Headache
In the first place it is necessary to create the exact and specific diagnosis. There are about 200 different specifications of headache but the most common is tension headache which accounts for around 90 % of cases. Migraine is also a very common condition.
The International Headache Society updates their criteria for the diagnostics and classification of headache every year.
most common headache
|
Tension HA | |||
|
Occurence |
60-70% |
6-10% |
>1% |
|
Gender |
female 70-80% |
female 60-70% |
male 80-90% |
|
Lokalisation |
mostly bilateral |
unilateral |
strict unilateral, sometimes lacrimation or wet eyes |
|
Charakter |
long lasting, dump, opressiv |
intensiv, pulsating |
very intense and sharp |
|
Duration |
30 min up to 7 days, no attacks |
4 - 72 hours |
15 min bis zu 3 Stunden |
|
no nausea, no aggravation during exercise |
Photophobia, Aura possible, nausea, need for rest, pain increses during sport |
urge to move | |
|
Frequency |
variabel |
1-10 /month |
attacks in phases (Cluster) |
Diagnostic
Anamnesis (duration, used drugs, social anamnesis)
Examination (clinical report of the cranial nerves, cervical spine, teeth- condition, blood pressure)
Characterization of headache (throbbing, electrical, sharp)
Localisation (occipital, bilateral, unilateral, frontal)
Temporary appearance (how often?, how long lasting?)
Trigger (menstruation, wine, cheese, sleep, sport, sex)
Headache questionary by Essen
Calender for headache
Excluding of other diagnosis (blood pressure, MRT of the head, blood sample)
After we made an exact diagnosis we will discuss a possible treatment plan with you. It is very important that you understand the origin and the character of the headache before we start the treatment. If you suffer from headache for a longer period of time it is possible that many different kinds of headache fused together.
After we made an exact diagnosis we will discuss a possible treatment plan with you. It is very important that you understand the origin and the character of the headache before we start the treatment. If you suffer from headache for a longer period of time it is possible that many different kinds of headache fused together.