Cervical Spine

Question 1

Characteristics of common migraine

Answer 1

Occurs upon waking or later in the day
Last 4 to 72 hours
Sensitivity to light, noise, and tension
Nausea and vomiting
Predicated by alcohol use

Question 2

Characteristics of classic migraine / neurological migraine

Answer 2

Aura
Weakness
Dysphasia
Vertigo

Question 3

Characteristic of cluster headache

Answer 3

Unilateral
Mostly males
Nocturnal, one to two hours after falling asleep
Periorbital
Severe
15 minutes to 2 hours
Sudden onset
Tearing or runny nose

Question 4

Characteristics of tension headaches

Answer 4

30 minutes to 7 days
At least 2/4 of:
Bilateral
Bilateral pressing / across forehead
Mild or moderate
Does not increase with activity
At least 1 of:
No vomiting or nausea
Only one or no photophobia and photophobia
Perry cranial tenderness to palpation

Question 5

Characteristics of trigeminal neuralgia

Answer 5

Attacks of facial pain lasting few seconds to 2 minutes
One of three branches (forehead, maxilla, mandible)
Stimulated by touch, cold, eating
Just pain component (no sensory or motor loss)

Question 6

Facet referral for OA, AA, C3-4, C4-5

Answer 6

OA = posterior head and suboccipitals
AA = posterior head, lateral face
C3-4 = lateral neck, lateral face (mastoid process)
C4-5 = lateral neck

Question 7

Three domains of pain

Answer 7

Sensory discriminative
Cognitive evaluative
Emotional effective