Psychosocial Factors Are Not Instrumental For decades, studies focusing on personality and psychological profiles of those with migraine have dominated journals. The end result suggests that depression and anxiety is increased among migraineurs,1 and a strong correlation between pathological personality and migraine.2 I was intrigued and bemused by a recent study demonstrating that those with
Is It Useful To Assess In Headache? In a recent international survey, 17 internationally recognised physiotherapy headache experts was conducted to identify which physical examination tests are considered most clinically useful.1 In addition, the international experts were asked to specify for which types of headache i.e. Cervicogenic Headache (CH), Tension-type headache (TTH) and Migraine (M)
Cervicogenic Headache Headache is classified as either Primary or Secondary Headache.1 Primary Headaches are those headache and migraine conditions with unknown pathophysiology. Secondary Headache comprises headache arising from a recognised and accepted cause, i.e. secondary to a known source. Cervicogenic Headache (CeH) is classified as a secondary headache i.e. headache secondary to a cervical lesion.1
Role and Relevance in Headache Recently, the role and relevance of ‘Yellow Flags’ in chronic pain has been questioned.1 The average length of history of headache/migraine patients presenting to a dedicated headache clinic is 15 years;2 these people therefore often present with chronic pain and are depressed, anxious etc.; this is not unreasonable in the
