Tension Type Headache

In this video we will take a look at the
characteristics and presentation of tension-type headaches Get our very own assessment Ebook and mobile app! Links are in the video description Hi and welcome back to Physiotutors! Headaches can manifest on their own, but are also a very common symptom in neck pain patients as more than 60% of
patients with a primary neck pain complaint report of having concordant
episodes of headache. Therefore it’s essential to find out what kind of
headache the patient is suffering from To start off, let’s differentiate between
primary and secondary types of headaches But what does that mean?
Simply put, primary headaches are the disease themselves, whereas in secondary headaches, the headache is a symptom of another condition. So primary headaches
would be migraines, tension-type headaches and cluster headaches.
Secondary type headaches are headaches caused by tumors, hemorrhage, other trauma, TMJ dysfunction, substance overdose or neck pain aka the cervicogenic
headache. now let’s take a closer look at tension-type headaches, which are a
primary type headache. tension-type headaches have a mean 1-year
prevalence of 48.6% around the world with women being equally as often
affected as men in an age range between 20 to 40. Tension-type headaches can vary from infrequent episodic, frequent episodic to chronic as seen in this
table right here. In order to qualify as tension-type headache, the headache has
to fulfill certain criteria: A) The headache lasts hours to days or is unremitting. B)
The patient needs to report at least 2 of the following 4 characteristics –
these are: 1) The headache is bilateral 2) It has a pressing or tightening
quality, but not pulsating 3) The intensity is mild to moderate, so a
patient will usually still be able to complete ADL’s
and 4) The headache is not aggravated by routine physical activity, such as walking or climbing stairs Also 1) there’s no nausea or vomiting and 2) No more than 1 of photophobia or phonophobia which is the sensitivity to light
and sounds respectively (*the ICHD-3 also reports absence of light nausea). Tools you can use to assess the impact of a headache
on your patient are the HIT-6 questionnaire, which you can find in the
video description down below. Also note that it can be difficult for a patient
to answer all the questions on duration, intensity and characteristics of their
headache during your assessment Therefore asking them to complete
something like a headache diary can help in the assessment and management of the headache and you should be aware that there can be an overlap between multiple
headache disorders. Ok in the intro I mentioned that headaches are quite often
associated with neck pain, so be sure to click on our neck pain guideline
playlist on the left! Please check the links in the video description down
below to learn more about ways to support us, such as our Ebook, app or
online course and as always this was Andreas for Physiotutors, I’ll see you
next time – bye!

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  1. Great video. All your videos are amazing and very helpful to study and to have a better understanding and preparation for exams

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