SKEEN PATCH and FUNCTIONAL DISORDERS - 2.

[vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column][message type=”with_icon” icon=”” icon_size=”fa-lg”]Dr Paul Vo QUANG DANG, Functional Rehabilitation, IRMA Institute Valenton 94 France[/message][vc_separator type=”transparent” up=”20″][vc_column_text]

Tension headaches

Clinical semiology

Tension Headache (TH) is characterised by a stiff neck and helmet-like headache, covering the forehead and temples.

Patients describe stabbing pains like a vice that grips the skull. Sometimes the pain is lateralized and then reveals itself at the temporal level. Initially unilateral, they could evolve towards a bilateral diffusion of the 2 temples. Ophthalmic pain with photophobia has also been observed.

Dans la majorité des cas, la violence des maux de tête relègue au second plan la sensibilité de la raideur de la nuque. La perte de la souplesse de la nuque n’est pas le premier motif de la consultation médicale des CT.[/vc_column_text][vc_separator type=”transparent” up=”20″][/vc_column][/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column width=”1/2″][vc_column_text]D’abord rares, les CT pourraient évoluer vers des crises de plusieurs jours pour devenir invalidantes. A ce stade, le tableau clinique se complique de psychasthénie, de somnolence diurne, de tangage, de troubles sensoriels (bourdonnement d’oreilles) ; la concentration devient impossible et la qualité de vie se dégrade.

The neck is the site of a sensitive stiffness; without effective treatment, it evolves into cervicobrachial neuralgia (CBN). The onset of CBN is a sign of worsening CT disease.

Despite the richness of the clinical symptoms, the complementary biological and imaging examinations are poor and make the diagnosis difficult.

The natural history of CT describes a pathology with severe pain without a precise diagnosis despite a multitude of complementary examinations that are always negative. It is not uncommon to see patients suffering for several years and wandering from doctor to doctor in search of a listening ear and effective medical treatment.

Confusion with other diseases such as migraine is common. But the terrain and treatment are not the same.

L’évolution naturelle des CT se fait vers l’aggravation et le patient pourrait entrer dans une autre étape de la maladie : c’est le burn-out tant redouté[/vc_column_text][/vc_column][vc_column width=”1/2″][image_with_text image=”17219″ title=”Les céphalées de tension se caractérisent par des maux de tête en casque comme un étau serrant le crâne”][/image_with_text][/vc_column][/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column][vc_separator type=”transparent” up=”20″][message type=”with_icon” icon=”” icon_size=”fa-lg”]Triggering or aggravating factors[/message][vc_separator type=”transparent” up=”20″][vc_column_text]Le stress inaugure ou aggrave les CT. On remarque aussi le rôle du froid ou des courants d’air.

Pathophysiology

Mechanism of cervical spine pain blockage

The genesis of tension headaches is dictated by the loss of flexibility of the spinal muscles of the cervical spine. By compressing the spinal nerves, the muscle contracture will provoke an algesic response from them. Loco-regional oedema in the contracted muscles may be responsible for the neuralgia.

La raideur de la nuque est visualisée sur des radiographies du rachis cervical ; la disparition de la courbure physiologique du rachis cervical dénote son blocage ; dans des cas graves, on observe même une inversion de la courbure physiologique, signant l’extrême raideur et l’extrême souffrance du rachis cervical.[/vc_column_text][vc_separator type=”transparent” up=”20″][image_with_text title_tag=”h2″ image=”17258″ title=”1.Rachis cervical normal 2.Raideur 3. Inversion de la courbure”][/image_with_text][/vc_column][/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column][vc_separator type=”transparent” up=”20″][vc_column_text]The genesis of spinal blockage by muscle contracture

Stiffness of the cervical spine occurs when there is a change in the statics of the spine and especially when the change is prolonged.

It is observed in acquired scoliosis, pathological compression of a vertebra, spinal trauma or pelvic imbalance (fracture of the bones of the lower limb with shortening of a limb).

The spine is made up of 3 parts (cervical, dorsal and lumbar) which are interconnected. At the bottom, it rests on a base: the pelvis. At the top, it supports the head.

The balance of the pelvis is fundamental and any movement of this base impacting the essential horizontality of the eyes, will cause a reaction of the spine.

The loss of stability of the base (unevenness of the lower limbs, trauma, surgery) leads ipso facto to a chain reaction of corrections of the 3 parts of the spine in order to maintain the stability of the eyes.

Souvent plusieurs corrections sont nécessaires (voir dessin ci-dessous).[/vc_column_text][vc_separator type=”transparent” up=”20″][image_with_text image=”17259″ title=”Instabilité du bassin et correction automatique du rachis”][/image_with_text][/vc_column][/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column][vc_separator type=”transparent” up=”20″][vc_column_text]Ce sont les muscles spinaux qui sont responsables des corrections automatiques. Lorsque celles-ci sont trop répétitives ou sont constantes, il y a souffrance musculaire et névralgies.

The pathological model which illustrates neuralgia with muscular contracture at the spinal level and remote pain is sciatica: muscular contracture at the lumbosacral spine level and remote pain of projection to the calf or foot.

Additional examinations

Biology is normal.

No inflammation and no organic lesions or tumour mass on imaging (plain X-ray, brain MRI)

La radiographie simple pourrait révéler une raideur typique du rachis cervical, parfois même une inversion de la courbure du rachis cervical.[/vc_column_text][vc_separator type=”transparent” up=”20″][image_with_text image=”17260″ title=”La radiographie simple objective la raideur du rachis cervical et confirme le diagnostic de céphalée de tension”][/image_with_text][/vc_column][/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column][vc_separator type=”transparent” up=”20″][vc_column_text]Lorsque des NCB existent, l’IRM pourrait déceler une protrusion grave ou une hernie discale.
In the stage of common TC disease, the main feature is the noisy clinic in contrast to the paucity of complementary examinations.

Diagnosis

The diagnosis of CT is primarily clinical.

This is spontaneous helmet pain in a young adult. Palpation awakens pain on the lateral aspect of the neck.

Il sera confirmé par la radiographie simple du rachis cervical qui objective la perte de sa souplesse.[/vc_column_text][vc_separator type=”transparent” up=”20″][/vc_column][/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column][message type=”with_icon” icon=”” icon_size=”fa-lg”]Treatment[/message][vc_separator type=”transparent” up=”20″][vc_column_text]Medicines

Analgesics, even codeine or morphine, have a limited and short-lived effect on spinal contracture.

Anti-inflammatory drugs, including oral cortisone, may act on loco-regional oedema.

The myo-relaxants (against muscular contracture) could be interesting against the contracture of the spinal muscles (para-vertebral muscles). But their action is limited and an addiction to myo-relaxants occurs rapidly: they force an increase in doses causing drowsiness incompatible with everyday life.

Centrally acting analgesics (antidepressants, neuroleptics) are also prescribed in the psychasthenia stage.

Physical treatments

Non-medicinal physical treatments could be interesting. Massage, heat, gentle gymnastics, etc. are mentioned.

Yoga, sophrology, ... could bring relaxation or comfort both physically and psychologically.

Functional rehabilitation

Relaxing the spinal muscles of the neck is essential. Work on and strengthen its amplitudes.

If the pelvis is out of balance, it must be rebalanced.

In case of irreducible scoliosis, establish a medical follow-up program with muscle relaxation rehabilitation, balneotherapy, back school, ....

Regenerative Microcurrent (RCM)

It is the treatment of choice for Tension headaches.

The MCR device used is the SKEEN PATCH BodyCorps[/vc_column_text][vc_separator type=”transparent” up=”20″][message type=”with_icon” icon=”” icon_size=”fa-lg”]Regenerative Microcurrent (RCM)[/message][vc_separator type=”transparent” up=”20″][vc_column_text]C’est un dispositif médical ayant le conformité CE médical en vigueur. C’est un appareil complet avec 3 programmes de traitement automatiques (1. Régénération, 2 : Relaxation, 3 : Œdème et Hématome). Ses programmes automatiques sont sophistiques ; 3 paramètres électro-physiologiques ont été introduits dans les programmes. Ils permettraient à intensité constante de porter le MCR en profondeurs variables sans provoquer d’effets secondaires.

SKEEN PATCH BodyCorps can use wires (x2) connecting to remote electrodes (x4) for large areas to be treated. For small, easily accessible areas, the use of the large, wireless, direct application serrated patch is recommended.

L’utilisateur a le choix des durées de traitements (10, 20, 30 ou 60 mn), la durée de traitement de 30 minutes étant la plus commune. Le SKEEN PATCH BodyCorps a 10 niveaux d’intensité de stimulation. L’intensité de stimulation ne dépasse pas le µA ; c’est sa particularité qui explique son efficacité.[/vc_column_text][vc_separator type=”transparent” up=”20″][image_with_text image=”17261″ title=”Le dispositif médical à MCR SKEEN PATCH BodyCorps”][/image_with_text][/vc_column][/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column][vc_separator type=”transparent” up=”20″][vc_column_text]The position of the electrodes

The application of the electrodes is simple at the level of the neck and the top of the back.

The treatment requires large 13 x 5 cm self-adhesive electrodes. They are placed on both sides of the neck, starting from the bottom of the neck at the cervical-dorsal junction and moving towards the two sides. They cover the area of neck stiffness, thus preparing for a good treatment.

Finally, the 4 electrodes are connected to the wires and then to the SKEEN PATCH BodyCorps device.

After choosing the duration of the treatment (30 minutes) and the programme (P3), the stimulation could start. The intensity chosen is often level 6-7.

Le traitement étant aisé, il pourrait être fait par le patient lui-même.[/vc_column_text][vc_separator type=”transparent” up=”20″][image_with_text image=”17262″ title=”Traitement des Céphalées de Tension par le Micro-Courant Régénératif du SKEEN PATCH BodyCorps “]Position des électrodes des 2 côtés latéraux de la nuque et sur le haut du dos.[/image_with_text][vc_separator type=”transparent” up=”20″][image_with_text image=”17263″ title=”Position des électrodes remontant sur les faces latérales de la nuque, assurant les résultats du traitement par le MCR”][/image_with_text][vc_separator type=”transparent” up=”20″][/vc_column][/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column][vc_column_text]L’action du MCR est rapide. Le soulagement apparaît quelques heures après 30 minutes de traitement. D’une façon générale, 3 à 5 séances de 30 mn de traitement permettent une amélioration réelle et stable de la maladie.

Patients gradually feel free of the headset pain and the tightness that has gripped their temples for months or years. The ability to concentrate, to be more alert, to be less tired and less drowsy, returns step by step.

The acute phase or crises are removed and a better quality of life is established in the long term.

La première année, en raison de 2 fois par an, un contrôle radio-clinique permettrait le cas échéant d’adapter les traitements médicaux et les traitements complémentaires.[/vc_column_text][vc_separator type=”transparent” up=”20″][/vc_column][/vc_row][vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column][message type=”with_icon” icon=”” icon_size=”fa-lg”]Conclusion[/message][vc_separator type=”transparent” up=”20″][vc_column_text]Maladie de société où le stress domine, les céphalées de tension sont difficiles à diagnostiquer et à traiter. Sans solution thérapeutique, l’histoire naturelle de la maladie évolue vers l’aggravation et la perte de la Qualité de vie.

Recently introduced, the Regenerative Microcurrent The proposed project really brings progress in therapeutics. Very quickly, it relieves chronic cranial pain.

In addition, the Regenerative Microcurrent has the merit of being safe and simple to apply.

It could be used by the doctor or the physiotherapist.

Once the diagnosis of tension headache has been established, SKEEN PATCH BodyCorps could be used by the patient themselves at home.

 

Dr VO QUANG DANG Paul. Tension Headaches, 8 pages, Copyright December 2015[/vc_column_text][/vc_column][/vc_row]