The document discusses different types of headaches including migraines, tension headaches, cluster headaches, and chronic daily headaches. Migraines are the most common type of headache and are characterized by throbbing pain, nausea, sensitivity to light and sound, and sometimes aura. Tension headaches involve tightness and pain in the neck and scalp muscles. Cluster headaches are less common and predominantly affect men, occurring in clusters with attacks of severe pain around the eye. Chronic daily headaches involve daily headaches that may last for months and share characteristics with tension and migraine headaches.

1. Understanding the interconnection
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5. • Most common type
• Throbbing
• Can occur on both or one side
• Accompanied by:
• Vomiting
• Nausea
• Loss of appetite
• Worsened by:
• Bright light
• Activity
• Loud noise
• Has a duration of 4-12 hours
• Prodromal onset
• Unique feature is an aura (a change in
vision, sound, taste, and smell occurring
shortly before onset
• Occurring during ages 10-40
• Predominantly affecting women

6. • Also known as muscle contraction headaches
• Focus areas are:
• Neck
• Back of the head (Occipital)
• Temples
• Forehead
• Produce feeling of tightness surrounding the head
• Tenderness in the muscles:
• Scalp
• Neck
• Shoulders
• Usually not accompanied by symptoms such as
nausea or aura
• Also most common type of headache
• Respond well to rest and OTC pain relievers
• Occurrence can be daily
• Many tension headaches are completely or
partially due to TMJ/Occlusal imbalances

7. • Most unique type of headaches
• Less common
• Predominantly affecting men
• Occurs in clusters
• Duration days – several weeks
• Reoccurrence very rare (months – years)
• Symptoms
• Short duration
• Building up explosively
• More than one episode per day
• Tends to center around the eye and may
spread to rest of face
• Redness, tearing and droopy of the affected
eye
• Runny and blocked nostril on the affected
side
• Activity may relief severity

8. • Daily headaches
• May last for months or even years
• Very similar to tension headaches, but can have
similar symptoms such as migraines and cluster
headaches
• Two main characteristics:
1. Stress and depression are usual triggers
2. Temptation to overuse pain relieving
drugs, hence headaches become more
persistant

9. • Some of these conditions could be serious, but
most are benign and harmless
• Some may include:
• Brain tumors
• Strokes
• Aneurysms
• Trauma to the head
• Meningitis
• Brain infections
• Arthritis affecting the neck
• Side effects from medications
• Withdrawal from drugs such as caffeine
and narcotics
• Alcohol hanovers

11. The muscles, which control your
jaw and hold your head upright
are very complex. Many people do
not realize that every time they
swallow, their upper and lower
teeth must come together in a
firm way to brace the jaw against
the skull. We swallow over 2000
times each day and night! If your
bite is unstable, as from poorly
aligned teeth or even a missing
tooth, the muscles must work
harder to bring the teeth
together. Most people take a
vacation from work when they
tire out-but your jaw muscles
never get a break! The
overworked muscles become
strained. When muscles are under
constant strain, they eventually
become painful.

13. A Gneuromuscular Orthosis
• It assists in the orthopedic re-alignment
• Maintains and manages the upper
and lower jaw relationship in a
physiologic manner
• It is anatomical and not flat
• Provides a balanced occlusion
• Maintains an unstrained and
physiologic muscle and TMJoint
relationship
• Does not encroach on tongue space
• It is manufactured based on
Optimized Bite® and TENS (Trans-
Electrical-Neural-Stimmulation)
guidelines