headaches Flashcards
what is the most common type of headache
migraine
What are the primary types of headaches
tension, migrain and cluster
what are the secondary types of headaches
rebound- medication overuse
What is considered a frequent headache
HA 2-14 days a month
what are chronic headaches
15+ days a month
what usually cause tension headaches
peripheral m tenderness and stress, tension, posture etc
What is the Ddx criteria for tension headaches
bilateral head pain, steady pain, mild to moderate, no aggravation
pain lasts 30 min to 7 days
What are the acute Tx for tension headaches
NSAIDs tylenol, triptans, muscle relaxants
OMT
What are the preventative methods for tension headaches
tricyclic antidepressants SSRIs MAOIs anticonvulsants tizanidine PT OMT accupuncture
what areas of body should be Tx with OMT for tension headaches
upper thoracics, ribs, cervicals, cranial dysfunction like TMJ
lumbar sacrum and pelvis
What are the theories for migrains
vascular dilation or constriction
cortical spreading depression (depolarization)
trigemino-muscular( activation)
sensitization to nociceptive input
What are believed to play a role in development of migrain and increase susceptibility
genetics.
most common from mom
What are precipitating factors for migrains
emotional stress, hormonal changes, not eating, weather change, sleep problems, odors, neck pain, lights ETOH, smoke, computers
What are the prodromal effects of migrains
euphoria, depression, irritabilitym food cravings, constipation and neck stiffness
Which type of headache commonly has auras
migraines
usually visual