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Flashcards in OAT Head Pain Deck (21)
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osteopathic considerations of head pain in the anteiror 2/3 of head would focus you to what nerve

trigeminal n


osteopathic considerations of head pain in the posterior 2/3 of head would focus you to what nerve

lesser occipital C1-3, recurrent branche sof IX and X


who is affected by tension HA

25-30yo onset
peak prevalence at 30-39
female 5: 4 male
30-78% mean lifetime prevalence


risk factors for tension HA

stress, metnal tension, emotional disturbance
possible risk factors include poor self=rated helath
inability to relax after work
sleeping few hours per night


associated conditions of tension HA

anxiety and depression


omt causes of tension HA

active myofascial trigger poitns in the neck, head and shoulder might refer pain
episodic = peripheral pain
chronic = central pain mechanisms


most common abnormal OMT finding of tension HA

pericranial muscle tenderness
tends to be mostly the scalp but absence fo tenderness does not r/o diagnosis


risk factors for migraines

analgesic overdoes - daily or almost daily use of analgesics for over one month
oral contraceptives?


HA caused by a disorder of the cervical spine and its component bony, joint and or soft tissue elements

cervicogenic HA


Cervical nerves C1-3 innervate which portino of the neck

posterior 1/3 of head


cervical nerves C4-5 innervate what portino of the neck

behind the ears to the top of the shoulders


involvement of the C2-3 facet is the most frequent source of what type of HA

cervicogenic HA


Criterion for diagnosing a cervicogenic HA

two of the following
1. developed in temrporal relation to the onset of cervical disorder/lesion
2. significnatly improved or resolved with improvement in or resolution of the cercial disorder/lesion
3. cervical ROM is reduced and HA is made significantly worse by provacotive maneuvers
4. abolished following diagnostic blockade of a cervical structure or its nerve supply


differential dx for cervicogenic ha .

c2 neuralgia
neck tongue syndrome
occipital neuralgia


paroxysmal sharp or shock-like pain centered in the occpital region, ipsilateral eye lacrimation and conjuctival injection are common

c2 neuralgia


rapid head turning causes subluxation of the posterior AA joint and C2 spinal root compression
symptoms include neck pain and occipital pain, may be associated with ipsialteral tongue sensory symptoms
onset typically druing childhood or adolescence

neck-tongue syndrome


respiratory/circulatory considerations for cervicogenic HA tx

addres lymphatics first to reduce irritants from inflammatory milieu


biomechanical considerations for cervicogenic HA tx

address joint SD with MET, stills, FPR
HVLA may irritate facilitated segments


neurologic considerations for cervicogenic HA tx

address CS points anteriorly and posteriorly in the cervicals and upper thoracics, upper ribs and upper extremities
use crnaial to address other conributing SD


metabolic considerations for cervicogenic HA tx

improvement d/t other approaches


behavioral considerations for cervicogenic HA tx

exercise Rx to support treatment of SDs contributing to symptoms