Headaches Flashcards
______ are non throbbing bilateral headaches associated with neck rigidity and may be due to 4 things______,_______,_______,_______.
What does treatment look like for these
Muscle tension headaches
Elevated neurotransmitters can cause increased neuronal activity in CNS referring pain
Disorders of cspine/ atlanto occipital joints refer pain to head
Poor posture and preceding neck injury
Treat stress and anxiety along with aspirin ibuprofen acetaminophen
Which headaches are more commonly preceded with neck injuries such as whiplash
Muscle tension headaches
What two types of headaches are more common in women
Migraines
Mixed/transformational
Migraines are characterized as:
Throbbing unilateral and episodic
how long does a migraine usually last
Hours to a day
Migraines are said to begin as ______ of cerebral arteries resulting in __________. Possibly due to increased _____ output which causes platelet ______ and can therefore initiate ______. Which other hormone may also play a role (stress hormone)
Vasoconstriction Cerebral hypoxia Serotonin Aggregation Vasoconstriction Epinephrine
When does the headache pain actually occur during a migraine
Once blood vessels dilate and pain receptors are stimulated which innervates the cephalic arteries and sinuses
Auras of ______ migraines involve what?
Classic
Visual disturbances :flashing lights, stars, sparks,, zigzags of light
What is aphasia and ptosis
Aphasia is losing ability to speak
Ptosis is drooping of the upper eyelid
Focal disturbances such as numbness clumsiness _____ and ______ may result from a migraine
Aphasia
Transient blindness
What is the treatment for migraines
Avoiding triggers vasoconstrictors non steroidal anti-Inflammatories
What are mixed headaches
Headaches that share characteristics of tension and migraines
What is a transformational headache
Episodic migraines that evolve into chronic daily headaches
What are predispositions for transformational headaches
Family history
Menstruation
Gastrointestinal symptoms
Overuse of medictaion***** common association
What headache matches the following symptoms
Onset 20-40 years of age
Bilateral pain
Daily at anytime
Mental and physical activity exacerbates symptoms
Transformational headaches
Rare excruciating headache disorder occurring frequently in women beginning in early adulthood are _______
Chronic paroxysmal hemicrania
Explain symptoms of chronic paroxysmal hemicrania
Pain ALWAYS UNILATERAL 14-75 attacks/day 1-2 minutes duration up to 30min Onsets during the day Ipsilateral ptosis or tearing
What different headaches could your client have if they complain of unilateral pain during them
Cluster
Migraines
Rare** chronic paroxysmal hemicrania
What sorts of injuries can cause trauma related headaches
Trauma to head CS or spine
Shear force at the SI joint or falls on the coccyx
Symptoms of drug associated headaches
Bilateral Fluctuate intensity Constant and dull Often daily Severe pain during withdrawal
Cluster headaches are __________ clusters of headaches lasting a _____ duration over several times a day for several _____ followed by a ____.
Severe non throbbing unilateral
Short
Weeks
Remission
Clusters headaches are likely due to ______ of _____ carotid artery, are more common among _____ and often induced by _____ or following an afternoon ____.
The pain is usually local to ______ and the _____ region
Vasodilation External Men Alcohol Nap One eye Frontotemporal
