NR603 / NR 603 WEEK TTH AND
MIGRAINES LATEST STUDY
GUIDE BEST FOR REVISION
2025 GRADED A+ .
, Presentation: Migraines, are the 2nd most cause of headaches and the most
common headache related to neurological causes of disability in the world.
(Douglas & Amnioff 2020), states that migraines are triggered by a multitude of
factors, such as food selection, one’s sleep pattern, stress level, environmental
changes in the weather or from light and sound, in certain situations. Migraines
have 4 subtypes to include, those with and without aura, chronic, and menstrual.
Migraine without aura account for more than 80% of attacks (chap. 24) On the
other hand, tension-type headaches are the most common form of headache,
causing more debilitating issues for patients than migraines, according to Crawford
& Kim (2016). The main 3 types of TTH’s are infrequent, occurring < 1 day per
month, frequent occurring >1 day per month, but not more than 15 days per month
and chronic, which occurs > 15 days per month for at least 3 months.
Pathophysiology: TTH occurs (Freud & Rao, 2019) from prolong sensitization of
pain receptors, which then lead to the tension headache and myofascial pain (p.
541-551). Pain from migraines originate in the trigeminal vascular region of the
brain. Neuroexcitability among both the trigeminal and meningeal vessels are then
transferred back and forth, releasing neuropeptides, thusly leading to vasodilation
and neurogenic inflammation, causing the migraine headache.
Assessment: On assessment, a person with migraines might present stating that
their headache is creating “POUND” type symptoms. POUND stands for
pulsating, lasting for hours in duration, unilateral, nausea and it’s disabling
according to Schneider (2020). Other symptoms associated with migraines which
MIGRAINES LATEST STUDY
GUIDE BEST FOR REVISION
2025 GRADED A+ .
, Presentation: Migraines, are the 2nd most cause of headaches and the most
common headache related to neurological causes of disability in the world.
(Douglas & Amnioff 2020), states that migraines are triggered by a multitude of
factors, such as food selection, one’s sleep pattern, stress level, environmental
changes in the weather or from light and sound, in certain situations. Migraines
have 4 subtypes to include, those with and without aura, chronic, and menstrual.
Migraine without aura account for more than 80% of attacks (chap. 24) On the
other hand, tension-type headaches are the most common form of headache,
causing more debilitating issues for patients than migraines, according to Crawford
& Kim (2016). The main 3 types of TTH’s are infrequent, occurring < 1 day per
month, frequent occurring >1 day per month, but not more than 15 days per month
and chronic, which occurs > 15 days per month for at least 3 months.
Pathophysiology: TTH occurs (Freud & Rao, 2019) from prolong sensitization of
pain receptors, which then lead to the tension headache and myofascial pain (p.
541-551). Pain from migraines originate in the trigeminal vascular region of the
brain. Neuroexcitability among both the trigeminal and meningeal vessels are then
transferred back and forth, releasing neuropeptides, thusly leading to vasodilation
and neurogenic inflammation, causing the migraine headache.
Assessment: On assessment, a person with migraines might present stating that
their headache is creating “POUND” type symptoms. POUND stands for
pulsating, lasting for hours in duration, unilateral, nausea and it’s disabling
according to Schneider (2020). Other symptoms associated with migraines which
