CMT II: Headaches Flashcards

1
Q

A headache with muscular origins that is associated with trigger points/referred pain and other myofascial pain syndromes.

A

Tension Headache

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2
Q

Tension headaches are usually considered _____, meaning they are the problem rather than the result of another problem.

A

Primary

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3
Q

Predisposing Factors of Tension Headaches

A
  • Trauma
  • Acute Muscle Overload
  • Infections
  • Fatique
  • Emotional Stress
  • Chilling of the Muscle
  • Lack of REM Sleep
  • Faulty Posture
  • TMJ Dysfunction
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4
Q

Headache category where the headache is a result of an underlying pathology

A

Secondary

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5
Q

Stress Related Headache

A

Psychogenic

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6
Q

Headache in which there’s gnawing pain over nasal area, often increasing in severity throughout the day.

A

Sinus

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7
Q

A type of headache that is often vascular in nature

A

Migraine

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8
Q

Headache in which there’s pressure on brain or cranial/cervical. It is persistent with possible loss of sight, hearing, smell, and cognitive abilities.

A

Tumor

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9
Q

Inflammation of meninges of the brain. Sudden on set of serve headache. Fever, rash, cervical, rigidity, severe pain. Life threatening pathology.

A

Meningitis

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10
Q

Inflammation of the arachnoid matter of the brain. Severe constant pain. Hypersensitive to stress, barometric pressure and alcohol.

A

Arachnoiditis

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11
Q

Severe pain along sensory distribution of 5th cranial nerve. Pain often described as an ice pick being repeated stabbed into the side of the face.

A

Trigeminal Neuralgia

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12
Q

Treatment of Trigeminal Neuralgia

A
  • Relaxation Massage
  • Diaphragmatic Breathing
  • Trigger Point Work of Platysma
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13
Q

Migraine with an Aura

A

Classic

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14
Q

Migraine without an Aura

A

Common

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15
Q

Warning Signs 30 to 60 Minutes Prior to a Migraine

A
  • mood changes
  • cravings for sweets
  • fluid build up
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16
Q

Symptoms of Migraine

A
  • excruciating headache
  • nausea
  • vomiting
  • blurred vision
  • hypersensitivity to sound/light
  • unilateral or bilateral pain
17
Q

Vascular Model of a MIgraine

A

Blood vessels dilate outside the brain; Blood vessels constrict inside the brain

18
Q

Causes of Migraine

A
  • hereditary
  • neurological
  • allergies
  • viral
  • hormonal/chemical
  • emotional/physical
  • seasonal
  • sensory overload
19
Q
  • similar to migraine but w/o throbbing
  • piercing pain behind the yes and nostrils
  • often occurs 2 to 3 times a day for several weeks
  • frequently occur in the middle of the night
  • eyes and nose may water
  • pupils often remain constricted
  • often seasonal
A

Cluster

20
Q

Tension Headache Treatment

A
  • Resolve Trigger Points
  • Stretch
  • Address Referral Zone
21
Q

Percentage of men and women who suffer from an occasional tension headache

A
  • 63% Men
  • 86% Women
22
Q

Tension Headache Symptoms

A
  • Bilateral, Diffuse, Constant
  • Dull to Vice-Like
  • Neck and Shoulder Pain
  • Often Begin in Early Adulthood
  • Episodic to Chronic
  • 30 Minutes to Weeks
  • Onset later in the day when trigger points become active
23
Q

Tension headache origin that causes loss of appetite, nausea, vertigo, tinnitus

A

SCM Origin

24
Q

Tension head origin with referral pattern above eye, around ear, and down lateral neck - question mark

A

Upper Trapezius

25
Q

Tension headache origin with referral pattern around mastoid process, across temple, into ear, over eye, and top of head

A

SCM

26
Q

Tension headache origin with referral pattern on top of head

A

Splenius Capitis

27
Q

Tension headache origin with referral pattern on side of head

A

Splenius Cervicis

28
Q

Tension headache origin with referral pattern on back and side of head but skips the ear

A

Subocciptals

29
Q

Tension headache origin with referral pattern on side of head and teeth

A

Temporalis

30
Q

Tension headache origin with referral pattern above eye, ear, jaw, and teeth

A

Masseter

31
Q

Tension headache origin with referral pattern over eyes

A

Frontalis

32
Q

Tension headache origin with referral pattern on back of head

A

Semispinalis

33
Q

Tension headache treatment modifications

A
  • dim lights
  • lower voice
  • avoid smells
  • lower pain scale targets to 2 to 4
  • avoid vigorous techniques
  • stretch any muscle addressed specifically
34
Q

When not to treat a tension headache

A

first or worst headache