Headache in general

3. WHY BOTHER
HEADACHE?• Spoil your Day
• Reduces efficiency
• Quality of Life

4. Refractive error

5. MIGRAINE
Visual Aura
Sensory Aura
Motor Aura

6. VISCIOUS
CYCLE

7. CRITERIA FOR
MIGRAINE

9. OTHER TECHNIQUE
Non pharmacological treatment
• Identification of triggers
• Meditation
• Relax techniques
• Psychotherapy
Pharmacological treatment
• Abortive treatment
• Preventive treatment
• Acupressure
-Light, sound, stress, hunger, menstruation, stormy weather, lack
or excess of sleep, barometric pressure change, alcohol

10. Normal Stress Sleep
Stress & LIfe
ECG

11. STRESS DIFFERS
• Not all take life easy – Type A personality

13. TENSION HEADACHE
Tension-type” headaches are the most common - adults.
muscle contraction headaches or stress headaches,
but these old terms are no longer used.

14. UNLIKE MIGRAINE
 Are rarely severe;
 Are not throbbing, but band-like and aching;
 Affect both sides of the head;
 Are not made worse by routine physical activity;
 Are not associated with light and sound sensitivity; and
 Are not associated with nausea or vomiting (though
there can be anorexia).

15. WHO IS AFFECTED BY TENSION-TYPE HEADACHES?
• 30 to 80 percent of the adult population
• Once or twice a month, but the headaches can occur
more frequently.
• People who get migraine headache can also suffer from
chronic tension headaches.

16. HOW ARE TENSION-TYPE HEADACHES TREATED?
• Stress management/relaxation training
• Counselling/Acupuncture
• Medications (antidepressant or anxiety-reducing medications)
• Headache diary
• Disciplined life
• Task diary
• Role of Meditation

18. STRESS MANAGEMENT/RELAXATION TRAINING
• Deep breathing exercise
• Muscle relaxation
• Music and laughter
• Role of exercise

19. MEDICATION
• Anxiety reducing drugs (Benzodiazepines and anti-depressants)
• Take these medications only when necessary.
• If you do take them, use the smallest dose needed to relieve your pain. Overusing
pain medications can actually cause rebound headaches.
• In addition, aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs), such
as ibuprofen, can have serious side effects, including stomach or intestinal pain or
bleeding and ulcers.
• FDA approved drug is amitriptilline

20. When to do Scanning of
brain ??

21. Happy harmones