Head Pain Flashcards
What is the pain pattern of tension HAs?
b/l tight/achy pain
radiation from occipital/cervical region
How do you tx a tension HA myofascial pain referral?
trigger point injections
manual manipulation
PT
muscle relaxers/NSAIDs
What are the cuases of the following tension HAs:
- myofascial
- cervical facet
- TMJ
- muscle overuse/injury
- degeneration/arthritis, injury, overuse/poor posture
- malocclusion, disc displacement/joint degeneration, myalgia
How do you apply the five models to tension HA tx?
What type of HA causes a u/l throbbing, burning pain pattern?
migraine
What are the phases of a migraine?
- Premonitory
- Aura
- HA
- Postdrome
How do you apply the five models to migraine tx?
What is the most common trigeminal autonomic cephalgia?
cluster HA
pain pattern = u/l, brief cycles
tx:
– Oxygen
– Triptans
– Ergotamine
– Intranasal lidocaine
– Prophylaxis verapamil
What is the theory of migraine pathophysiology?
inappropriate nocicpetive sensitization of trigeminocervical pain
What are common triggers for migraines?
emotional stress
hormones (f>>>m)
irregular sleep
diet
caffeine/alc
changes in weather
dehydration
smells
meds
