Cervical Headaches Flashcards
What is the difference between primary and secondary headache classifications?
- Primary is vascular (cluster and migraine) or tension type
- Secondary is the result of inflammation or head and neck injury
List some prevalent historical info to gather for patient complaining of headaches?
- History of trauma
- Red flags of vascular and cord progression
- Specific aggravating and easing factors
- Vision changes
- Allergies
- Dental or TMJ history
- Stress
What are the major diagnostic criteria for CGH?
- Typically unilateral but may be bilateral
- Associated with neck pain and stiffness
- Typically start at back of head and migrate anteriorly
- May be associated with ipsilateral arm discomfort
What are major diagnostic criteria for neck pain and HA classification?
- Unilateral dominant
- Headache associated with neck movement or position
- Headache pain elicited by pressure on posterior neck
- No migraine history or symptoms.
What are the exam components for neck pain/headache classification?
- Screen AROM and overpressure for Cspine, Tspine, Shoulders
- Manual exam of cervical spine for pain provocation via palpation
- Soft tissue assessment
Why is CGH tough to manage?
-Multiple factors playing into causing it: psychosocial and physical
Is surgery indicated for CGH?
Not really
What are three characteristics that suggest better outcomes?
- Increased patient age
- Provocation or relief with movement
- Gainful employment
Does combining manual therapy with exercise have an additive effect?
Some studies say do both, others say either/or is fine.
Any difference in effect from manipulation vs mobilization?
Nope, both equally effective.
What are the treatment suggestions for patients with CGH?
-Patient education
-Exercise/motor control exercises
-Manual therapy (massage and joint work)
(combine exercise and manual therapy)
-Reassurance and early return to activity
