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Sys Tx > Headaches > Flashcards

Headaches Flashcards

1
Q

What else are headaches known as?

A

cephalalgia

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2
Q

define headache

A

pain or ache in the head

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3
Q

What are the types of headaches?

A
  • tension
  • migraine
  • cluster
  • organic
  • rebound
  • TMJ
  • exertion
  • allergy
  • eye strain
  • temporal arteritis
  • sinus
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4
Q

What is a primary headache?

A

when the headache is the condition itself

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5
Q

What is a secondary headache?

A

when an underlying pathology causes the headache

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6
Q

Which is more serious, primary headaches or secondary?

A

Secondary

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7
Q

What is the most important question to ask regarding headaches?

A

“Do you have a headache right now?”

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8
Q

What does a cervical compression/distraction test for?

A

nerve root or facet joint irritation

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9
Q

What does a spurling’s test/Quadrant test for?

A

cervical nerve root, facet joint irritation

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10
Q

What does a VAT test for?

A

circulation deficiency of the vertebral artery at the transverse foramen

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11
Q

What does Kernig’s and Soto Hall test do?

A

puts stress on the meninges

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12
Q

What are the symptoms for a cluster headache?

A
  • unilateral px
  • intense px
  • intermittent px
  • (every few hours or intense px several times in an hour)
  • often nocturnal
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13
Q

What is the demographic for a cluster headache?

A
  • affects only 0.1% of people

- men 5x more likely

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14
Q

What is the etiology of a cluster headache?

A
  • smoking is a risk factor

- association with abnormal hypothalamic function

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15
Q

What are the symptoms for a tension headache?

A
  • bilateral px
  • diffuse px
  • band like px around head
  • dull or vice like
  • onset later in day
  • last 30 min-weeks
  • mm stiffness, hypertoned mm, nausea, vertigo and tinnitus
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16
Q

What is the demographic for tension headaches?

A
  • 86% of women experience them
  • 63% of men experience them
  • 3% of all people have them
  • begin in adulthood
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17
Q

What is the etiology for tension headaches?

A

-stress, poor ergonomics or posture, family hx, trp in neck or head, cold, hypoglycemia, fatigue

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18
Q

What are the symptoms for migraine headaches?

A
  • unilateral
  • px starts as dull ache then becomes intense and pounding over a focal area
  • last 4-72 hours
  • may have aura
  • nausea, vomiting, photophobia, phonophobia
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19
Q

What is the demographic for migraine headaches?

A
  • 25% of women and 8% of men

- family hx 70%

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20
Q

What is the etiology for migraine headaches?

A

triggers: hunger, stress, allergies, meds, weather, visual/auditory/olfactory stimuli, sleep, hormones

21
Q

What are the symptoms for trauma headaches?

A

-pain in the head or neck from injury

22
Q

What is the demographic for trauma headaches?

A

anyone

23
Q

What is the etiology for trauma headaches?

A
  • trauma to the head, neck, or spine.

- falls on tailbone may create headache due to dural tube and meninges tension

24
Q

What are the symptoms for sinus headaches?

A
  • px in forehead, maxilla, b/w eyes
  • nasal drip or congestion
  • pain increases in different positions
  • facial tenderness
25
Q

What is the demographic for sinus headaches?

A
  • rare

- only in 2% of people that get headaches

26
Q

What is the etiology for sinus headaches?

A

-viral, bacterial infections, allergies, hx of facial trauma, abscesses in molars

27
Q

What are the symptoms of a rebound headache?

A
  • begin in early AM when blood levels of drug are lower
  • throbbing px
  • bilateral px
28
Q

What is the demographic for rebound headaches?

A

anyone experiencing med/drug withdrawal

29
Q

What is the etiology of a rebound headache?

A

-removal of caffeine, drugs or medications

30
Q

Which types of headaches are primary headaches?

A

cluster, tension, and migraine

31
Q

Which types of headaches are secondary headaches?

A

trauma, sinus, and rebound

32
Q

What are the red flags to tx?

A
  • severe px that comes on suddenly
  • head px accompanied by fever, nausea, and vomiting
  • head pain that worsens over time, especially if it follows a head injury
  • accompanied by mental confusion, seizures, mood swings, or other neurological symptoms (memory loss, double vision, loss of motor control/coordination/strength, affects special senses)
  • HA that occurs after physical activity, straining or coughing
  • first appears after the age of 55 or in early childhood
  • HA’s that affect breathing
  • HA’s accompanied by px or numbness on one side
  • HA’s accompanied by clear fluid or blood coming out of ears or nose
  • HA’s that do not fit a recognizable pattern of S&S to the person
  • new HA in a person with a history of cancer or heart diesase
33
Q

What hydrotherapy would you give for homecare for tension headaches?

A
  • hot bath or heat application to trp if not on head during headache or in between
  • cool cloth to head during headache
  • foot baths during headaches
34
Q

What hydrotherapy would you give for homecare for vascular headaches?

A

-AVOID local heat

35
Q

What hydrotherapy would you give for homecare for migraine headaches?

A
  • herbal foot baths
  • icy foot bath
  • contrast wrist baths
  • hot full immersion baths if the client feels cold used before the migraine starts at onset of headache.
36
Q

What hydrotherapy would you give for homecare for cluster headaches?

A
  • herbal foot baths
  • alternating hot and cold showers
  • cold compress relief
37
Q

What is the positioning for a cervical compression test?

A
  • client seated; stand behind
  • apply compression downward on the patient’s head
  • hold for 10 seconds
38
Q

What is a positive cervical compression test?

A
  • radiating pain or other neurological signs in affected arm indicates compression of a cervical nerve root
  • pain in the neck/shoulder indicates cervical facet joint irritation
39
Q

What is the positioning for a cervical distraction test?

A
  • client is seated; stand behind
  • grasp the patient’s head at occiput and temporal areas
  • apply slow traction, superiorly, maintain traction for at least 10 seconds
40
Q

What is a positive cervical distraction test?

A

reduction of pain/signs and symptoms reduce; because of opening of the foramina, reduced pressure on facet joints, relieving muscle spasm

41
Q

What is the positioning for a spurling’s test?

A
  • Test unaffected side first!
  • client seated; side bend, rotate & extend the neck
  • carefully apply compression downward on exhale
  • testing the side you are turning towards ie. left rotation = left side test
  • repeat on other side
42
Q

What is a positive spurling’s test?

A

-pain radiates down into the arm on that side.

43
Q

What is a Reverse Spurling’s?

A

-causes muscle spasm on opposite side

44
Q

What is the positioning for a vertebral artery test?

A
  • patient is supine or seated; therapist seated by guest’s head
  • patient has glasses off (if applicable); asked to keep eyes open
  • actively fully extends the head and neck, side flexion, the ipsilateral rotation
  • hold for 30 seconds
  • repeat on other side
  • testing the opposite side
45
Q

What is a positive vertebral artery test?

A
  • vertigo, nausea, nystagmus
  • do not perform further testing if positive.
  • not a medical emergency
46
Q

What is the positioning for a Soto Hall test?

A
  • patient is supine on the table

- ask the patient to place their hands behind their head and flex their chin to their chest

47
Q

What is a positive for a soto hall test?

A
  • if the patient experiences a sharp pain down the posterior neck and spine
  • may indicate meningitis
48
Q

What is the positioning for a Kernig’s test?

A
  • patient is supine

- passively flex the hip & knee

49
Q

What is a positive for a Kernig’s test?

A
  • pain in the spine.

- “zing down spinal cord”

Sys Tx (6 decks)

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