Taking an in Depth Look at Headaches

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Headaches are worldwide prevalent, ubiquitous and disabling but still underdiagnosed, underrated and under-recognized. Even though regional differences are seen in headache prevalence all races, all ages and all income levels are affected (Steiner, T.J. 2013). Both primary and secondary headaches have a major impact on individuals and society. This assembles with high financial costs, either direct (healthcare costs) or indirect (decrease in work productivity) (Manzoni et al. 2010). Tension-type headache (TTH) is the most common primary headache. Stovner and Colette (2010) studied the prevalence of migraine, TTH, cluster headache and medication overuse headache in Europe. Overall, the current prevalence of TTH among adults was 62,6%. Chronic TTH (CTTH) occurred in 3,3%. Antilla (2006) described the TTH prevalence among adolescents, ranging from 10% (Sweden) to 73% (Brazil), found in different population-based studies. Secondary headaches such as cervicogenic headache (CEH) showed a smaller prevalence (4,1%) as discussed by Sjaastad and Bakketeig (2008). Women showed a significant higher prevalence of TTH than men. This was less obvious for women with CEH. The forward head posture (FHP) plays an important role in both CEH and TTH. Fernandez-de-las-Penas et al. (2007) found that the FHP in CTTH was greater in stand but not in sitting position compared with control subjects. This differs from episodic TTH (ETTH) in which in both sitting and standing position a greater FHP was

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