Taking an in Depth Look at Headaches

Patient is a 19-year-old right-handed white female who is a fair historian. She states that she started having headaches as a child. Her father told her that he also had headaches and that they would eventually go away. She describes having a severe headache, which she calls her first migraine, after softball practice at age 12. Menarche was at age 13 with no change in her headaches. Her headaches have not been menstrually related. There was no clear change in her headaches during pregnancy or in the postpartum period. She states that she gets a dull headache two to three days out of a week. This is in variable locations on her head, but can also be a nuchal. The pain is of variable quality, but it does worsen with exertion. She also gets more

Guilbeau, J. R., & Lenahan, C. M. (2015). Assessment, diagnosis, and management of headache. International Journal of Aquatic Research & Education, 9(2),

Migraines affect nearly 28 million people or 12% of the population in the United States. Migraines are typified by moderate to severe head pain. The head pain is often accompanied by one or more of the following; nausea, photophobia, phonophobia or vomiting. Migraines are considered a chronic neurological disorder. The incidence of migraine related nausea (MRN) is very high among migraneurs. Roughly 90% of patients experience MRN at one time or another. Roughly 50% of patients report experiencing MRN with high frequency (greater than half the time). MRN can hinder the efficacy of currently available migraine drugs in a number of ways. Many patients who experience MRN will delay or avoid taking oral or nasal migraine medication as it can further irritate their stomach. The GI upset associated with migraines can also affect absorption and thus limit systemic exposure to the drug. Researchers have been working diligently to find a solution to this problem.

Chronic headaches can make your life miserable. However, you should consider that your headaches may not actually be in your head at all. Some are actually referred pain from problems in your neck, spine, or shoulders. If that's the case with you, a chiropractor may be able to help. Here's how.

This is a longitudinal and cross-sectional study using the data from the National Health Interview Survey. The trend of migraine prevalence from 2010 to 2015 was assessed. Age and sex adjusted racial/ethnic prevalence of migraine was compared with different factors. Interactions between race/ethnicity and individual variables were also analyzed to determine the impacts of these factors specifically on race or ethnicity.

from cluster headaches. All the patients were people who did not respond or could not tolerate existing treatments.

1. Based on the case scenario, provide a diagnosis for Bob include the pathophysiology for this type of headache.

If it is genetic then there is no prevention of migraine. It is passed on genetically just like eye colors, hair colors, skin colors, etc.

Headaches and migraines are the second and third most common disorders worldwide (Craig S. Moore, David W. Sibbritt and Jon Adam March 2017), which can have debilitating impacts on work, school and daily activities.

Tense muscles in the back of the neck and even in the scalp can cause the “vice-like” compression many people use to describe stress-related headaches. Also, when under stress, many people clench their jaws and/or grind their teeth, both of which can trigger headaches all on their own. Lastly, anxiety is a common culprit of restless nights, and insomnia is a risk factor for headaches and migraines

The three types of headaches are tension headaches, migraine headaches, and cluster headaches. The symptoms of a tension headache are usually include dull aching on both sides of the head, pressure, or tightness around the head, tenderness of the neck and shoulders. There are two types of a tension headache: the acute tension that last a short period and chronic tension headaches that might appear almost every day for long periods. The causes of tension headaches might occur due to psychological stress, poor posture, and immobility. The symptoms of a migraine headache include pain that may spread, but usually on one side of the head, sensitivity to light, visual disturbance, nausea, and fatigue that might last up to several days. The causes

Almost all of us have had headaches at one time or another. We’ve had minor headaches that are easily relieved by aspirin, regular pain relievers, food or hot coffee, or by just resting. But some of us have suffered severe, lingering and unusual headaches that may need some serious attention especially if we cannot bear the pain or the pain gets in the way of our daily activities.

22-year-old right-handed male with no significant past medical history, presented on account of new onset sudden severe headaches. Headache is sudden onset, severe, occipital radiating to the right frontal and temporal regions, lasting 2-3 minutes and improving to mild to moderate in between episodes, aggravated by bearing down and leaning forward. 2 of 3 episodes occurred during sexual intercourse, just prior to orgasm. There was associated lightheadedness, nausea, an episode of unwitnessed syncope, and left facial and arm numbness and weakness. No associated vomiting, no photophobia or phonophobia, no visual changes, no palpitation, no fever, no abnormal movements or confusion.

N.C.) were used for statistical analysis. Descriptive statistics were computed for all variables. Reduction of at least 50 percent in migraine headache frequency, intensity, or duration compared with baseline values was used as the criterion for significant improvement. A migraine headache index was calculated by multiplying the frequency, intensity, and duration of migraine headaches, and this was compared with the baseline migraine headache index. A repeated measures analysis of variance was used to compare the mean frequency, intensity, and duration of migraine headaches over time (0, 3, 6, 9, and 12

Chief Complaint: Headaches on and off for three days, routine monthly visits for hypertension, diabetes, and, glaucoma evaluations.