Quote Originally Posted by bluebear View Post
If cervical retraction is not contraindicated in this person I would try her with passive sustained end of range plus overpressure cervical retraction - 20 second hold x 4. See what effect that has on her headaches if any.
Melbourne Headache Centre - Headache Treatment, Migraine Treatment,
Thanks for the input Roger, in fact the cervical retraction is one of the first techniques that the patient has reported an easing of symptoms. Nothing dramatic but a definte lessening of pressure and pain in the head. If she tries cervical retraction herself she is unable to achieve the same effect due to the obvious work load and increased tension in her neck muscles. How would you proceed in this situation in terms of treatment approach and also home exercise if any?

Thanks