Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ CephalagiaVascular headacheMuscular tension/myogenic headacheCervicogenic headacheTraction/inflammatory headaches ++ 307.81 Tension headache339 Other headache syndromes339.0 Cluster headaches and other trigeminal autonomic cephalgias339.1 Tension type headache339.2 Post-traumatic headache339.3 Drug induced headache, not elsewhere classified339.4 Complicated headache syndromes339.8 Other specified headache syndromes ++ G43 MigraineG44 Cluster headache and other trigeminal autonomic cephalalgiasG44.009 Cluster headache syndrome, unspecified, not intractableG44.209 Tension-type headache, unspecified, not intractableG44.309 Post-traumatic headache, unspecified, not intractableG44.41 Drug-induced headache, not elsewhere classified, intractableG44.51 Hemicrania continuaG44.80 Other primary headachesG44.81 Hypnic headacheG44.82 Headache associated with sexual activityG44.88 Headache attributed to head and or neck trauma ++ 4E: Impaired Joint Mobility, Motor Function, Muscle Performance, and ROM Associated with Localized Inflammation1 +++ Description ++ Pain in the head or neck regionInternational Classification of Headache Disorders-II (ICDH-II)13 headache classification groupsNational Institute of Health (NIH) has 5 classifications of headachesVascular headacheMuscular tension/myogenic headacheCervicogenic headacheTraction headachesInflammatory headaches +++ Essentials of Diagnosis ++ ICDH-II classifications2Primary headaches include migraines, tension headaches, cluster headaches, trigeminal headachesIncludes headaches caused by cough, exertion, sexual activity and stabbing Secondary headaches are based upon their etiology: whiplash injury, intracranial headaches, neck injury, vascular disordersNIH Classification3Vascular headacheMigraineCluster headachesMuscular tension/myogenic headacheTension headacheCervicogenic headacheDisorder of the cervical spineTraction headacheCan be caused by strokeInflammatory headachesCan be caused by sinus infection with inflammationIncreased intracranial pressure +++ General Considerations ++ Headaches can be harmless, disabling, or life threateningHeadaches may indicate more severe pathology in the head/brain regionVision and sinus problems can cause headaches +++ Demographics ++ Cluster headaches more common in men than in womenMigraine headaches more common in women +++ Signs and Symptoms ++ MigrainePulsating painNauseaSensitivity to light or soundOne or both sides of the headAggravated with routine activityCluster headachesSevere headachesShort-lastingSymptoms around the eyeToxic headachesFeverMuscular tension/myogenic headacheSqueezing or tightening on headMild to moderate painStill able to perform routine activityCervicogenic headacheStiff neckLimited mobilityOne-sidedPain radiating into arm +++ Functional Implications ++ Difficulty maintaining sitting posture secondary to neck painInability to sleepWeakness with upper-extremity liftingInability to drive or work secondary to light or sound sensitivityDifficulty with neck movements (driving) secondary to pain +++ Possible Contributing Causes ++ Forward-head, rounded-shoulders posture due to tight pectoralis, weak periscapular, deep neck-flexor muscles. Prolonged position of cervical side-bending towards impaired nerve or prolonged extensionFacet hypertrophyTraumaLightSoundsHydrationNutritional deficiencyVascular insufficiencyMuscular tightnessStress +++ Differential Diagnosis... Your Access profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free a profile for additional features.