Headaches: Causes/Treatments/Diagnosis Flashcards
most common type of headache
Tension type (>80%)
second most common type of headache
migraine (12-16%)
third most common type of headache
medication overuse (3%)
least common type of headache
cluster HA/trigeminal cephalgias
Associated headache symptoms that should be sent to the ER (6)
- “worst HA of their life”
- new onset focal neuro weakness
- onset headache >50 y/o
- associated systemic symptoms
- acute eye pain
- high blood pressure
Classic pain pattern for tension HA
bilateral tight/achy pain, radiation from occipital/cervical region
classic pain pattern for migraine HA
unilateral side of head, throbbing/burning pain
classic pain patter for cluster HA
surrounding one eye, with swelling and tearing of the eye
Conservative treatments for tension-type HA (4)
- manual manipulation: ischemia/compression
- physical therapy
- spray and stretch
- dry needling
Other causes of tension-type HA (2)
1) cervical facet referral
2) TMJ
Neurologic model: prevent tension type headache
Pharmacology: SSRI/tricyclics
Behavioral model: treat tension type headache
- RICE
- prevent overuse
- CBT
- STOP SMOKING!!
most predictive symptoms of migraines
nausea
Common migraine triggers
- emotional stress (80%)
- hormones (65%, 3:1 F:M)
- irregular sleep (50%)
- diet (50%)
- caffeine and EtOH
- dehydration
- smells
- medications
behavioral model for migraine treatment
avoid triggers
