The Headache

The Headache

1. Always considered serious condition

2. Tension Headache

   • Most Common
     • 30-80% population
   • Gradual Onset
     • Last minutes to days
   • Triggers
     • Stress
     • Posture
     • Poor Sleep
     • teeth/Jaw misalignment

3. Migraine Headache

   • 2nd Most common type
   • Vascular Cause
     • Vasodilation of blood vessels base brain; chemical release causes inflammation, pain and further dilation of arteries
     • Activates Sympathetic Nervous System;
       • N/V/D
       • Pallor/Cold Extremities
       • Photophobia; sound sensitive
   • Unilateral (usually)
     • Throbbing
     • Pounding
     • Pulsating
   • Migraine Food Triggers
     • Alcohol
     • Processed/marinated food
     • MSG
     • Chocolate
     • Dairy
     • Artifical Sweeteners
     • Foods with Nitrates
       • Bacon
       • Sausage
       • Lunchmeats
     • Foods with tyramine
   • Migraine Environmental Triggers
     • Weather
     • Smoke Exposure
     • Odors/Perfumes
     • Bright Lights
     • Noise
   • Migraine Medication Triggers
     • Nifedipine
     • Oral Contraceptives
     • Theophylline
     • Indomethacin
     • Cimetidine
   • Migraine Behavioral Triggers
     • Lack of Sleep
     • Emotional Stress
     • Physical Stress
     • Substance Abuse
     • Poor Diet

4. Sinus Headache

   • Fluid Accumulation Sinus Cavities
     • Cough/Cold
       • Nasal Congestion
       • Fever
     • Pain when head bent forward