Chronic Paroxysmal Hemicrania, Hemicrania Continua and Cluster Headache – All From The Same Disorder?

In recent times the International Headache Society has added a third primary group of headache(s) to the two primary headache types – migraine and tension-type headache.
This third primary group includes Cluster headache, Chronic Paroxysmal Hemicrania, and SUNCT (Short lasting Unilateral Neuralgia form headache attack with Conjunctival injection and Tearing!) and Hemicrania Continua.
Chronic Paroxysmal Hemicrania is [...]



Migraine and Headache After Trauma – Post Traumatic Headache (PTH)

Headache is the most common symptom after a head injury. Post traumatic headaches, like non traumatic migraine and tension headache for some reason pose a significant challenge for clinicians and are surrounded by controversy. Because the neurological examination after mild head injury is normal and standard tests as well as imaging studies (such as MRI [...]



Migraine, Tension Headache, the Neck and Sensitisation of the Brainstem

It is generally agreed and it has been demonstrated that the brainstems in migraineurs and tension headache sufferers are sensitised.
The brainstem is influenced by 4 systems:
information from structures inside the head – head scans which fortunately in over 95% of headache and migraine sufferers the scans are clear, will eliminate this factor
the diffuse noxious inhibitory [...]



Tension and Headache

Cheers
Dean
Consultant Headache and Migraine Physiotherapist; Adjunct Lecturer, Masters Program, School of Physiotherapy, University of South Australia; PhD Candidate, Murdoch University, Western Australia
Headache Migraine



Triggers of Tension Headache and Migraine Are No Different

After comparing the triggers of migraine, tension headache and combined tension-type headache/migraine, no differences were found. In this research, patients, irrespective of their diagnosis, reported that emotional, dietary, physical, environmental, and hormonal factors were equally likely to trigger their headache or migraine … more evidence of a single headache and migraine process.
Can you imagine the [...]



Post Traumatic Headache, Cervicogenic (Neck) Headache and Migraine or Tension Headache

Is there any difference between post traumatic headache, cervicogenic (neck) headache and migraine or tension headache?
Several studies have shown that symptoms of whiplash-induced headache are often similar to those of spontaneous, natural headaches.
In one study of 48 patients experiencing chronic post-traumatic headaches, 36 patients (75%) were diagnosed with chronic tension-type headaches, 10 (21%) were classified [...]



Cluster Headache, Migraine and Tension Headache are related – more evidence …

Clinical correspondence in the latest Cephalalgia journal reports the presence of ‘cutaneous allodynia’ in two cluster headache patients.
What is cutaneous allodynia? Cutaneous (relating to or affecting the skin) allodynia (is a painful response to a normally non painful stimulus) so in this case there is a heightened, painful sensitivity to touch. This increased sensitivity to [...]



Tension Headache, Migraine and Cluster Headache

The research clearly shows that the brainstems in tension headache sufferers and migraineurs are sensitized. One of the signs of sensitization of the brainstem is ‘allodynia’ and therefore is present in tension headache and migraine patients.
What is ‘allodynia’? ‘Allodynia’ refers to excessive tenderness to physical pressure or touch.
Recent, interesting and exciting research has shown that [...]



The ‘Triptans’, Tension Headache, Blood Vessels and Migraine

The ‘triptans’ are a group of medications developed specifically to prevent migraine attacks.  Just how they do this has been debated for some time. Initially it was thought that the ‘triptans’ constricted the blood vessels, but research has shown clearly that dilatation of blood vessels is not consistently present during a migraine attack.
It has been [...]



Tension Headache and Migraine – are they the same condition?

The debate as to whether tension headache and migraine are separate conditions or just different expressions of the same condition has gone on for decades and continues. Why (?), when a significant body of research has demonstrated that the brainstems of both tension headache and migraine sufferers are sensitised, that is, both tension headache and [...]