Wang Ying

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Headache

• Wang Ying
• Department of Rehabilitation Medicine
• Renji Hospital
• Jiaotong University

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What is Headache?

• A headache (medically known as cephalalgia,
  cephalgia)
• a condition of pain in the head sometimes neck
  or upper back pain may also be interpreted as a
  headache.
• the most common local pain complaints.

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causes

• a wide variety of causes
• eye strain,
• sinusitis , encephalitis, meningitis,
• cerebral aneurysms , brain tumors
• head injury
• tension headache.
• dehydrated,
• caffeine

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types

• There are four types of headache
• Vascular
• muscle contraction (tension)
• Traction(Cervicogenic )
• inflammatory.

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Vascular

• The most common type of vascular headache is
  migraine.
• usually characterized by severe pain on one or
  both sides of the head, an upset stomach, and, at
  times, disturbed vision.
• Other kinds cluster headaches, high blood
  pressure (rare).

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Migraine(with Aura)

• Migraine accompanied or preceded by an aura
  (neurological symptoms). Approximately 10 of all
  migraine sufferers fall under the category
  "migraine with aura".
• sensory disturbances, 10-30 minutes prior to the
  headache phase,
• The "aura" can be zig-zag lines or spots in the
  field of vision, tingling of the skin, dizziness,
  confusion, or blurred vision.
• The headache usually lasts 4-72 hours,

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Migraine(without Aura)

• menstrual migraine
• Migraine without aura typically lasts 4-72 hours,
  is most-often one-sided
• frequently associated with nausea and vomiting
• The pain sensation is generally throbbing or
  pounding in nature, with a moderate to severe
  quality.

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Muscular/myogenic

• involve the tightening or tensing of facial and
  neck muscles
• they may radiate to the forehead.
• Tension headache is the most common form of
  myogenic headache.

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Tension headache

• The typical features of tension headache are
  generally a 2-sided, band-like, pressing pain
  that does not seem to get worse with activity
  (unlike migraine).
• The pain is usually mild to moderate in nature.
• Stress does play a role

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Traction and inflammatory

• symptoms of other disorders
• ranging from stroke to sinus infection.

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warning signals

• headaches can serve as warning signals of more
  serious disorders.
• This is particularly true for headaches caused by
  inflammation, including those related to
  meningitis as well as those resulting from
  diseases of the sinuses, spine, neck, ears and
  teeth.

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• While statistically headaches are most likely to
  be harmless and self-limiting
• some specific headache syndromes may demand
  specific treatment or may be warning signals of
  more serious disorders
• Some headache subtypes are characterized by a
  specific pattern of symptoms, and no further
  testing may be necessary, while others may prompt
  further diagnostic tests.

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Diagnosis

• X-ray
• Computed tomography (CT/CAT)
• magnetic resonance imaging (MRI)
• Electroencephalogram(EEG)
• Blood tests

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Treatment

• Medicine members of the NSAID class
• Physiothearpy tension-type and cervicogenic
  headaches

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Behavioral treatments

• biofeedback therapy
• relaxation training
• cognitive-behavioral training (also known as
  stress-management training)
• hypnosis

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Physical treatments

• electrotherapy
• acupuncture
• massage
• cervical manipulation

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Manipulative therapy

• chiropractic care. (also known as spinal
  manipulation)

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• Manipulation
• Others Regular exercise ,jogging

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Traditional method

• Massage techniques
• 1. Grasp by five finger
• 2. knead Protruding Bone behind the Ear
• 3. grasp Fongchi, push and knead points
• 4. Open Celestial Gate , revolve Taiyang, Nip
  Zanzhu,and other points
• 5.

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• 5. Whisk two temporal
• 6. Knocking
• 7. Press point
• 8. Relax

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trigger points

• Massaging these trigger points can reduce the
  pain and tightness in the muscles and can
  decrease head pain and migraine in some
  sufferers.