Temporal Arteritis

When a patient comes in with headache and / or jaw pain, especially if the pain is on just one side of the head, it is important to rule out inflammation in the blood vessels, also called “vasculitis.”

Vasculitis in the temporal arteries, which are in the areas of the temples on each side of the head, is known as temporal arteritis, and it should be recognized, because it is serious. A Chiropractor who suspects this should immediately refer the patient to an M.D.

This condition can have serious consequences, such as inflammation spreading to blood vessels of the eyes, possibly causing blindness.

The inflamed vessels are swollen, painful, and may be constricted, or narrowed. The temple area(s) may be tender to touch, the patient may say their jaw hurts after chewing, and there may be diffuse muscle aches and fatigue. These symptoms, as well as fever and a throbbing headache, are “red flags” for temporal arteritis.

Patient Feedback--Essential to Medicare

    As a doctor serving Medicare patients, it is incumbent upon me to make sure I have careful, complete documentation for every patient visit. This includes detailing the patient’s response to the treatment plan.

Medicare wants to know whether the treatment plan is working, or not, and they want the patient to report whether they feel better, whether their pain is less or worse or unchanged, and what daily activities of their life they can do better, or still can’t do, as treatment progresses.

At every office visit, my Medicare patients fill out a brief form reporting all this.