{"id":12276,"date":"2022-10-24T19:35:28","date_gmt":"2022-10-24T17:35:28","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&amp;p=12276"},"modified":"2022-10-24T19:35:28","modified_gmt":"2022-10-24T17:35:28","slug":"cluster-headache","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/cluster-headache\/","title":{"rendered":"Cluster Headache"},"featured_media":12272,"template":"","class_list":["post-12276","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":12272,"background_image_alt_text":"Cluster Headache"},"heading":"Cluster Headache | Headache & Dizziness Assessment","subheading":"Headache","content_editor":"","button_type":"url","button_label":"Check our shop","button_style":"button-five","button_internal_link":null,"button_anchor":"","button_url":"https:\/\/study.physiotutors.com\/course\/headache-treatment-in-clinical-practice\/","button_file":null,"label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Online Course","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":null},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>Learn<\/h4>"},"column_right":{"content_editor":"<h6>Cluster Headache | Headache &amp; Dizziness Assessment<\/h2>\nHeadaches can manifest on their own but are also a very common symptom in neck pain patients as more than 60% of patients with a primary neck pain complaint report having concordant episodes of neck pain. Therefore it's essential to find out what kind of headache the patient is suffering from.\n\nTo start off let\u2019s differentiate between primary and secondary types of headaches. But what does this mean? Simply put, primary headaches are a \u201cdisease themselves\u201d whereas, in secondary headaches, the headache is a symptom of another condition. So primary headaches would be migraines, tension-type headaches &amp; cluster headaches. Secondary-type headaches are headaches caused by tumors, hemorrhage, other trauma, TMJ dysfunction, substance overdose, or neck pain aka the Cervicogenic headache.\n\nNow, let's take a closer look\u00a0at cluster headaches which are primary-type\u00a0headaches. Cluster headaches have a one-year\u00a0prevalence of 53 per 100,000 people around the world with men being affected around 3\u00a0to 4 times more often than women at the age\u00a0of 20 to 40.\n\n[embed]https:\/\/www.youtube.com\/watch?v=ms281RCYuB4[\/embed]\n\nIn order for a headache to qualify\u00a0as cluster headache it has to fulfill certain\u00a0criteria:\n\n<strong>A.<\/strong> At least 5 attacks fulfilling criteria B-D\n\n<strong>B.<\/strong> An untreated episode lasts 15-180 minutes and shows severe or very severe unilateral orbital, supraorbital, and\/or temporal pain\n\n<strong>C.<\/strong> Headache matches either or both of the following:\n\n<strong>1.<\/strong> at least one of the following signs and symptoms, ipsilateral to headache:\n<ul>\n \t<li>conjunctival injection and\/or lacrimation\u2022 nasal congestion and\/or rhinorrhoea<\/li>\n \t<li>eyelid edema<\/li>\n \t<li>forehead and facial sweating<\/li>\n \t<li>miosis and\/or ptosis<\/li>\n<\/ul>\n<strong>2.<\/strong> a sense of restlessness or agitation.\n\n<strong>D.<\/strong> Headache frequency between one every other day and 8 per day\n\n<strong>E.<\/strong> Not better accounted for by another ICHD-3 diagnosis\n\n[cta]\n\nTools you can use to assess the impact of a headache on your patient are the <a href=\"https:\/\/bash.org.uk\/wp-content\/uploads\/2012\/07\/English.pdf\" target=\"_blank\" rel=\"noopener\">HIT-6<\/a> questionnaire which you can find in the video description. Also note that it can be difficult for a patient to answer all of the questions on duration, intensity, and characteristics of their headache during your assessment. Therefore asking them to complete a headache diary can help in the assessment and management of the headache and you should be aware that there can be overlap between multiple headache disorders.\n\nIf you would like to learn how to diagnose other common forms of headaches, check out the posts below:\n<ul>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/tension-type-headache\/\">Tension-type headache<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/cervicogenic-headache\/\">Cervicogenic Headache<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/migraine\/\">Migraine<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/medication-overuse-headache\/\">Medication Overuse Headache<\/a><\/li>\n<\/ul>\nThe <a href=\"https:\/\/www.physiotutors.com\/wiki\/watson-headache-test\/\">Watson Test<\/a> is a common provocation test used in the assessment of tension-type headaches and migraines.\n\n&nbsp;\n<h6><strong>References:<\/strong><\/h3>\n<a href=\"https:\/\/www.thelancet.com\/journals\/laneur\/article\/PIIS1474-4422(18)30085-1\/fulltext\" target=\"_blank\" rel=\"noopener\">Olesen, J. (2018). International classification of headache disorders.\u00a0<i>The Lancet Neurology<\/i>,\u00a0<i>17<\/i>(5), 396-397.<\/a>"}},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>References<\/h4>"},"column_right":{"content_editor":"<a href=\"https:\/\/www.thelancet.com\/journals\/laneur\/article\/PIIS1474-4422(18)30085-1\/fulltext\" target=\"_blank\" rel=\"noopener\">Olesen, J. (2018). International classification of headache disorders.\u00a0<i>The Lancet Neurology<\/i>,\u00a0<i>17<\/i>(5), 396-397.<\/a>"}},{"acf_fc_layout":"cta-image-v2","layout":"","background":"transparent","heading":"","content_editor":"<p class=\"subheading\">Like what you\u2019re learning?<\/p>\n<p class=\"heading-two\">BUY THE FULL PHYSIOTUTORS <strong>ASSESSMENT BOOK<\/strong><\/p>\n\n<ul>\n \t<li>600+ Pages e-Book<\/li>\n \t<li>Interactive Content (Direct Video Demonstration, PubMed articles)<\/li>\n \t<li>Statistical Values for all Special Tests from the latest research<\/li>\n \t<li>Available in \ud83c\uddec\ud83c\udde7 \ud83c\udde9\ud83c\uddea \ud83c\uddeb\ud83c\uddf7 \ud83c\uddea\ud83c\uddf8 \ud83c\uddee\ud83c\uddf9 \ud83c\uddf5\ud83c\uddf9 \ud83c\uddf9\ud83c\uddf7<\/li>\n \t<li>And much more!<\/li>\n<\/ul>","button_type":"internal_link","button_label":"Check out our shop","button_style":"button-two","button_internal_link":4464,"button_anchor":"","button_url":"","button_file":null,"side_button":{"side_button_content_editor":""},"bottom_button":{"bottom_button_content_editor":""},"image":22705,"image_alt_text":""},{"acf_fc_layout":"review-slider","heading":"WHAT CUSTOMERS HAVE TO SAY ABOUT THE ASSESSMENT E-BOOK","image_shortcode":"","image":"","image_alt_text":"","shortcode":"[wprevpro_usetemplate tid=\"2\"]","button_type":"internal_link","button_label":"","button_style":"button-one","button_internal_link":"","button_anchor":"","button_url":"","button_file":null},{"acf_fc_layout":"cta-full-width-v2","logo":{"logo_image":22443,"logo_image_alt_text":""},"heading":"<strong>Download<\/strong> the free Physiotutors app now!","content_editor":"","download_image":{"download_image_image":22444,"download_image_image_alt_text":""},"mobile_download_image":{"mobile_download_image_image":22445,"mobile_download_image_image_alt_text":""},"download_image_link":"https:\/\/onelink.to\/6dtzk5","mockup_image":{"mockup_image_image":22447,"mockup_image_image_alt_text":""},"mobile_mockup_image":{"mobile_mockup_image_image":22446,"mobile_mockup_image_image_alt_text":""}}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cluster Headache | Headache &amp; Dizziness Assessment<\/title>\n<meta name=\"description\" content=\"Cluster Headache is an extremely disabling, but rare primary-type headache. 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