Head Pain Flashcards
What is the pain pattern of tension HAs?
bilateral 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 causes of the following tension HAs:
- myofascial
- cervical facet
- TMJ
- Myofascial: muscle overuse/injury
- Cervical facet: degeneration/arthritis, injury, overuse/poor posture
- TMJ: malocclusion, disc displacement/joint degeneration, myalgia
How do you apply the five models to tension HA tx?
- biomech: conservative, injections
- resp: none
- metab: NSAIDs
- neuro: SSRI, TCA (preventative)
- behav: smoking cessation
What type of HA causes a u/l throbbing, burning pain pattern?
migraine
What are the 4 phases of a migraine?
- Premonitory: fatigue, irritable, depressed, hard to do things
- Aura: visual disturb, numbness
- HA: throbbing unilat pain, photophobia
- Postdrome: fatigue, can’t concentrate
How do you apply the five models to migraine tx?
- biomech: manipulation, accupuncture
- resp/circ: hydration
- metabolic: no meal skipping
- neuro: triptans, prophylaxis, anti-seizure med
- behav: avoid triggers
What is the most common trigeminal autonomic cephalgia?
cluster HA
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
What are some common migraine triggers?
What HA pattern indicates medication overuse?
What is our treatment?
Chronic pain med use
HA occurs same time every day
Relieved by med
Rx: stop offending medication
What pain pattern describes cluster HA?
Unilateral pain of brief cycles
Autonomic sx: sweating, tearing
