Headaches

Headaches and fascial pain aren’t the same. Headaches are defined as pain in the head that is located above the eyes or ear, behind the head or on the posterior neck.  Typically 74% of people suffer from headaches while 10-15 percent suffer from migraines, and less than 1% suffer from cluster headaches. The difference between headaches and migraines is that migraines are considered a chronic disorder with episodic attacks. Migraines also tend to be mistaken for sinus or tension headaches. Migraines can involve hypothalamus, thalamus, brainstem, trigeminal spinal nucleus. To be diagnosed with a migraine, there are certain criteria’s you must meet. You must present with 2 of the following, unilateral location (which can also be bilateral), pulsating quality, moderate to severe intensity, aggravated by normal physical routine activates. You must also present with one of the following, nausea and/or vomiting or sensitivity to light or sound. Most migraines last from 4 to 72 hours but can last longer. It more commonly affects women and are describe as throbbing.  Migraines are also classified into epidotic or chronic. Episodic is defined as less than 15 headache days per month. Chronic is defined as more than 15 headache days per month for the last three, and at least 8 of them without aura and without treatment. Chronic migraines can be treated with Botox, but they must have chronic criteria’s. Two thirds of people suffer from migraines without aura, the other third have aura, and 5% of them coexist. To be classified with a migraine with aura, one must present with one of the following, fully reversible visual symptoms i.e. flickering lights, spots, fully reversible sensory symptoms, (needles and pins / numbness), and fully reversible dynamic speech disturbances. It also must resent with two of the following, unilateral visual or sensory symptoms, at least one aura, symptom gradually develops over > 5 mins, each symptom lasts > 3 or 60 mins. Visual and sensory...