Headaches

Question 1

Name the 3 main classifications of headaches?

Answer 1

1. VASCULAR
2. INFLAMMATORY
3. MUSCULOSKELETAL

Question 2

With a ___________ HA, the HA is the main concern.

Answer 2

PRIMARY HA

Question 3

With a ___________ HA, the HA is the result of a complication to a primary pathological process.

Answer 3

SECONDARY HA

Question 4

Name the 2 types of migraines (15% and 85%)?

Answer 4

AURA (15%)
+
WITHOUT AURA (85%)

Question 5

What is an aura migraine?

Answer 5

SENSORY HALLUCINATION:
lights in eyes
visual disturbances
ringing in ears
tingling in limbs or face

Question 6

Migraine pain is described as pulsating/throbbing ___________ pain, that can last 1-2 days.

Answer 6

UNILATERAL

Question 7

Are migraines aggravated by physical activity?

Answer 7

YES

Question 8

Name the 4 known diet related migraine triggers?

Answer 8

MSG
\+
TANNIC FOODS (old cheese, red wine, chocolate)
\+
COFFEE
\+
CITRIS FRUITS

Question 9

Name the 3 known body related migraine triggers?

Answer 9

SLEEP LOSS
\+
STRESS
\+
HORMONAL LEVELS

Question 10

What are cluster headaches often confused with?

Answer 10

DENTAL or SINUS problems

Question 11

Which gender do cluster headaches affect most?

Answer 11

MALES

Question 12

Severe, unrelenting cluster headaches cause unilateral pain with rapid onset, and lasts how long?

Answer 12

15 - 180 MINUTES

Question 13

Name the type of headache associated with low blood sugar (which can be an issue for diabetics)?

Answer 13

HYPOGLYCEMIC HA

Question 14

What is the best treatment for a hypoglycemic headache?

Answer 14

EAT SOMETHING (complex carbs)
\+
SMALLER, MORE FREQ MEALS
\+
PROPER INSULIN

Question 15

Name the headache that may result from overmedicating?

Answer 15

DRUG REBOUND HA

Question 16

How is a chronic daily headache syndrome categorized?

Answer 16

HA for 15+ DAYS/MONTH
+
FOR AT LEAST 3 MONTHS

Question 17

Can chronic daily headaches be both primary or secondary?

Answer 17

YES

Question 18

Name the headache where pain occurs in the sinus region and upper teeth?

Answer 18

SINUS HA

inflammatory HA

Question 19

If a patient has a sinus HA what position might be painful?

Answer 19

PRONE

Question 20

Name the most common type of headache with an increased prevalence in women?

Answer 20

CERVICOGENIC HA

Question 21

What is a cervicogenic HA a result of?

Answer 21

JOINTDYSFUNCTION IN THE C SPINE
+
FACET IRRITATION OF C2-C3

Question 22

A cervicogenic headache will present secondarily to pain where?

Answer 22

NECK/SHOULDER PAIN

Question 23

Explain the cycle leading to a musculoskeletal HA?

Answer 23

PAIN - MM CONTRACTION - DECREASED CIRCULATION - PAIN

Question 24

How can we as therapists help a musculoskeletal HA?

Answer 24

TREAT TrP
and/or
TREAT MRT

Question 25

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.

Answer 25

CERVICAL HA

Question 26

Name the 9 musculoskeletal impairments that may cause cervical HA’s?

Answer 26

1. JJ impairments in the upper C spine
2. Poor JJ alignment
3. Poor MM endurance
4. Poor SHOULDER girdle
5. Impaired LUMBAR posture
6. Impaired THORACIC mobility
7. Impaired NEURAL tissue
8. Increased MRT
9. TrP

Question 27

Name the 9 trigger points referring into the head?

Answer 27

1. SCM
2. UPPER FIBER TRAPS
3. LEVATOR SCAPULA
4. SUBOCCIPITALS
5. TEMPORALIS
6. SPLENIUS CERVICES
7. SEMISPINALIS CAPITIS
8. DIGASTRIC
9. FRONTALIS

Question 28

What are the 7 goals of working with headaches?

Answer 28

1. DECREASE/ELIMINATE TRIGGER POINTS
2. DECREASE/ELIMINATE MF RESTRICTIONS
3. REDUCE/ELIMINATE SPASM
4. REDUCE MRT
5. NORMALIZE JJ MOBILITY IN C-SPINE
6. STRENGTHEN/STRETCH
7. NORMALIZE POSTURE