Description
Frequent episodes of headache, typically bilateral, pressing or tightening in quality and of mild to moderate intensity, lasting minutes to days. The pain does not worsen with routine physical activity and is not associated with nausea, but photophobia or phonophobia may be present.
Information
Diagnosis
A. At least 10 episodes of headache occurring on 1- 14 days per month on average for >3 months (>12 and <180 days per year) and fulfilling criteria B-D
B. Lasting from 30 minutes to 7 days
C. At least two of the following four characteristics:
1. bilateral location
2. pressing or tightening (non-pulsating) quality
3. mild or moderate intensity
4. not aggravated by routine physical activity such as walking or climbing stairs
D. Both of the following:
1. No nausea or vomiting
2. No more than one of photophobia or phonophobia
E. Not better accounted for by another ICDH-3 diagnosis
Frequent episodes of headache, typically bilateral, pressing or tightening in quality and of mild to moderate intensity, lasting minutes to days. The pain does not worsen with routine physical activity and is not associated with nausea, but photophobia or phonophobia may be present.
Information
- Most likely a peripheral pain mechanism
- Much more disabling than the infrequent subtype and can be associated with considerable disability (warranting treatment with expensive drugs)
Diagnosis
A. At least 10 episodes of headache occurring on 1- 14 days per month on average for >3 months (>12 and <180 days per year) and fulfilling criteria B-D
B. Lasting from 30 minutes to 7 days
C. At least two of the following four characteristics:
1. bilateral location
2. pressing or tightening (non-pulsating) quality
3. mild or moderate intensity
4. not aggravated by routine physical activity such as walking or climbing stairs
D. Both of the following:
1. No nausea or vomiting
2. No more than one of photophobia or phonophobia
E. Not better accounted for by another ICDH-3 diagnosis
References:
- The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013;33(9):629-808.
David Hayes, SPT
A.T. Still University
Arizona School of Health Science
Physical Therapy Program
Published: July 13, 2015
A.T. Still University
Arizona School of Health Science
Physical Therapy Program
Published: July 13, 2015