Headaches Flashcards
1
Q
Etiology of tnesion type headaches?
A
- myofascial pain referal
- cervical facet referral
- TMJD
2
Q
Tension HA myofascial pain referral causes?
A
- acute trauma
- chronic strain overuse sedentary lifestyle
3
Q
Trigger vs Tender point?
A
Trigger
- characteristic pain pattern
- only in muscle tissue
- elicits radiating pattern
- taut band of tissue
- elicits twitch response
Tender:
- no pattern
- in muscles tendons ligaments and fascia
- no radiating pattern
- taut band not present
- twitch response not present
4
Q
Tension type myofascial pain referral treaments?
A
- PT/manipulation
- Spray stretch
- dry needling
- lidocaine
- OTC analgesics
- Antidepressants mm relaxers botox
5
Q
What causes cervical facet referral tension type headaches?
A
- degeneration
- injury
- overuse/poor posture
6
Q
Tx for cercival facet referral tension HA?
A
- RICE
- PT/manipulation
- NSAIDs/steroids
- Lidocaine/steroid injection
- Radiofrequency ablation
7
Q
Behavioral changes for treatment of tension type headaches?
A
- stop smoking
- rice
- prevent overuse
- CBT
8
Q
Migraine phases?
A
- prodrome 24-48 hrs before headache
- Aura
- Migraine
- Postdrome
9
Q
Migraine triggers?
A
- emotional stress
- hormones
- irregular sleep
- diet
- caffeine alcohol
- weather chagnes
- dehydration
- smells
- meds
10
Q
Neurologic and behavioral treatement of migraines?
A
Neuro:
- abortives such as triptans and ergots
- prophylaxis like propranolol amitriptyline topiramate botox
- anti sz meds
Behavioral:
- mindfulness/meditation
- yoga
- biofeedback
- avoid triggers
11
Q
Sign of rebound medication headaches?
A
Same time everyday and always relieved with taking meds
