Article

Symptoms in the face and jaw are
common after whiplash. Few studies have reported cervicogenic headache in a
trigeminal nerve distribution, and no published studies could be found describing
such symptoms experienced bilaterally after whiplash. The objective of the
current case report was to detail the clinical reasoning and management of an
uncommon patient presentation. DESCRIPTION: The 41-year-old female patient
of the current case complained of shooting pain in the jaw, cheek and forehead
beginning 7 days after her accident. No imaging was performed, and examination
ruled out serious pathology. The patient was treated primarily with deep neck
flexor (DNF) and proprioceptive training for 10 visits over an 8-week period.
OUTCOMES: The Numeric Pain Rating Scale improved from 2/10 to 0/10, the Neck
Disability Index improved from 17/50 to 1/50, and the Neck Flexor Muscle
Endurance Test improved from 13 to 30 s. The patient remained symptom-free at
4-month follow-up. DISCUSSION: The current case report describes a patient
presentation unique to the literature. Significant changes were seen by week 3
with DNF and proprioceptive training. Additional research is required to
determine the effectiveness of this intervention in similar presentations.

Langue : ANGLAIS