Neck pain and Headaches

Question 1

Migraines duration

Answer 1

4 - 72 hours

Question 2

migraines intensity

Answer 2

moderate to severe

Question 3

migraines characteristics

Answer 3

• Unilateral, nausea, vomiting, photo/phonophobia
• Brought on by normal daily activities
• Related to blood flow disturbances in the CNS

Question 4

Tension type HA duration

Answer 4

30 min to 7 days

Question 5

tension type HA intensity

Answer 5

mild to moderate

Question 6

tension type HA characteristics

Answer 6

• Bilateral, pressing tightening (no pulsations), no nausea or vomiting, no photo/phonophobia, or one but not the other
• Not aggravated by routine activity
• Occur within CNS, hereditary in nature, associated with triggered points

Question 7

cervicogenic headaches duration

Answer 7

episodes of varying duration

Question 8

cervicogenic headaches intensity

Answer 8

moderate to severe

Question 9

cervicogenic headaches characteristics

Answer 9

• Unilateral, not throbbing, starts in the neck from sustained or awkward positions
• Aggravated by neck movements
• Etiology trigeminocervical nucleus

Question 10

HEADACHES – RED FLAGS

Answer 10

• Severe headache with sudden onset
  
  • Acute subarachnoid hemorrhage (aneurysm): vomiting, seizures, “worse headache ever”
  • Carotid or vertebral artery dissection: onset from headache to symptoms: vertebral artery (14.5 hrs), internal carotid (4 days)
• Sub-acute and worsening headache
  
  • Intra-cranial tumor
    
    • Change in headache , new symptoms
    • Progression of the headache and neurological symptoms