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Current Pain and Headache Reports
Published in: Current Pain and Headache Reports 9/2014

01-09-2014 | Secondary Headache (K Henry and M Robbins, Section Editors)

Headache in Sports

Author: Tad Seifert

Published in: Current Pain and Headache Reports | Issue 9/2014

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Abstract

Sports- and exercise-related headaches are not unusual. Despite their frequent occurrence in this context, there are little epidemiologic data concerning sports-related headache. The recent attention of concussive injuries and associated post-traumatic headache has renewed interest in the study of those headaches occurring after head trauma; however, any primary headache type can also occur in the setting of contact and/or collision sports. The nonspecific nature of headaches provides unique challenges to clinicians encountering this complaint. It is, therefore, imperative that physicians treating athletes are able to distinguish the various headache types and presentations often seen in this population.
Literature
1.
2.
Adams F. The genuine works of Hippocrates. New York: William Wood; 1886.
3.
4.
van der Ende-Kastelijn K, Oerlemans W, Goedegebuure S. An online survey of exercise-related headaches among cyclists. Headache. 2012;52:1566–73.PubMedCrossRef
5.
Sjaastad O, Bakketeig LS. Exertional headache. I. Vaga study of headache epidemiology. Cephalalgia. 2002;22:784–90.PubMedCrossRef
6.
7.
Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders, 2nd edition. Cephalalgia. 2004;24:1–160.
8.••
Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders, 3rd edition; (beta version). Cephalalgia. 2013;33:629–808. The ICHD-III (beta) provides further refinements in the classification of primary and secondary headache disorders, allowing for more diagnostic specificity and clarity in clinical practice application. CrossRef
9.
Meehan WP, d’Hemecourt P, Comstock RD. High school concussion in the 2008-2009 academic years: mechanism, symptoms, and management. Am J Sports Med. 2010;38:2405–9.PubMedCentralPubMedCrossRef
10.
Varkey E, Cider A, Carlsson J, et al. Exercise as migraine prophylaxis: a randomized study using relaxation and topiramate as controls. Cephalalgia. 2011;31:1428–38.PubMedCentralPubMedCrossRef
11.
Darabaneanu S, Overath CH, Rubin D, et al. Aerobic exercise as a therapy option for migraine: a pilot study. Int J Sports Med. 2011;32:455–60.PubMedCrossRef
12.
Domingues RB, Teixeira AL, Domingues SA. Physical practice is associated with less functional disability in medical students with migraine. Arq Neuropsiquiatr. 2011;69:39–43.PubMedCrossRef
13.
Soderberg E, Carlsson J, Stener-Victorin E. Chronic tension-type headache treated with acupuncture, physical training and relaxation training. Between-group differences. Cephalalgia. 2006;26:1320–9.PubMedCrossRef
14.
Andersen LL, Mortensen OS, Zebis MK, et al. Effect of brief daily exercise room headache among adults—with a secondary analysis of a randomized controlled trial. Scand J Work Environ Health. 2011;37:547–50.PubMedCrossRef
15.
Kelman L. The triggers or precipitants of the acute migraine attack. Cephalalgia. 2007;27:394–402.PubMedCrossRef
16.
Rooke ED. Benign exertional headache. Med Clin N Am. 1968;52:801–8.PubMed
17.
MacDougall JD, Tuxen D, Sale DG, et al. Arterial blood pressure response to heavy resistance exercise. J Appl Physiol. 1985;58:785–90.PubMed
18.
Pascual J, Gonzalez-Mandly A, Martin R, et al. Headaches precipitated by cough, prolonged exercise or sexual activity: a prospective etiological and clinical study. J Headache Pain. 2008;9:259–66.PubMedCentralPubMedCrossRef
19.
Doepp F, Valdueza JM, Schreiber SJ. Incompetence of internal jugular valve in patients with primary exertional headache: a risk factor? Cephalalgia. 2007;28:182–5.PubMed
20.••
Halker RB, Vargas BB. Primary exertional headache: updates in the literature. Curr Pain Headache Rep. 2013;17:337. This thorough yet concise overview of primary exertional headache discusses history, clinical features, etiology, and treatment. PubMedCrossRef
21.
Thomaides T, Karapanayiotides T, Spantideas A, et al. Are transient increases in blood pressure during the treadmill stress test associated with headache? Cephalalgia. 2006;26:837–42.PubMedCrossRef
22.
23.
Donnet A, Valade D, Houdart E, et al. Primary cough headache, primary exertional headache, and primary headache associated with sexual activity: a clinical and radiological study. Neuroradiology. 2013;55:297–305.PubMedCrossRef
24.
Heckman JG, Hilz MJ, Muck-Weymann M, et al. Benign exertional headache/benign sexual headache: a disorder of myogenic cerebrovascular autoregulation? Headache. 1997;37:597–8.CrossRef
25.
MacGregor A, Frith A. ABC of headache. Oxford: Blackwell Publishing Ltd; 2009. p. 46–50.
26.
Diamond S, Medina JL. Benign exertional headache: successful treatment with indomethacin. Headache. 1979;19:249.
27.
28.
Allena M, Rossi P, Tassorelli C, et al. Focus on therapy of the chapter IV headaches: primary cough headache, primary exertional headache, and primary headache associated with sexual activity. J Headache Pain. 2010;11:525–30.PubMedCentralPubMedCrossRef
29.
30.•
Hindiyeh NA, Krusz JC, Cowan RP. Does exercise make migraines worse and tension type headaches better? Curr Pain Headache Rep. 2013;17:380. The authors summarize current literature evaluating the effect of exercise on migraine and tension-type headache in an effort to understand the benefits and disadvantages of exercise in these primary headache disorders. PubMedCrossRef
31.
32.
Lipton RB, Stewart WF, Diamond S, et al. Prevalence and burden of migraine in the United States: data from the American Migraine Study II. Headache. 2001;41:646–57.PubMedCrossRef
33.
34.
Schneider KJ, Meeuwisse WH, Kang J, et al. Preseason reports of neck pain, dizziness, and headache as risk factors for concussion in male youth ice hockey players. Clin J Sports Med. 2013;23:267–72.CrossRef
35.
Kucziynski A, Crawford S, Bodell L, et al. Characteristics of post-traumatic headaches in children following mild traumatic brain injury and their response to treatment: a prospective cohort. Dev Med Child Neurol. 2013;55:636–41.CrossRef
36.
McIntosh TK, Hayes RL, DeWitt DS, et al. Endogenous opioids may mediate secondary damage after experimental brain injury. Am J Physiol. 1987;253:E565–74.PubMed
37.
Packard RC, Ham LP. Pathogenesis of post-traumatic headache and migraine: a common headache pathway? Headache. 1997;37:142–52.PubMedCrossRef
38.
39.
Centers for Disease Control and Prevention. Youth Risk Behavior Surveillance—United States, 2011. Morbid Mortal Wkly Rep. 2012;61:1–162.
40.
41.
42.
Gilkey SJ, Ramadan NM, Aurora TK, et al. Cerebral blood flow in chronic post-traumatic headache. Headache. 1997;37:583–7.PubMedCrossRef
43.
Taylor AR, Bell TK. Slowing of cerebral circulation after concessional head injury: a controlled trial. Lancet. 1966;2:178–80.PubMedCrossRef
44.
45.
Faux S, Sheedy J. A prospective controlled study in the prevalence of post-traumatic headache following mild traumatic brain injury. Pain Med. 2008;9:1001–11.PubMedCrossRef
46.
Mihalik JP, Stump JE, Collins MW, et al. Post-traumatic migraine characteristics in athletes following sports-related concussion. J Neurosurg. 2005;102:850–5.PubMedCrossRef
47.
Register-Mihalik MA, Guskiewicz KM, Mann JD, et al. The effects of headache on clinical measures of neurocognitive function. Clin J Sport Med. 2007;17:282–8.PubMedCrossRef
48.•
Kontos AP, Elbin RJ, Lau B, et al. Post-traumatic migraine as a predictor of recovery and cognitive impairment after sport-related concussion. Am J Sports Med. 2013;41:1497–504. This cohort study investigates the predictive value of post-traumatic migraine in the recovery after sport-related concussion. Their findings provide further evidence suggesting that PTM is associated with cognitive impairments and protracted recovery from this injury. PubMedCrossRef
49.••
Lucas S, Hoffman JM, Bell KR, et al. Characterization of headache after traumatic brain injury. Cephalalgia. 2012;32:600–6. This thoughtful study shows that most headaches after TBI may be classified using primary headache criteria. Migraine/probable migraine encompasses the majority of headache following TBI. PubMedCrossRef
50.
Gladstone J. From psychoneurosis to ICHD-2: an overview of the state of the art in post-traumatic headache. Headache. 2009;49:1097–111.PubMedCrossRef
51.
52.
Conidi FX. Sports-related concussion: the role of the headache specialist. Headache. 2012;52 Suppl 1:15–21.PubMedCrossRef
53.
54.
55.
Di Fabio R, Vanacore N, Davassi C, et al. Scuba diving is not associated with high prevalence of headache: a cross-sectional study in men. Headache. 2012;52:385–92.PubMedCrossRef
56.
Speer MC, Enterline DS, Mehltretter L, et al. Chiari type I malformation with or without syringomyelia: prevalence and genetics. J Genet Couns. 2003;12:297.CrossRef
57.
Keen ME, Gnatz S. Poster 127: football player with symptomatic Arnold-Chiari malformation: a case report. Arch PMR. 2003;84:E27.
58.
Callaway GH, O’Brien SJ, Tehrany AM. Chiari I malformation and spinal cord injury: cause for concern in contact athletes? Med Sci Sport Exerc. 1996;28:1218–20.CrossRef
Metadata
Title
Headache in Sports
Author
Tad Seifert
Publication date
01-09-2014
Publisher
Springer US
Published in
Current Pain and Headache Reports / Issue 9/2014
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-014-0448-x

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