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Trigger Point Therapy for Headaches, Migraines, and TMJD: Summary
Pathophysiology • Nerve pathway hypersensitivity • Cranial blood dilation with subsequent edema ○ Can be due to: Low O2 level, decreased in nutrients, increase body temperature LEARNING TIP! Cortical spreading Depression: increased brain activity typically beginning in the back of the head and spreading towards the front of the
INTRODUCTION
Headache (HA) Definitions • Umbrella term with various etiologies • Examples of Primary HA: ○ Frontal HA
○ Occipital HA ○ Temporal HA ○ Stress HA ○ Sleep Deprivation HA • Examples of Secondary HA
○ Temporal Mandibular Joint Disorder (TMJD) ○ Anxiety (secondary HA) ○ Covid-19
head, towards the front of the head, followed by depressed brain activity.
Table 1: Conditions Conditions
Signs and Symptoms • Soft tissue
Accommodations and Considerations Accommodations: • Recognize contributing factors:
Definition
Treatment
Tension HA • Frequent or infrequent • Acute or chronic • Often
• NSAIDS • Beta-blockers • Anti- depressants • Botulinum
injury (trauma, injury to shoulders, head, neck)
environmental, chemical, and
• Tight or
bilaterally & non-focused • Pain described as a band around the head that is deep, dull ache
Toxin Injections
hypertrophic muscles
social and emotional Considerations: ○ Fever
○ Confusion ○ Numbness ○ Acute episodes
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