头痛是全球性的问题，不分年龄、文化与经济状况，影响着许多人。根据世界卫生组织的资料，18 至 65 岁的成年人中有 50% 受头痛困扰。(1) 全球超过 90% 的人一生中至少经历过一次头痛。头痛患者的生活质量下降，对身边人的依赖也随之增加。
头痛有三种类型
1. 紧张性头痛
- 双侧压迫感或紧绷感，非搏动性头痛
- 轻度至中度疼痛，不伴随呕吐或恶心
- 不会因日常活动而加剧
2. 颈源性头痛
- 源自颈部的单侧疼痛
- 头痛在颈部活动后出现
- 颈部活动范围减少
3. 偏头痛
- 剧烈的搏动性头痛
- 伴随恶心、呕吐与畏光
- 因日常活动而加剧
头痛可能由以下因素引起：
- 脱水
- 月经
- 更年期
- 睡眠不规律
- 饮食不规律
- 缺乏运动
- ……等等
头痛最常见的处理方式 (2,3)
- 非处方止痛药
- 阿司匹林
- 扑热息痛
- 布洛芬
- ……等等
“我已经厌倦了吃这么多药，还有其他方法可以帮到我吗？”
“为什么不找脊骨神经科医生或物理治疗师帮忙呢？”
软组织手法
2019 年的一项研究显示，接受物理治疗师软组织手法（STT）的偏头痛患者，偏头痛的发作频率及其相关的功能障碍都有所减少。(4)
干针疗法
干针疗法在过去十年广受欢迎，由物理治疗师与脊骨神经科医生等医疗专业人员施行。(6) 一项系统性回顾指出，在治疗头痛方面，干针疗法与其他干预方式的效果相近，并与感觉及功能方面的改善有关。(7)
激光疗法
近期的系统性回顾显示了激光疗法在治疗头痛方面的效果。多项研究显示，激光不仅有助于减轻头痛的疼痛与发作频率，还能放松肌肉并促进细胞再生。(8)
头痛是造成功能障碍的常见原因之一，对我们的日常活动影响很大。头痛可以不靠药物处理。到离您最近的脊骨神经矫正与物理治疗中心，寻找解决头痛的方法！
参考文献
1. World Health Organization. (n.d.). Headache disorders. World Health Organization. Retrieved June 21, 2022, from https://www.who.int/news-room/fact-sheets/detail/headache-disorders#:~:text=Globally%2C%20it%20has%20been%20estimated,or%20more%20have%20reported%20migraine.
2. Steiner, T. J., & Fontebasso, M. (2002, October 19). Headache. BMJ (Clinical research ed.). Retrieved June 21, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1124385/#:~:text=Headache%20is%20often%20described%20as,can%20be%20daily%20ahttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1124385/#:~:text=Headache%20is%20often%20described%20as,can%20be%20daily%20and%20unremitting.nd%20unremitting.
3. Lee, V. M. E., Ang, L. L., Soon, D. T. L., Ong, J. J. Y., & Loh, V. W. K. (2018, August). The adult patient with headache. Singapore medical journal. Retrieved June 21, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109828/
4. Rezaeian, T., Mosallanezhad, Z., Nourbakhsh, M. R., Ahmadi, M., & Nourozi, M. (2019, December). The impact of soft tissue techniques in the management of migraine headache: A randomized controlled trial. Journal of chiropractic medicine. Retrieved June 21, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7486477/
5. Victoria Espí-López, G., Arnal-Gómez, A., Arbós-Berenguer, T., González, Á. A. L., & Vicente-Herrero, T. (2014). Effectiveness of physical therapy in patients with tension-type headache: Literature review. Journal of the Japanese Physical Therapy Association = Rigaku ryoho. Retrieved June 21, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4316547/
6. Dunning, J., Butts, R., Mourad, F., Young, I., Flannagan, S., & Perreault, T. (2014, August). Dry needling: A literature review with implications for clinical practice guidelines. Physical therapy reviews : PTR. Retrieved June 21, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4117383/
7. Vázquez-Justes, D., Yarzábal-Rodríguez, R., Doménech-García, V., Herrero, P., & Bellosta-López, P. (2022). Effectiveness of dry needling for headache: A systematic review. Neurología (English Edition). https://doi.org/10.1016/j.nrleng.2019.09.010
8. Gomes, A. O., Martimbianco, A. L. C., Brugnera Junior, A., Horliana, A. C. R. T., da Silva, T., Santos, E. M., Fragoso, Y. D., Fernandes, K. P. S., Nammour, S., & Bussadori, S. K. (2022, January 11). Photobiomodulation for the treatment of primary headache: Systematic review of Randomized Clinical Trials. Life (Basel, Switzerland). Retrieved July 1, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8781567/
Jane Leong
物理治疗师
认证干针疗法治疗师