One of the most common complaints is headaches. Of all adults, 61% of women and 45% of men had headache symptoms in the previous year (NHG standaard). There are different types of headaches such as (some examples) tension headache, cervicogenic headache and migraine.
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- Duration: 30 minutes to several days;
- Pressing, squeezing, usually bilateral headache;
- Pain is minor/moderate and does not worsen with exertion;
- Usually on 1 side, without changing sides;
- Movement- and posture-dependent, motion restriction in the neck;
- Shoulder and/or arm pain on the same side as the headache;
- Moderate pain intensity;
- Pain localization at the back of the head radiating to the front of the head;
- Possible accident or fall in the past;
- Duration: 4-72 hours;
- Unilateral and pulsating headaches;
- Moderate to severe pain;
- Increasing with physical activities;
- Nausea and/or vomiting;
- Hypersensitivity to light and/or sound;
- Aura phenomena such as flickering or black spots;
- Duration 1-2 hours, one to several times a day
- One-sided and usually severe pain in the head and jaw;
- Possible increased salivary action and tear production;
- Takes off well most of the time;
- Not dependent on physical exertion;
Tinnitus is the hearing of a sound in your ear without an actual external sound being present. Click here to learn more about Tinnitus.
For certain types of dizziness, you can expect good improvements with therapy. Lieneke has extensive expertise in this area and is happy to review with you what you are up against.
Positional vertigo (BPPD)
BPPD is a form of sudden, short-term vertigo dependent on movements of the head in space. This has to do with auditory stones (otoconia) that have ended up in the wrong place in your organ of balance. By properly testing exactly where the stones are, therapy can usually resolve the complaint within one to two treatments. Usually the Epley maneuver is used for this; a repositioning technique that removes the stones where they don’t belong.
Inflammation of the nerve that serves the balance organ is called neuritis vestibularis. At first, you are often quite dizzy for a few days and usually also very nauseous, to the point of vomiting. After, you remain dizzy and unsteady for a long time.
With this complaint, recovery often takes a long time. A special exercise program (vestibular rehabilitation training) for dizziness may be helpful. During this training you will receive gaze stabilization exercises, balance and balance exercises and exercises tailored to your specific situation. You should do these exercises often and for long periods of time. Thus, the brain takes over the task of what the balance organ can no longer do (completely).
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