Head Pain Flashcards

1
Q

What is the pain pattern of tension HAs?

A

bilateral tight/achy pain

radiation from occipital/cervical region

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2
Q

How do you tx a tension HA myofascial pain referral?

A

trigger point injections

manual manipulation

PT

muscle relaxers/NSAIDs

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3
Q

What are the causes of the following tension HAs:

  1. myofascial
  2. cervical facet
  3. TMJ
A
  1. Myofascial: muscle overuse/injury
  2. Cervical facet: degeneration/arthritis, injury, overuse/poor posture
  3. TMJ: malocclusion, disc displacement/joint degeneration, myalgia
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4
Q

How do you apply the five models to tension HA tx?

A
  • biomech: conservative, injections
  • resp: none
  • metab: NSAIDs
  • neuro: SSRI, TCA (preventative)
  • behav: smoking cessation
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5
Q

What type of HA causes a u/l throbbing, burning pain pattern?

A

migraine

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6
Q

What are the 4 phases of a migraine?

A
  1. Premonitory: fatigue, irritable, depressed, hard to do things
  2. Aura: visual disturb, numbness
  3. HA: throbbing unilat pain, photophobia
  4. Postdrome: fatigue, can’t concentrate
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7
Q

How do you apply the five models to migraine tx?

A
  • biomech: manipulation, accupuncture
  • resp/circ: hydration
  • metabolic: no meal skipping
  • neuro: triptans, prophylaxis, anti-seizure med
  • behav: avoid triggers
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8
Q

What is the most common trigeminal autonomic cephalgia?

A

cluster HA

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9
Q

What is the theory of migraine pathophysiology?

A

inappropriate nocicpetive sensitization of trigeminocervical pain

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10
Q

What are common triggers for migraines?

A

emotional stress

hormones (f>>>m)

irregular sleep

diet

caffeine/alc

changes in weather

dehydration

smells

meds

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11
Q

What are some common migraine triggers?

A
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12
Q

What HA pattern indicates medication overuse?

What is our treatment?

A

Chronic pain med use

HA occurs same time every day

Relieved by med

Rx: stop offending medication

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13
Q

What pain pattern describes cluster HA?

A

Unilateral pain of brief cycles

Autonomic sx: sweating, tearing

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