Headache

Question 1

What is the most common type of headache?

Answer 1

Tension type

Question 2

What are 4 primary causes of headaches?

Answer 2

1. Tension type
2. Migraine
3. Medication overuse
4. Cluster

Question 3

Describe the pain with Tension type headaches

Answer 3

Bilateral ache that radiates from occipital/cervical region to forehead

Question 4

Bilateral ache that radiates from occipital/cervical region to the forehead

Answer 4

Tension type headache

Question 5

What commonly can cause Tension type headaches? (3)

Answer 5

Myofascial pain referral
Cervical facet referral
TMJ dysfunction

Question 6

Myofascial pain referral that is causing a tension type headache is from a?

Answer 6

Trigger point

Question 7

Are trigger points the same as tender points?

Answer 7

NO

- trigger points = knots in the muscle

Question 8

List 4 trigger point characteristics that differentiate it from a tender point

Answer 8

1. Characteristic pain pattern
2. Elicits a radiating pain pattern
3. Taut band of tissue
4. Elicits twitch response with palpation

Question 9

List 4 trigger point characteristics that differentiate it from a tender point

Answer 9

1. Characteristic pain pattern
2. Elicits a radiating pain pattern
3. Taut band of tissue
4. Elicits twitch response with palpation

Question 10

What is a behavioral treatment option for Tension type headaches and why?

Answer 10

Smoking cessation!

- nicotine use correlates to number of headache days

Question 11

What is a behavioral treatment option for tension type headaches and why?

Answer 11

Smoking cessation!

- Nicotine use correlates with number of headache days

Question 12

Describe the pain with Migraines

Answer 12

Unilateral throbbing pain, nausea, light/sound sensitivity with possible aura

Question 13

Unilateral throbbing pain, nausea, photo/phonophobia and possible aura

Answer 13

Migraine

Question 14

What is the most predictive symptom of a migraine?

Answer 14

Nausea

Question 15

What are the phases of a migraine? (4)

Answer 15

Prodrome
Aura
Migraine
Postdrome

Question 16

What can cause migraines?

Answer 16

TRIGGERS

Question 17

List some possible triggers for migraines

Answer 17

• Stress/hormones
• Sleep and diet
• Caffeine, alcohol, weather, etc.

Question 18

What is the best behavioral treatment option for migraines?

Answer 18

Avoid triggers

Question 19

What are some abortive medications for migraines?

Answer 19

Triptans

Ergots

Question 20

What are some prophylaxis medications for migraines?

Answer 20

Botox

propranolol, amitriptyline, topiramate

Question 21

Describe the pain with medication overuse headaches

Answer 21

Headache around the same time every day

– relieved by taking the medication

Question 22

Headache around the same time every day

Answer 22

Medication overuse headache

Question 23

What relieves the medication overuse headache?

Answer 23

Taking the medication

Question 24

What causes medication overuse headaches?

Answer 24

Chronic pain med use which causes chemical dependence

Question 25

What is the treatment for a medication overuse headache?

Answer 25

STOP medication, education and break the cycle

Question 26

Describe the pain with cluster headaches

Answer 26

Stabbing pain around the eye and autonomic symptoms

Question 27

Stabbing pain around the eye and autonomic symptoms

Answer 27

Cluster headaches

Question 28

What is a treatment option for cluster headaches?

Answer 28

Oxygen

Question 29

Tension type headaches are commonly due to what 3 things?

Answer 29

Myofascial pain referral
Cervical facet referral
TMJ dysfunction