Headaches Flashcards
Name the 3 main classifications of headaches?
- VASCULAR
- INFLAMMATORY
- MUSCULOSKELETAL
With a ___________ HA, the HA is the main concern.
PRIMARY HA
With a ___________ HA, the HA is the result of a complication to a primary pathological process.
SECONDARY HA
Name the 2 types of migraines (15% and 85%)?
AURA (15%)
+
WITHOUT AURA (85%)
What is an aura migraine?
SENSORY HALLUCINATION: lights in eyes visual disturbances ringing in ears tingling in limbs or face
Migraine pain is described as pulsating/throbbing ___________ pain, that can last 1-2 days.
UNILATERAL
Are migraines aggravated by physical activity?
YES
Name the 4 known diet related migraine triggers?
MSG \+ TANNIC FOODS (old cheese, red wine, chocolate) \+ COFFEE \+ CITRIS FRUITS
Name the 3 known body related migraine triggers?
SLEEP LOSS \+ STRESS \+ HORMONAL LEVELS
What are cluster headaches often confused with?
DENTAL or SINUS problems
Which gender do cluster headaches affect most?
MALES
Severe, unrelenting cluster headaches cause unilateral pain with rapid onset, and lasts how long?
15 - 180 MINUTES
Name the type of headache associated with low blood sugar (which can be an issue for diabetics)?
HYPOGLYCEMIC HA
What is the best treatment for a hypoglycemic headache?
EAT SOMETHING (complex carbs) \+ SMALLER, MORE FREQ MEALS \+ PROPER INSULIN
Name the headache that may result from overmedicating?
DRUG REBOUND HA
How is a chronic daily headache syndrome categorized?
HA for 15+ DAYS/MONTH
+
FOR AT LEAST 3 MONTHS
Can chronic daily headaches be both primary or secondary?
YES
Name the headache where pain occurs in the sinus region and upper teeth?
SINUS HA
inflammatory HA
If a patient has a sinus HA what position might be painful?
PRONE
Name the most common type of headache with an increased prevalence in women?
CERVICOGENIC HA
What is a cervicogenic HA a result of?
JOINTDYSFUNCTION IN THE C SPINE
+
FACET IRRITATION OF C2-C3
A cervicogenic headache will present secondarily to pain where?
NECK/SHOULDER PAIN
Explain the cycle leading to a musculoskeletal HA?
PAIN - MM CONTRACTION - DECREASED CIRCULATION - PAIN
How can we as therapists help a musculoskeletal HA?
TREAT TrP
and/or
TREAT MRT
Pain in the neck or suboccipital region that spreads into the head is a S/S of which type of common headache?
Also could be pain in face or TMJ region.
CERVICAL HA
Name the 9 musculoskeletal impairments that may cause cervical HA’s?
- JJ impairments in the upper C spine
- Poor JJ alignment
- Poor MM endurance
- Poor SHOULDER girdle
- Impaired LUMBAR posture
- Impaired THORACIC mobility
- Impaired NEURAL tissue
- Increased MRT
- TrP
Name the 9 trigger points referring into the head?
- SCM
- UPPER FIBER TRAPS
- LEVATOR SCAPULA
- SUBOCCIPITALS
- TEMPORALIS
- SPLENIUS CERVICES
- SEMISPINALIS CAPITIS
- DIGASTRIC
- FRONTALIS
What are the 7 goals of working with headaches?
- DECREASE/ELIMINATE TRIGGER POINTS
- DECREASE/ELIMINATE MF RESTRICTIONS
- REDUCE/ELIMINATE SPASM
- REDUCE MRT
- NORMALIZE JJ MOBILITY IN C-SPINE
- STRENGTHEN/STRETCH
- NORMALIZE POSTURE
