Headache

Question 1

Primary Headache

Answer 1

migraine
tension type
cluster headache

Question 2

Secondary Headache

Answer 2

neck/head trauma 
craial or cervical vascular disorder 
non-vascular intercranial disorder
substances/withdrawal
infection 
homeostatic disorder
cranial , neck, eye, sinus disorder

Question 3

Cancer Risk

Answer 3

insidious onset
progressively worsening
neuro signs and symptoms

Question 4

Infection Risk

Answer 4

fever 
malaise 
neck stiffness
rash 
light sensitive 
confusion
drowsy 
neuro signs and symptoms

Question 5

Tension Type Headache - features

Answer 5

episodic or chronic 
lasts 30 mins-days not time locked 
bilateral - band like, whole head 
pressing, tightening, non pulsating 
mild severity 
not worsened by mild physical activity 
pericranial muscle tenderness 
may also have diffuse neck pain 
no nausea or vomiting

Question 6

Migraine - aura

Answer 6

aura comes on before their headache
sensory disturbances
Visual - tunnel vision, blobs, blind spots
Auditory - hearing things, modified sounds
Sensory - strange smells/tates, pins and needles, numbness
Motor - weakness and slurred speech

Question 7

Migraine - features

Answer 7

time locked - same duration each time, 4-72 hours 
unilateral - not side locked 
pulsating, throbbing 
severe 
head first then neck 
prohibits and worsened by physical activity 
nausea and vomiting 
photophobia 
phonophobia 
strong family history 
responsive to migraine medication

Question 8

Cervicogenic Headache - features

Answer 8

unilateral side locked - always the same side
starts in neck, spreas to head
more likely to be located in occipital area
neck and shoulder pain on same side
moderate intensity
dull ache, nagging, non-throbbing pain
triggered by neck movement/posture
not time locked
agg and ease with neck problem
may have nausea, dizziness, blurred vision
don’t respond to migraine meds or NSAIDs

Question 9

Cervicogenic Headache - physical examination

Answer 9

Reproduction of familiar headache 
- upper cervical active movements 
- upper cervical palpation 
- upper cervical PAIVM 
Relief of familiar headache with cervical unloadin g
- mobilisation with movement 
Evidence of MSK dysfunction 
- postural dysfunction 
- altered joint function 
- poor muscle performance 
- poor sensorimotor performance