307.81 Tension headache
339 Other headache syndromes
339.1 Tension type headache
339.2 Post-traumatic headache
339.8 Other specified headache syndromes
Tension-type headache algorithm. (From Esherick JS, Clark DS, Slater ED. Current Practice Guidelines in Primary Care. 2013. http://www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)
Innervation of pain-sensitive intracranial compartments (A) and corresponding extracranial sites of pain radiation (B). The trigeminal (V) nerve, especially its ophthalmic (V1) division, innervates the anterior and middle cranial fossae; lesions in these areas can produce frontal headache. The upper-cervical nerve roots (especially C2) innervate the posterior fossa; lesions here can cause occipital headache. (From Greeenberg DA, Aminoff MJ, Simon RP. Clinical Neurology. 8th ed. http://www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)
G44.209 Tension-type headache, unspecified, not intractable
G44.309 Post-traumatic headache, unspecified, not intractable
G44.88 Headache attributed to head and or neck trauma
PREFERRED PRACTICE PATTERN
4E: Impaired Joint Mobility, Motor Function, Muscle Performance, and ROM Associated with Localized Inflammation1
A 17-year-old female is studying long nights for college entrance examinations. She is not involved in any other activities, but rather spends all of her spare time on the computer reading or studying. She reports to physical therapy because she has a headache that won’t subside and she can no longer turn her head fully to the right. It has become painful even to sit at her computer or to sit through class. Now the pain is interfering with her sleep, which is causing even more anxiety about her upcoming examinations. On initial observation when the client arrives, the physical therapist notes that she has a forward head and rounded shoulders. She turns her whole body to look at the physical therapist when speaking. She is having spasms in her upper traps and scalene muscles.
Pain in the head or neck region
Dysfunction in the cervical spine
One of five National Institute of Health (NIH) headache classifications
Distribution of symptoms and signs in tension headache. (From Greeenberg DA, Aminoff MJ, Simon RP. Clinical Neurology. 8th ed. http://www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)
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