Other primary headaches: Difference between revisions
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=== '''Introduction''' === | === '''Introduction''' === | ||
According to the World Health Organization it is estimated that the prevalence of current headache | According to the World Health Organization it is estimated that the prevalence of current headache disorders among adults, that is it has been symptomatic at least once within the last year, is approximately 50% worldwide. It was noted that half to three quarters of adults in the age range of 18–65 years globally have had a headache within in the last year<ref>[https://www.who.int/news-room/fact-sheets/detail/headache-disorders World Health Organization. Headache disorders. World Health Organization; 2018.]</ref> Headaches may have a known cause or be idiopathic. They are common occurrences. Headaches are usually associated with a specific cause. Examples of such causal factors are "specific, stress, muscle tension tension, hormonal fluctuations, nerve compression or cervical spine or temporomandibular joint dysfunction <ref name=":0">Goodman CC, Heick J, Lazaro RT. Differential Diagnosis for Physical Therapists-E-Book. Elsevier Health Sciences; 2017 Apr 29.</ref>. Frequent headaches which are idiopathic are noteworthy. This is due to the fact that headaches may be as a result of a serious medical condition and for this reason they ought to be assessed carefully<ref name=":0" />. Primary headaches are headaches which are due to a headache condition itself as opposed to a secondary headache which is as a result of another condition which the individual has, Part one of the International Classification of Headache Disorders speaks of primary headaches. The primary headaches are migraine, tension-type headache, cluster headache and other trigeminal autonomic cephalgias and what are categorized as other primary headaches | ||
== Description == | == Description == | ||
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4.10 New daily persistent headache (NDPH) | 4.10 New daily persistent headache (NDPH) | ||
4.10.1 Probable new daily persistent headache | 4.10.1 Probable new daily persistent headache | ||
When a client with a headache presents to a physical therapist, a thorough assessment should be undertaken. It is noted that in the clinical setting the measurement of a headache is usually done via retrospective report from the patient<ref>[https://www.ncbi.nlm.nih.gov/pubmed/11440533 Niere K, Robinson P. Determination of manipulative physiotherapy treatment outcome in headache patients. Manual therapy. 1997 Nov 1;2(4):199-205.]</ref>. A headache diary may be of use however it is usually recommended for the purpose of data collection in clinical trials<ref>Selvaratnam P, Niere KR, Zuluaga MI, Oddy P. Headache, Orofacial Pain and Bruxism: Diagnosis and multidisciplinary approaches to management. (Content Advisors: Stephen Friedmann BDSc (Dental) ; Cathy Sloan MBBS Dip RANZCOG (Medical). Churchill Livingstone; 2009.</ref>. | |||
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== Resources == | == Resources == | ||
Revision as of 20:47, 30 December 2018
Introduction[edit | edit source]
According to the World Health Organization it is estimated that the prevalence of current headache disorders among adults, that is it has been symptomatic at least once within the last year, is approximately 50% worldwide. It was noted that half to three quarters of adults in the age range of 18–65 years globally have had a headache within in the last year[1] Headaches may have a known cause or be idiopathic. They are common occurrences. Headaches are usually associated with a specific cause. Examples of such causal factors are "specific, stress, muscle tension tension, hormonal fluctuations, nerve compression or cervical spine or temporomandibular joint dysfunction [2]. Frequent headaches which are idiopathic are noteworthy. This is due to the fact that headaches may be as a result of a serious medical condition and for this reason they ought to be assessed carefully[2]. Primary headaches are headaches which are due to a headache condition itself as opposed to a secondary headache which is as a result of another condition which the individual has, Part one of the International Classification of Headache Disorders speaks of primary headaches. The primary headaches are migraine, tension-type headache, cluster headache and other trigeminal autonomic cephalgias and what are categorized as other primary headaches
Description[edit | edit source]
Other primary headaches includes those that are clinically heterogeneous. The pathogenesis of these types of headache is still poorly understood, and their treatment is suggested on the basis of anecdotal reports or uncontrolled trials.
Several headache disorders included here can be symptomatic and need careful evaluation by imaging and/or other appropriate tests.
The onset of some of these headaches can be acute and affected patients are usually assessed in Emergency Departments. Appropriate and full investigation (neuroimaging, in particular) is mandatory in these cases.
Headaches classified as other primary headaches
Adapted from The International Classification of Headache Disorders, 3rd edition[3]
4.1 Primary cough headache
4.1.1 Probable primary cough headache
4.2 Primary exercise headache
4.2.1 Probable primary exercise headache
4.3 Primary headache associated with sexual activity
4.3.1 Probable primary headache associated with sexual activity
4.4 Primary thunderclap headache
4.5 Cold-stimulus headache
4.5.1 Headache attributed to external application of a cold stimulus
4.5.2 Headache attributed to ingestion or inhalation of a cold stimulus
4.5.3 Probable cold-stimulus headache
4.5.3.1 Headache probably attributed to external application of a cold stimulus
4.5.3.2 Headache probably attributed to ingestion or inhalation of a cold stimulus
4.6 External-pressure headache
4.6.1 External-compression headache
4.6.2 External-traction headache
4.6.3 Probable external-pressure headache
4.6.3.1 Probable external-compression headache
4.6.3.2 Probable external-traction headache
4.7 Primary stabbing headache
4.7.1 Probable primary stabbing headache
4.8 Nummular headache
4.8.1 Probable nummular headache
4.9 Hypnic headache
4.9.1 Probable hypnic headache
4.10 New daily persistent headache (NDPH)
4.10.1 Probable new daily persistent headache
When a client with a headache presents to a physical therapist, a thorough assessment should be undertaken. It is noted that in the clinical setting the measurement of a headache is usually done via retrospective report from the patient[4]. A headache diary may be of use however it is usually recommended for the purpose of data collection in clinical trials[5].
Resources[edit | edit source]
References[edit | edit source]
- ↑ World Health Organization. Headache disorders. World Health Organization; 2018.
- ↑ 2.0 2.1 Goodman CC, Heick J, Lazaro RT. Differential Diagnosis for Physical Therapists-E-Book. Elsevier Health Sciences; 2017 Apr 29.
- ↑ Headache Classification Committee of the International Headache Society (IHS). The international classification of headache disorders, 3rd ed. Cephalalgia. 2018;38(1): 1-211.
- ↑ Niere K, Robinson P. Determination of manipulative physiotherapy treatment outcome in headache patients. Manual therapy. 1997 Nov 1;2(4):199-205.
- ↑ Selvaratnam P, Niere KR, Zuluaga MI, Oddy P. Headache, Orofacial Pain and Bruxism: Diagnosis and multidisciplinary approaches to management. (Content Advisors: Stephen Friedmann BDSc (Dental) ; Cathy Sloan MBBS Dip RANZCOG (Medical). Churchill Livingstone; 2009.
