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Posted: April 4th, 2022
Grand rounds Headache nr508 Discussion
Brain tissue does not experience sensations of pain.
Pain occurs in several locations:
The tissues covering the brain
The attaching structures at the base of the brain
Muscles and blood vessels around the scalp, face, and neck
The source of a headache is normally caused by muscle tension, or vascular problems.
The International Headache Society diagnostic criteria for classification of headache:
Primary classifications: Tension-type, Migraine, Cluster
Bilateral, band-like feeling of pressure around the head with a constant, squeezing and tightness
Most common type of headache is the Tension Headache
Classified into four types:
Frequent episodic tension-type headache
Infrequent episodic tension-type headache
Chronic tension-type headache
Probable tension-type headache
(ICHD-3 The International Classification of Headache Disorders 3rd edition, n.d.).
Tension Headaches
According to research, tension headaches occur because of pain sensitivity, perception, and neurotransmitters.
Genetics are thought to be involved in chronic tension headache.
Environmental factors (stress) are involved in the physiologic processes experienced with episodic tension headache.
Abnormalities in the central nervous system, cause sensitivity to pain experienced in tension headaches.
Connective tissue and muscles in the neck and shoulders cause a tension headache by forming knots in the muscles.
Neurotransmitters cause the brain to experience pain when stimulated such as serotonin and nitric oxide.
Medication and Substance abuse cause about one third of all headaches.
Causes: Poor Posture, Work Conditions, Fatigue, Eyestrain, Physical Activity, Food, Stress Pharmacologic agents, Dental Problems, Physical Trauma, Hormonal Changes.
Symptoms of a tension headache: Constant, dull pain above the eyes and across the back of the head
Head pain that gets worse as the day progresses
Pain that may spread over your entire head and to your shoulders and neck
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Headache nr508 Discussion in Grand Rounds
Headache nr508 Discussion in Grand Rounds
Pain feelings are not felt by brain tissue.
Pain can be felt in numerous places:
The tissues that envelop the brain
The connecting structures at the brain’s base
Muscles and blood vessels located in the scalp, face, and neck
Muscle strain or vascular issues are the most common causes of headaches.
The International Headache Society diagnostic criteria for headache classification are as follows:
Tension-type headache, migraine, and cluster headache are the three primary classifications.
Bilateral band-like pressure around the head with continual squeezing and tightening
Most common type of headache is the Tension Headache
Classified into four types:
Frequent episodic tension-type headache
Infrequent episodic tension-type headache
Chronic tension-type headache
Probable tension-type headache
(ICHD-3 The International Classification of Headache Disorders 3rd
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