Headaches Flashcards
What is the most disabling disorder in women?
headaches
What causes a headache?
sensory input into the nucleus from 3 nerve upper roots and trigeminal overflows
Characteristics of tension type: headaches lasting from _ to _
30 minutes
7 days
Characteristics of TTH with at least 2 of:
_ location
_ quality
_ intensity
(aggravated/not aggravated) by physical activity
bilateral location
pressing/tightening
mild or mod
not aggravated
Characteristics of TTH both of the following
no nausea or vomiting
no more than 1 or photophobia or phonophobia
A patient presents with headaches lasting 3 days, tightening feeling, mild intensity and is not irritated by physical activity. Which type of headache do you suspect?
a. cervicogenic
b. migraine
c. TTH
d. other headache
TTH
A patient presents with headaches lasting 5 days, on both sides of the head, is of moderate intensity and is not experiencing nausea. What type of headache do you suspect?
a. cervicogenic
b. migraine
c. TTH
d. other headache
TTH
A patient has around 12 episodes of TTH over a year. What is the frequency of this headache?
a. frequent
b. chronic
c. none of the above
d. infrequent
infrequent
at least 10 episodes on <1 day per month on average (<12 days/year)
a. frequent TTH
b. infrequent TTH
c. chronic TTH
infrequent TTH
at least 10 episodes occurring >1 but <15 days per month for at least 3 months (>12 but <180 days/year)
a. frequent TTH
b. infrequent TTH
c. chronic TTH
frequent TTH
A patient has about 13 headaches within a month. What severity of TTH?
a. frequent TTH
b. infrequent TTH
c. chronic TTH
frequent
headaches occurring on >15 days per month on average for >3 months (>180 days/year)
a. frequent TTH
b. infrequent TTH
c. chronic TTH
chronic TTH
TTH are due to
a. vascular
b. myofascial input
c. joints
myofascial input
patients with TTH have central sensitization (true/false)
true headache causes central sensitization
What is the major cause of TTH?
trigger points
A tender spot in a taut band, positive with a twitch response, referred pain describes a
trigger point
TP _ intensity and frequency of HA
increase
What areas typically have TP causing TTH?
sub-occipitals, temporalis, SCM, upper trap
Treatment options for TTH
ischemic compression stretches soft tissue massage dry needling spinal manipulation contract relax spray and stretch
Cervicogenic headaches are primarily caused by
a. trigger points
b. vascular input
c. joints
joints
Patient has signs of neck involvement, awkward head posture, a restriction of ROM and same side pain in their arm, pain only on one side and headache pain fluctuates. What type of headache would you suspect?
a. TTH
b. migraine
c. none of the above
d. cervicogenic
cervicogenic
Headache symptoms are non-throbbing, mod-severe, varying duration and fluctuating continuous pain
a. TTH
b. migraine
c. none of the above
d. cervicogenic
cervicogenic
Cervicogenic headaches are (unilateral/bilateral)
unilateral
Patient complains of headache with seated slump and feels a pull, which type of headache would you suspect?
a. TTH
b. migraine
c. none of the above
d. cervicogenic
cervicogenic
A patient who has a forward head and experiences cervicogenic headaches could be due to
rectus capitis posterior minor and dura mater
Facet joints atlanto-occipital joints and ligaments ligaments of c-spine annulus of IVD periosteum of VB cervical muscles sub-occipital muscles dura mater can cause _ headaches
cervicogenic
What are treatment options for cervicogenic headaches?
spinal mobs/manips motor control ROM soft tissue mobs traction neurodynamics GMI densentization modalities
A migraine has a presence of
photophobia vomiting nausea throbbing pounding
a migraine has at least _ attacks fulfilling criteria
5
headache attacks lasting 4-72 hours, unilateral location, pulsating and aggravated by physical activity, this type of headache can suggest
a. TTH
b. migraine
c. none of the above
d. cervicogenic
migraine
Nausea and/or vomitinig, photophobia and phonophobia during headaches suggest _
migraine
This type of headache is unilateral and they avoid physical activity, experience vomiting
a. TTH
b. migraine
c. none of the above
d. cervicogenic
migraine
A migraine with an aura there is _ in blood flow
increase
A migraine without an aura there is a _ in blood flow
decrease
_ headaches experience allodynia
migraine
the only headache that is related to genetics
migraine
Treatment options for migraines
soft tissue spinal mobs/manips neurodynamics aerobic ROM relaxation mediation sleep hygiene
an exertional headache that may be caused by valsalva-type maneuvers
a. TTH
b. migraine
c. cervicogenic
d. exercise-related
exercise-related
What is the most common type of HA in athletes?
a. TTH
b. migraine
c. effort headache
d. exercise-related
effort headache
with persistent input there is _ CNS sensitivity and development of allodynia
increased
100% of TTH pjs have trigger points in _ muscles
a. temporalis
b. upper trap
c. SCM
d. sub-occipital
sub-occipital
How can trigger points influence a TTH?
increased intensity and frequency
Symptoms of a cervicogenic headache are (ipsilateral/contralateral) neck, shoulder or arm pain
ipsilateral
ROM exercises, motor control, traction, neurodynamics, GMI and desensitization are good treatments for which type of headache?
a. TTH
b. cervicogenic
c. migraine
cervicogenic
Dry needling, soft tissue, stretches, ischemic compression are good for which type of headache?
a. cervicogenic
b. TTH
c. migraine
TTH
Neurodynamics, aerobic, relaxation, ROM and sleep hygiene are good treatments for which type of headache?
a. TTH
b. migraine
c. cervicogenic
migraine
