about other issues. #physiotalk |
| physiotalk @physiotalk RT @AnneMarieLogan2: ID – migraine test Question 1: You felt nauseated/sick? Question 2: Light bothered you (a lot more than when you didn’… |
| Jo Kitchen @JoFallsPhysio @physiotalk Symptoms- nausea, vomiting, sensitivity to light, triggers, onset. Can’t reproduce their symptoms with any palpation/movement/activities...#physiotalk |
| Ian Tyrrell @IanTyrrell5 @physiotalk No idea, please explain! 😀 #physiotalk |
| Daniel Gerber @DanOsteopath @TaylorAlanJ @physiotalk @lloydandsarah25 @UoNPhysio For manipulative therapists this is important.... #physiotalk |
| Louise Brennan @Louise_Brennan_ @IanTyrrell5 @physiotalk wow, A&E work really requires you to know a lot about a lot!! #physiotalk |
| Anne Campbell @annescampbell CGH usually side-locked, pain locally on palpation, provoked by Cx motion UCx, quick onset. #physiotalk |
| physiotalk @physiotalk RT @AnneMarieLogan2: I think first of all that Physios should not feel that it is just our profession that struggles with headache. Nurses,… |
 | helen welch @helschez RT @AnneMarieLogan2: ID – migraine test Question 1: You felt nauseated/sick? Question 2: Light bothered you (a lot more than when you didn’… |
| physiotalk @physiotalk RT @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… |
| 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 |
| Ian Tyrrell @IanTyrrell5 @Louise_Brennan_ @physiotalk Specialised generalist but love every minute! See something new every day and wouldn’t change it for the world! #physiotalk #LotsOfStoriesToTell |
| Janet Thomas @JanetThomas47 @annescampbell Side locked? Sorry if being a bit slow.. #physiotalk |
| physiotalk @physiotalk @IanTyrrell5 Our expert @AnneMarieLogan2 is hopefully going to explain this all for us now ;-) #physiotalk |
| Janet Thomas @JanetThomas47 @IanTyrrell5 @Louise_Brennan_ @physiotalk Now now - the new word is versitilist I do believe! #physiotalk |
| physiotalk @physiotalk RT @AnneMarieLogan2: There are many screening tests for migraine but the quickest is the ID migraine as before. It looks for the limited fu… |
| 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 |
| physiotalk @physiotalk RT @lloydandsarah25: @physiotalk If cervical movements reproduce symptoms then it is likely the cause of their symptoms. Also if symptoms a… |
| Daniel Gerber @DanOsteopath @AnneMarieLogan2 @physiotalk ID? #physiotalk |
| Janet Thomas @JanetThomas47 @AnneMarieLogan2 @physiotalk @IanTyrrell5 Thank you! #physiotalk |
| Anne Campbell @annescampbell Checking out, will read transcript, thanks, busy clinic #physiotalk |
| physiotalk @physiotalk @AnneMarieLogan2 @IanTyrrell5 @JanetThomas47 @annescampbell #physiotalk |
| Ian Tyrrell @IanTyrrell5 @JanetThomas47 @Louise_Brennan_ @physiotalk Don’t think I can spell that regularly to include it in my vocabulary! And make me think of being a ventriloquist (don’t know why 🤷♂️) #physiotalk |
| physiotalk @physiotalk Time to bring on question #4, here we go: #physiotalk |
| physiotalk @physiotalk Q Do you ever see patients with Medication Overuse Headache? What is your experience/understanding of this presentation? #physiotalk |
| Mari @mariand84 @AnneMarieLogan2 @physiotalk Agree with this, I was taught very little about headache in undergrad. #physiotalk |
| Janet Thomas @JanetThomas47 @IanTyrrell5 @Louise_Brennan_ @physiotalk That's what I said at the weekend (The spelling that is....) #physiotalk |
| physiotalk @physiotalk #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 |
| physiotalk @physiotalk Over half way through this talk already. So much to learn #physiotalk |
 | Fiona Lucas @fi_firstchoice Hi Anne-Marie. I'm interested in the self management programmes you have mentioned for headaches, I work with a Neurologist in Bournemouth who is keen on our Department setting up a group. He has been inspired by the work carried out by CHESS at Warwick Uni? #physiotalk' |
| Mari @mariand84 @lloydandsarah25 @physiotalk This is how I think about cervicogenic or not! #physiotalk |
| Mari @mariand84 @JoFallsPhysio @physiotalk Agree with this. #physiotalk |
| Ian Tyrrell @IanTyrrell5 @physiotalk Any specific medications?? #physiotalk |
| Daniel Gerber @DanOsteopath @physiotalk As in bounce back headaches? Partial due to the over medicalisation of other pains... #physiotalk |
| Alan J Taylor @TaylorAlanJ @mariand84 @AnneMarieLogan2 @physiotalk .@RogerKerry1 and I have always been fascinated that PT training often appeared to omit cranial nerve testing for cranio-cervical conditions ... #Essential #Examination in trauma or worsening cases. #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 |
| physiotalk @physiotalk .@AnneMarieLogan2 do you have any tips for seeing patients with Medication Overuse Headache? #physiotalk |
| physiotalk @physiotalk #physiotalk |
| physiotalk @physiotalk RT @AnneMarieLogan2: @physiotalk I get asked to see headache patients in our physio department and the two reasons why the physios are stru… |
 | Anna Spiteri @spiteri_anna @AnneMarieLogan2 @physiotalk Do you mean medication overuse related to pain relief for headaches or medication for other uses? Are we reaching for the painkillers too quickly? #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 |
| Jo Kitchen @JoFallsPhysio @AnneMarieLogan2 @physiotalk Do you notice any patterns of overuse of painkillers and headaches? What gives you clues it’s not just really painful headaches requiring meds++? #physiotalk |
| physiotalk @physiotalk @lloydandsarah25 overuse/over prescription of medicines can affect patients in many ways - it's good if physios (and all staff!) can keep an eye out for it! #physiotalk |
| physiotalk @physiotalk RT @TaylorAlanJ: @mariand84 @AnneMarieLogan2 @physiotalk .@RogerKerry1 and I have always been fascinated that PT training often appeared to… |
| 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 |
| Anna Spiteri @spiteri_anna @AnneMarieLogan2 @JoFallsPhysio @physiotalk This is scary. What is the alternative? #physiotalk |
| Louise Brennan @Louise_Brennan_ @DanOsteopath @TaylorAlanJ @mariand84 @AnneMarieLogan2 @physiotalk @RogerKerry1 I definitely had some training in it...but only at undergrad level, in a dusty anatomy lecture hall! #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 |
| Jo Kitchen @JoFallsPhysio @AnneMarieLogan2 @physiotalk How do you help them break the pattern? Or do you refer on to someone else? #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 |
| physiotalk @physiotalk Where is the hour going? Let's move onto the next question! #physiotalk |
| Janet Thomas @JanetThomas47 My journey continues...#physiotalk https://t.co/Kpid1iBuJ2 |
| Ian Tyrrell @IanTyrrell5 @AnneMarieLogan2 @physiotalk Good to know. Thanks #physiotalk |
| physiotalk @physiotalk Q What are the red flag features that should cause us to worry about a patient presenting with headache? #physiotalk |
| Mari @mariand84 @AnneMarieLogan2 @IanTyrrell5 @physiotalk Very good to know #physiotalk |
| physiotalk @physiotalk RT @AnneMarieLogan2: @IanTyrrell5 @physiotalk If the patient has a tendancy to headache ie Migraine or TTH then frequent painkillers can gi… |
| 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 |
| M-J Sharp @hipsterlife85 @AnneMarieLogan2 @JoFallsPhysio @physiotalk Does this happen when painkillers used for other things too, or just with headaches? #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 |
| physiotalk @physiotalk Advice on how to identify a medication overuse headache #physiotalk |
| physiotalk @physiotalk Don’t forget the hashtag #Physiotalk so we can see your replies. Such an interesting debate and we are all so keen to learn more but unless you add #physiotalk to your tweets AND replies we cannot follow what you are saying https://t.co/Y0TsdHtfX5 |
| Daniel Gerber @DanOsteopath @hipsterlife85 @AnneMarieLogan2 @JoFallsPhysio @physiotalk Had it with a patient who was initially put on pain killers for back pain...headaches eventually became primary problem... #physiotalk |
| Jo Kitchen @JoFallsPhysio @hipsterlife85 @AnneMarieLogan2 @physiotalk I’m pretty sure it does, think I read an article *goes off to hunt #physiotalk |
| Louise Brennan @Louise_Brennan_ @physiotalk 😆 love this! #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 |
| physiotalk @physiotalk Just a few mins left for our last Q! #physiotalk |
| physiotalk @physiotalk Q Should headache be part of the conditions seen in first contact practitioner services? By which service do you think they should be managed? #physiotalk |
 | Zoe Merchant OT @ZoeJRichardson RT @physiotalk: Advice on how to identify a medication overuse headache #physiotalk https://t.co/VJ79ncQuUh |
| Daniel Gerber @DanOsteopath @physiotalk Of all the #physiotalk I’ve followed this subject appears to be the one with the biggest area of confusion and/or doubt.. |
| Helen Harte @Hartey_PainPT @physiotalk I think it has to be, right? Or at the very least, those taking up FCP roles have to be informed and competent in this area. #physiotalk |
| physiotalk @physiotalk @PT_sevda That @CSP article was of course written by our wonderful guest host for this evening, @AnneMarieLogan2 ! #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 |
| Mari @mariand84 @physiotalk Older person with headache and no previous history of it #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 |
| Jo Kitchen @JoFallsPhysio @physiotalk I don’t think it’s the best fit for first contact as there are so many diff Dx but for someone with neck pain and headaches I think it would be appropriate. I had pts self-refer with headaches as a band 5. #physiotalk |
| Janet Thomas @JanetThomas47 @AnneMarieLogan2 @physiotalk Which team though? Who to refer to? #physiotalk |
| Mari @mariand84 @AnneMarieLogan2 @physiotalk Seems very reasonable #physiotalk |
| physiotalk @physiotalk Well everyone, that’s the hour up - thank you all for another most excellent #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 |
| Jo Kitchen @JoFallsPhysio @physiotalk Continued- in hindsight I’m not sure this was appropriate! #physiotalk |
| physiotalk @physiotalk And a big thanks to our brilliant guest host @AnneMarieLogan2 for sharing her expertise on #headaches, I know I certainly learnt a huge amount #physiotalk |
| Mari @mariand84 @JanetThomas47 @AnneMarieLogan2 @physiotalk First assessed by GPs and if other patology is ruled out and headache is more cervicogenic referral to physio #physiotalk |
| Ian Tyrrell @IanTyrrell5 @physiotalk I think any FCP needs to have a broader understanding on physical conditions rather than just msk! We as physios do “neuro assessments” but no way near a full cranial nerve examination, to rule out the serious with confidence need to be skilled in this #physiotalk |
| physiotalk @physiotalk Don't stop chatting - keep talking away, we’ll collect and share the transcript in a little while :-) #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 |
| Alan J Taylor @TaylorAlanJ @physiotalk No one seemed to answer that one ... There are a few things to consider in this blog ... Hope it adds a little clinical context. #ExtremeCase #physiotalk https://t.co/G00ymcrLwC |
| Louise Brennan @Louise_Brennan_ @JanetThomas47 @physiotalk @AnneMarieLogan2 yep, me too, I learnt a lot, but have more questions now as well! Always a good sign :-) #physiotalk |
| Anna Spiteri @spiteri_anna @physiotalk @AnneMarieLogan2 Thank you @AnneMarieLogan2. That was so interesting. What is your best piece of advice to avoid chronic migraines? I work with children and young people. #Physiotalk |
| physiotalk @physiotalk Our next chat will be in two weeks, Who Gives A Physio? The Sequel! See you all then! #physiotalk |
| Anna Spiteri @spiteri_anna @JanetThomas47 @physiotalk @AnneMarieLogan2 Yes me too. But at least I've learnt to add the hashtag to all my replies #physiotalk |
| Daniel Gerber @DanOsteopath @AnneMarieLogan2 @mariand84 @physiotalk Never any headaches or changes in nature of headaches? #physiotalk |
| Janet Thomas @JanetThomas47 RT @physiotalk: Our next chat will be in two weeks, Who Gives A Physio? The Sequel! See you all then! #physiotalk https://t.co/HEGamYKJ8h |
| 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 |
| Daniel Gerber @DanOsteopath RT @TaylorAlanJ: @physiotalk No one seemed to answer that one ... There are a few things to consider in this blog ... Hope it adds a littl… |
| Alan J Taylor @TaylorAlanJ RT @lloydandsarah25: @physiotalk If there were neurological deficits alongside headaches such as limb weakness or visual loss (check crania… |
| 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 |
| physiotalk @physiotalk @TaylorAlanJ Thanks, Alan! @AnneMarieLogan2 did you have any more red flags to add to this? #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 |
| physiotalk @physiotalk RT @AnneMarieLogan2: @physiotalk Thanks so much for your time. Do look up the brilliant charity https://t.co/Gk8f7UKvWA for more informat… |
| physiotalk @physiotalk @lloydandsarah25 @AnneMarieLogan2 Great to have you join in, Sarah! #physiotalk |
| physiotalk @physiotalk RT @AnneMarieLogan2: @spiteri_anna @physiotalk Migraine is underdiagnosed and undertreated so the best thing we can do is recognise it and… |
| 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 |
| Anna Spiteri @spiteri_anna @AnneMarieLogan2 @physiotalk That is really interesting. Do you think it’s on the increase when our hectic lifestyles, lack of sleep and increased screen time. When I assess teenagers I often hear about screens on until well after midnight on a regular basis #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... |
 | mele @aya_mele RT @AnneMarieLogan2: @physiotalk Thanks so much for your time. Do look up the brilliant charity https://t.co/Gk8f7UKvWA for more informat… |
| Anna Spiteri @spiteri_anna @JanetThomas47 Yes indeed Janet. I saw you tweeted a photo at 5.30am this morning from your train on the way to London. As @AnneMarieLogan2 says its all about lifestyle management. #physiotalk |
| Anna Spiteri @spiteri_anna RT @AnneMarieLogan2: @spiteri_anna @physiotalk Migraine is underdiagnosed and undertreated so the best thing we can do is recognise it and… |
| 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 |
| Alan J Taylor @TaylorAlanJ RT @AnneMarieLogan2: @physiotalk @TaylorAlanJ We didn't really get a chance to talk about red flags. They are listed in the NICE guideline… |
| Anna Spiteri @spiteri_anna RT @AnneMarieLogan2: @physiotalk @TaylorAlanJ We didn't really get a chance to talk about red flags. They are listed in the NICE guideline… |
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