| Orthopaedic Rehabilitation -
| Headaches & Migraine -
Classification of headache :
Headache Case History Taking Sieve
where is the pain?
What type of pain?
How severe is the pain?
What is the duration?
What is the onset?
What is the frequency?
Is it acute or chronic and re-occurring?
If chronichas it changed its characteristics or become progressively severe?
Does the pain occur at the same time every day
Does coughing and sneezing or changing the position of the head affect the headache?
- Tension(muscle contraction)
- Pressure/Inflammatory(brain tumor,infection, cva)
- Cranial neuralgias(trigrminal neuralgia,dysfunction of TMJ/assoc muscles)
- psychotic (usually delusional ie. feels worms inside their head)
Painful structures in the head
Dura of anterior,middle and posterior fossa
External and middle ear
Teeth and gums
Active/ passive movements of the cervical spine/temporomandibular joint
Neurological examination including cranial nerve testing
Tap over frontal and maxillary sinuses(if u suspect sinusitis)
Vertebro basilar insufficiency
There are a number of trigger factors causing a migraine headache and these can range from the following
Various E numbers