Headaches Lecture1

Question 1

Primary Headaches types

Answer 1

• Tension
• Migraine
• Cluster

Question 2

Cluster headache symptoms

Answer 2

• Unilat px
• Intense severe px
• Intermittent px
• (daily, repeating for weeks/months)
• Often nocturnal (waking up with HA)

Question 3

Cluster Demographic

Answer 3

• Affect only 0.1% of people
• Men 5x more likely

Question 4

Tension Symptoms

Answer 4

• Bilat px
• Diffuse px
• Band like px around head
• Dull or vice like
• Onset later in day
• Last 30 min to weeks
• Mm stiffness, hypertoned mm, tinnitus

Question 5

Migraine Symptoms

Answer 5

• Unilateral
• Px starts as dull ache then becomes intense and
• pounding, has 3 phases, and triggers
• Last 4-72 hours
• May have aura or visual disturbances
• Nausea, vomiting, photophobia, phonophobia,

Question 6

Trauma Symptoms

Answer 6

Pain in the head or neck from injury

Question 7

Sinus

Answer 7

• Pain in face- forehead, maxilla, btw eyes
• Nasal drip or congestion
• Pain increases in different positions
• Facial tenderness

Question 8

Withdrawal

Answer 8

• Begin in early am when blood levels of drug are
• lower
• Throbbing px
• Bilateral px

Question 9

Tension Demographic

Answer 9

• These HA begin in
• adulthood
• Affect both men and
• women

Question 10

MIgraine demographic

Answer 10

• Family hx 70%
• Women more than men
• Starts around first menses
• May start again near
• perimenopause

Question 11

Migraines 3 phases

Answer 11

• Prodromal
• Attack
• Postdromal

Question 12

Prodromal

Answer 12

• mood changes, cravings, cold (may have aura-visual, confusion, slurred speech)

Question 13

Attack

Answer 13

• unilateral, throbbing, sensitive to light
  and noise, nausea, vomiting

Question 14

Postdromal

Answer 14

• tired, sluggish, flaring pain during
  quick movement

Question 15

Cervical compression/distraction test

Answer 15

tests for nerve root or facet joint irritation (cervicogenic HA)

Question 16

Spurling’s Test / “quadrant

Answer 16

-tests for cervical nerve root, facet joint irritation, cervicogenic

Question 17

Kernig’s Test / Soto Hall Test

Answer 17

-this may indicate meningitis

Question 18

VAT (Vertebral Artery Test)

Answer 18

• Tests for circulation deficiency of the vertebral artery at the transverse foramen)

Question 19

Hydrotherapy
Tension HA

Answer 19

• no heat on head during HA
• In between HA-heat application to TPs, sore muscles
• During HA -Cool cloth to head/neck
• Foot baths during HA (warm/hot)

Question 20

Migraine HA Hydrotherapy

Answer 20

• (no heat to head during HA)
• Before onset of migraine – hot bath if client feels cold
• During migraine- ice/cold to arteries of scalp, heat to feet