Trigger and Treatment Flow Chart:
Headache, Neck Pain, & TMJD
Recommendations
for Finding the Solution for your
Headache, Neck Pain, and TMJ Dysfunction
    1) Find the Triggers: Structural (movement), Chemical, Mental
    See the Trigger and Treatment Flow Chart below.
     2) Define the Problem (Symptoms): O, P, Q, R, S, T
    3) If needed, Reassess the Triggers with more focus and address them.
    - After you define the problem, you will be better able to assess the problem.
    4) Professional Treatment
    See the Trigger and Treatment Flow Chart below.
Observation
X-Ray, (Carbon paper for bite)
Palpation, etc.
Palpation, Ortho exam, x-ray
Palpation, History
History
Palpation
Chiro. Neuro. Exam
Structural
(Movement)
Hormonal (Def. or Excess)
Deficiency
Dehydration
Low Blood Sugar
Micro-Nutrients
Toxicity
Irritants (i.e. Fumes)
Allergies(Airborne and Food)
Infection (Cold, Flu, Sinus)
Awareness
Mirror Posturing, Bracing
Chiropractic Adjustments
Motion w/o much pain
Myofascial Release
Exercise
Relax, Massage, Adjustments
specific Sensory Stimulation
Chemical
(uncommon for
Neck pain &
TMJD)
Qlty Food, Supplements, Detox
 
Drink Water (~1/2 wt(lbs) in oz H2O)
Eat freq. & Low Glycemic (CD)
esp. Mg++ and EFA's
Quality Food (CD),(site)
         Supplements
 
Avoid and Detoxification
Avoid, Neti Pot(air), & Build Immunity
Build Immunity, Herbs, Rx
    Posture
Misalignment (Spinal, Bite)
Subluxaton Complex
Physical Trauma
Myofascial Adhesions
Lack of Exercise/Movement
Muscle Tension (d/t stress)
Deafferentation
Professional
Diagnosis
Simple
Answers
Trigger or Cause
Mental
Work
Relationships
Finances
Purpose
Worry / Perspective
Purpose, Communication
Communication, Forgiveness
(5LoveLang, How2Win, 7Habits,
Mind)
more Work/Education, less Spending
Purpose
Purpose, How to Stop Worry
 
Counselor, Psychologist
Credit Counselor
Pastor
Stress & Wellbeing Surv
Define the Problem table
Central Valley Chiropractic
1912 S. Court St., Ste B  Visalia, CA  93277   
(559) 635-8266 or email us
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Define the Problem table - Once you know the character of the problem you or
your doctor can more easily and accurately find the cause.
Onset
 When did this problem begin?
Position / Palliative / Provocative
 Where exactly is it, and What makes it better or worse?
Quality
 How would you describe the sensation? - burning, sharp, tingly, numb, weak...
Radiation
 Does the sensation go somewhere beyond the main area?
Site / Severity
 How bad is it (0=none to 10=worst imaginable)
Timing
 Is it better (or worse) at a given time of the day, week, month, year?
   
Associated Signs
 What other new or persistent problems or changes have you noticed?
Intervention
 What have you tried, and what were the results.
Trigger and Treatment Flow Chart - If you know what to look for and how to get started, why not do it?
'Scaries'
(uncommon for
TMJD)
Infection(Brain / Spinal cord)
Bleeding (Brain)
Tumor
Prayer
CBC, Spinal Tap
MRI, CT
MRI, CT