scholarly journals Management of Vataja Shirashula with Kusthadi Shirolepa and Goghrita Pratimarsha Nasya - A Case Report

2021 ◽  
pp. 29-33
Author(s):  
Jyothi S ◽  
Ashwini M.J
Keyword(s):  
Case Report ◽  
Side Effects ◽  
General Population ◽  
Tension Type Headache ◽  
Cranial Vault ◽  
Classical Correlation ◽  
Main Mode ◽  
Vital Part ◽  
Type Headache

Shiras, also known as Uttamanga is the most vital part of our body. In Ayurveda, Shiro rogas are restricted to pain or discomfort seen around cranial vault and not the disorders of brain as such. Headache is the most frequent and troublesome reason to seek medical help in our day to day life. Tension type headache is the most common, primary, most neglected and difficult to treat occurring in about three-quarters of the general population. They can range from the occasional mild headaches to daily disabling headaches in some cases. Current allopathic approach is highly limited in treating the disease with just pain killers, which again have lot of side effects. Holistic Ayurveda approach practically is found to yield very good results in the patients of headache. Vataja Shiroroga can be an apt classical correlation of Tension-type headache. Atiuccha bhashana, Vegadharana, Ratrijagarana, Upavasa and Shoka are the major causes of Vataja shirashula. Classical books of Ayurveda advocate the use of Snehana, Swedana, Navana nasya, Snaihika dhumapana and local Vatahara kriya like Lepa and Parisheka as main mode of treatment. Nasya is a special therapy in all Shalakya disorders and Goghrita is considered as best Vatahara dravya. Kushtadi Lepa is indicated in Vataja Shiroroga classically. In this study, Kushtadi shirolepa and Goghrita pratimarsha nasya is done in a 19 year old patient having typical symptoms, to access the overall efficacy. After 1 month of therapy, significant improvement was seen in the symptoms. Mild recurrence was seen post follow-up period.

A 3-Year Follow-Up of Headache Diagnoses and Symptoms in Swedish Schoolchildren

Cephalalgia ◽  
2006 ◽  
Vol 26 (7) ◽  
pp. 809-815 ◽  
Author(s):  
K Laurell ◽  
B Larsson ◽  
P Mattsson ◽  
O Eeg-Olofsson
Keyword(s):  
General Population ◽  
Female Gender ◽  
Tension Type Headache ◽  
Annual Incidence ◽  
Childhood Headache ◽  
Average Annual Incidence ◽  
Headache Diagnosis ◽  
Type Headache

Information is sparse concerning the incidence and prognosis of headache in children from the general population, especially of tension-type headache. In this study, headache diagnoses and symptoms were reassessed in 122 out of 130 schoolchildren after 3 years. Nearly 80± of those with headache at first evaluation still reported headache at follow-up. Although the likelihood of experiencing the same headache diagnosis and symptoms was high, about one-fifth of children with tension-type headache developed migraine and vice versa. Female gender predicted migraine and frequent headache episodes predicted overall headache at follow-up. The estimated average annual incidence was 81 and 65 per 1000 children, for tension-type headache and migraine, respectively. We conclude that there is a considerable risk of developing and maintaining headache during childhood. Headache diagnoses should be reassessed regularly and treatment adjusted. Girls and children with frequent headache have a poorer prognosis and therefore intervention is particularly important in these groups.

PO10-TU-63 Case report: bipolar disorder, tension type headache and multiple sclerosis

2009 ◽  
Vol 285 ◽  
pp. S213
Author(s):  
A. Dzagnidze ◽  
M. Kukava ◽  
N. Lobjanidze ◽  
M. Janelidze ◽  
M. Shalikashvili
Keyword(s):  
Multiple Sclerosis ◽  
Bipolar Disorder ◽  
Case Report ◽  
Tension Type Headache ◽  
Type Headache

scholarly journals Behavioural Management of Headache Triggers: Three Case Examples Illustrating a New Effective Approach (Learning to Cope with Triggers)

2015 ◽  
Vol 32 (3) ◽  
pp. 202-208 ◽  
Author(s):  
Paul R. Martin ◽  
Moira Callan ◽  
Archana Kaur ◽  
Karen Gregg
Keyword(s):  
Traditional Approach ◽  
Tension Type Headache ◽  
Post Treatment ◽  
Case Examples ◽  
Medication Consumption ◽  
Alternative Approach ◽  
Treatment Changes ◽  
Type Headache ◽  
Behavioural Management

The traditional approach to headache trigger management is to advise avoidance of all triggers, but we have advocated an alternative approach called ‘Learning to Cope with Triggers’ (LCT), in which the objective is to desensitise headache sufferers to some triggers or to build up tolerance for the triggers, using exposure techniques. A recent publication established the efficacy of this approach to trigger management. Reported here are three cases to illustrate how LCT is used in practice. Two cases were male and one was female, with ages ranging from 32 to 67 years. The headache diagnoses were frequent episodic tension-type headache, migraine without aura, and chronic tension-type headache; all had had headaches since childhood/adolescence. The headache triggers that were the focus of the intervention were heat, tiredness, and stress/anger. Post-treatment, changes in the capacity of the triggers to elicit headaches were reported in all three cases. Reductions in headaches from pre- to post-treatment, and from pre- to 4-month follow-up, were: case 1, 69% and 60% respectively; case 2, 76% and 80% respectively; and case 3, 73% and 61% respectively. Decreases in medication consumption, and enhanced self-efficacy were also recorded.

Population-Based Validation of a German-Language Self-Administered Headache Questionnaire

Cephalalgia ◽  
2008 ◽  
Vol 28 (6) ◽  
pp. 605-608 ◽  
Author(s):  
M-S Yoon ◽  
M Obermann ◽  
G Fritsche ◽  
M Slomke ◽  
P Dommes ◽  
...  
Keyword(s):  
General Population ◽  
Population Sample ◽  
Population Based ◽  
Tension Type Headache ◽  
German Language ◽  
General Population Sample ◽  
Trigeminal Autonomic Cephalalgia ◽  
Screening Questionnaires ◽  
Headache Clinic ◽  
Type Headache

We validated a German-language self-administered headache questionnaire for migraine (M), tension-type headache (TTH) and trigeminal autonomic cephalalgia (TAC) in a general population sample of people with headache. Randomly selected subjects ( n = 240) diagnosed by the questionnaire as M ( n = 60), TTH ( n = 60), a combination of M and TTH (M+TTH, n = 60) and TAC ( n = 60) were invited for examination by headache specialists. One hundred and ninety-three subjects (80%) were studied. Sensitivity and specificity for M were 0.85 and 0.85, for TTH 0.6 and 0.88, for M+TTH 0.82 and 0.87, respectively. Cohen's κ was 0.6 (95% confidence interval 0.50, 0.71). Of 45 patients with TAC according to the questionnaire, physicians diagnosed cluster headache in two patients only. We conclude: (i) the questionnaire can be used to diagnose M, TTH and M+TTH, but not TAC; (ii) screening questionnaires for epidemiological research should be validated in a general population sample but not in a tertiary headache clinic.

Efficacy of Physiotherapy Including a Craniocervical Training Programme for Tension-Type Headache; A Randomized Clinical Trial

Cephalalgia ◽  
2006 ◽  
Vol 26 (8) ◽  
pp. 983-991 ◽  
Author(s):  
H van Ettekoven ◽  
C Lucas
Keyword(s):  
Controlled Trial ◽  
Training Group ◽  
Training Programme ◽  
Time Frame ◽  
Primary Outcome Measure ◽  
Tension Type Headache ◽  
Control Group ◽  
Headache Frequency ◽  
Type Headache

We conducted a multicentre, randomized controlled trial with blinded outcome assessment. The treatment period was 6 weeks with follow-up assessment immediately thereafter and after 6 months. The objective was to determine the effectiveness of a craniocervical training programme combined with physiotherapy for tension-type headache. Eighty-one participants meeting the diagnostic criteria for tension-type headache were randomly assigned to an exercise group (physiotherapy and an additional craniocervical training programme) and a control group (physiotherapy alone). The primary outcome measure was headache frequency. Secondary outcomes included headache intensity and duration, Quality of Life (SF-36) and the Multidimensional Headache Locus of Control scale (MHLC). At 6 months' follow-up, the craniocervical training group showed significantly reduced headache frequency, intensity and duration ( P < 0.001 for all). Effect sizes were large and clinically relevant. Loss to follow-up amounted to 3.7±. Physiotherapy including craniocervical training reduces symptoms of tension-type headache significantly over a prolonged time frame.

Interrelations Between Migraine and Tension-Type Headache in the General Population

1992 ◽  
Vol 49 (9) ◽  
pp. 914-918 ◽  
Author(s):  
B. K. Rasmussen ◽  
R. Jensen ◽  
M. Schroll ◽  
J. Olesen
Keyword(s):  
General Population ◽  
Tension Type Headache ◽  
Type Headache

scholarly journals Tension-type headache and sleep apnea in the general population

2010 ◽  
Vol 12 (1) ◽  
pp. 63-69 ◽  
Author(s):  
Håvard Anton Kristiansen ◽  
Kari Jorunn Kværner ◽  
Harriet Akre ◽  
Britt Øverland ◽  
Michael Bjørn Russell
Keyword(s):  
Sleep Apnea ◽  
General Population ◽  
Tension Type Headache ◽  
Type Headache

Changing Headache from Preschool Age to Puberty. A Controlled Study

Cephalalgia ◽  
2007 ◽  
Vol 27 (4) ◽  
pp. 294-303 ◽  
Author(s):  
R Virtanen ◽  
M Aromaa ◽  
P Rautava ◽  
L Metsähonkala ◽  
P Anttila ◽  
...  
Keyword(s):  
Primary Headache ◽  
Tension Type Headache ◽  
Preschool Age ◽  
Controlled Study ◽  
Abdominal Symptoms ◽  
Common Location ◽  
Headache Type ◽  
Type Headache ◽  
Pain Localization

The characteristics of disturbing primary headache and the occurrence of headache types were studied by sending a questionnaire to 1132 Finnish families of 6-year-old children. Children with headache in the preceding 6 months and their controls were clinically examined at the ages of 6 and 13. During the follow-up, half of the headaches, classified as migraine at age 6 years, were unchanged and 32% turned into tension-type headache. In children with tension-type headache, the situation was unchanged in 35%, and in 38% of children the headache type had changed to migraine. At preschool age the most common location of headache was bilateral and supraorbital, and at puberty bilateral and temporal. During the follow-up, symptoms concurrent with headache, such as odour phobia, dizziness and balance disturbances became more typical, whereas restlessness, flushing and abdominal symptoms became less marked. The early manifestation of both migraine and tension-type headache predict equally often migraine in puberty with marked changes in concurrent symptoms and pain localization.

Interrelation of Chronic Tension-Type Headache With and Without Medication Overuse and Migraine in the General Population: The Akershus Study of Chronic Headache

Cephalalgia ◽  
2009 ◽  
Vol 29 (3) ◽  
pp. 331-337 ◽  
Author(s):  
K Aaseth ◽  
RB Grande ◽  
C Lundqvist ◽  
MB Russell
Keyword(s):  
General Population ◽  
Chronic Headache ◽  
Medication Overuse ◽  
Age At Onset ◽  
Tension Type Headache ◽  
Chronic Tension Type Headache ◽  
Increased Risk ◽  
Type Headache ◽  
Complex Matter

We studied the interrelation of chronic tension-type headache with and without medication overuse (CTTH) and migraine in a random sample of 30 000 persons aged 30–44 years. They received a mailed questionnaire. Those with a possible chronic headache were interviewed by neurological residents. The International Classification of Headache Disorders was used. A total of 386 persons had CTTH. Compared with the general population, men had a 2.8-fold and women a 2.4-fold significantly increased risk of migraine without aura (MO). The risk of migraine with aura (MA) was not increased. The mean age at onset of CTTH was significantly higher in those with than in those without co-occurrence of MO. Bilateral MO attacks were significantly more frequent in those with age at onset of CTTH prior to age at onset of MO compared with those with age at onset in reverse order. CTTH and MO are interrelated, possibly in a complex matter. In contrast, CTTH and MA are not interrelated.

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