Post-Traumatic Headache and Sensorimotor Impairment After Neck Trauma

This part starts with the four maxims proposed by Broshek and colleagues: respect the brain injury, understand the context, observe how the patient views the injury, and learn from other fields such as persistent pain. Post-traumatic headache is placed within the ICD-11 classification of chronic secondary headache, with acute cases defined as the first three months after trauma. Reported prevalence ranges from 30 to 90 percent after concussion, with 50 to 60 percent lasting at least a year. Treatment research is limited, so physical activity, lifestyle changes, sleep and fatigue management and nutraceuticals such as magnesium and melatonin are named as first-line options, alongside manual therapy, exercise and team-based care. The second half covers traumatic neck pain and sensorimotor impairment, drawing on Treleaven's work. It lists what to assess, including joint position sense, balance and oculomotor control, the red flags for cervical arterial dysfunction, and why a tailored program aimed at each identified deficit is currently recommended.