Head Pain

Question 1

Average age of onset for tension headache and age of peak prevalence?

Answer 1

25-30

30-40

Question 2

Big time risk factor for tension headaches?

Answer 2

Stress

Question 3

What two things are associated with chronic tension type headache?

Answer 3

Anxiety and depression

Question 4

How long can a tension headache last?

Answer 4

30 minutes to 7 days

Question 5

When do we say the tension headache is chronic?

Answer 5

More than 15 days per month you have one over 3 months of this happening

Question 6

PW finding for tension headache?

Answer 6

Pericranial muscle tenderness

Question 7

2 big time risk factors for migraines?

Answer 7

MS and pain med overuse

Question 8

What are the 5 things to diagnose migraine?

Answer 8

P - pulsating
O - 4-72 hours
U - unilateral
N - nausea or vomiting 
D - disabling

Question 9

What is a cervicogenic headache?

Answer 9

Headache caused by a cervical spine disorder/injury

Question 10

What location of the cervical spine is the most frequent source of cervicogenic headaches?

Answer 10

C2-C3 facet

Question 11

What are 4 criteria for a cervicogenic headache and how many do you need to say it was one?

Answer 11

Need 2.

1. Headache came on at the same time of the neck injury
2. Improves as the neck injury improves.
3. Anything that makes the neck injury worse makes the HA worse
4. Fix the injury, fix the HA

Question 12

3 features of tension HA?

Answer 12

Bilateral, mild, no NV

Question 13

What is neck tongue syndrome?

Answer 13

Rapid turn of the head dislocating posterior AA and compressing C2 spinal root.