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Tension type headache

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https://read.qxmd.com/read/30756467/active-trigger-points-are-associated-with-anxiety-and-widespread-pressure-pain-sensitivity-in-women-but-not-men-with-tension-type-headache
#1
Margarita Cigarán-Méndez, Carmen Jiménez-Antona, Paula Parás-Bravo, Stella Fuensalida-Novo, Jorge Rodríguez-Jiménez, César Fernández-de-Las-Peñas
BACKGROUND: A better understanding of gender differences can assist clinicians in further developing therapeutic programs in tension type headache (TTH). OBJECTIVE: To evaluate gender differences in the presence of trigger points (TrPs) in the head, neck, and shoulder muscles and their relationship with headache features, pressure pain sensitivity, and anxiety in people with TTH. METHODS: Two hundred and ten (59 men, 151 women) TTH patients participated...
February 13, 2019: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30744398/the-prevalence-of-primary-headache-disorders-in-the-adult-population-of-estonia
#2
Kati Toom, Aire Raidvee, Katri-Helena Allas, Elina Floria, Kristiina Juhkami, Gustav Klimušev, Maria Leping, Margot Liidemann, Alexander Milovidov, Karita Liivak, Siiri Paiste, Gerli Paju, Karel Uhs, Marge Vaikjärv, Kristiina Veetõusme, Priit Välja, Mark Braschinsky
OBJECTIVE: To estimate the one-year prevalence of primary headaches, most importantly migraine and tension type headache, but also other primary headaches, in Estonia. METHODS: A population-based random sample of 2162 subjects in Tartu City and Tartu County were interviewed by telephone or face to face using a previously validated questionnaire. RESULTS: Of the 2162 contacted participants, 1215 (56%) fully completed the study. Of these, 502 (41...
February 11, 2019: Cephalalgia: An International Journal of Headache
https://read.qxmd.com/read/30742360/efficacy-of-botulinum-toxin-in-tension-type-headaches-a-systematic-review-of-the-literature
#3
REVIEW
Brin Freund, Aruna Rao
BACKGROUND: Botulinum toxin is approved to treat chronic migraine and has shown significant benefit in refractory cases. Due to its effect on pain by sensory modulation there may also be efficacy in its use in chronic tension-type headaches (CTTH). METHODS: A systematic review of the literature was performed using our predefined inclusion and exclusion criteria. We targeted prospective trials, randomized or non-randomized, studying botulinum toxin in tension-type headaches in adults...
February 11, 2019: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30732459/complete-withdrawal-is-the-most-effective-approach-to-reduce-disability-in-patients-with-medication-overuse-headache-a-randomized-controlled-open-label-trial
#4
Mia Nielsen, Louise Ninett Carlsen, Signe Bruun Munksgaard, Ida Maria Storm Engelstoft, Rigmor Højland Jensen, Lars Bendtsen
BACKGROUND: Medication-overuse headache leads to high disability and decreased quality of life, and the best approach for withdrawal has been debated. AIM: To compare change in disability and quality of life between two withdrawal programs. METHODS: We randomized medication-overuse headache patients to program A (two months without acute analgesics or migraine medications) or program B (two months with acute medications restricted to two days/week) in a prospective, outpatient study...
February 7, 2019: Cephalalgia: An International Journal of Headache
https://read.qxmd.com/read/30707533/points-pearls-evaluation-and-management-of-life-threatening-headaches-in-the-emergency-department
#5
David Zodda, Gabrielle Procopio, Amit Gupta, Nachi Gupta, Jeffrey Nusbaum
Headache is the fourth most common reason for emergency department encounters, accounting for 3% of all visits in the United States. Though troublesome, 90% are relatively benign primary headaches --migraine, tension, and cluster headaches. The other 10% are secondary headaches, caused by separate underlying processes, with vascular, infectious, or traumatic etiologies, and they are potentially life-threatening. This issue details the important pathophysiologic features of the most common types of life-threatening headaches, the key historical and physical examination information emergency clinicians must obtain, the red flags that cannot be missed, and the current evidence for best-practice testing, imaging, treatment, and disposition...
February 1, 2019: Emergency Medicine Practice
https://read.qxmd.com/read/30707486/non-pharmacological-management-of-persistent-headaches-associated-with-neck-pain-a-clinical-practice-guideline-from-the-ontario-protocol-for-traffic-injury-management-optima-collaboration
#6
REVIEW
Pierre Côté, Hainan Yu, Heather M Shearer, Kristi Randhawa, Jessica J Wong, Silvano Mior, Arthur Ameis, Linda J Carroll, Margareta Nordin, Sharanya Varatharajan, Deborah Sutton, Danielle Southerst, Craig Jacobs, Maja Stupar, Anne Taylor-Vaisey, Douglas P Gross, Robert J Brison, Mike Paulden, Carlo Ammendolia, J David Cassidy, Patrick Loisel, Shawn Marshall, Richard N Bohay, John Stapleton, Michel Lacerte
OBJECTIVES: To develop an evidence-based guideline for the non-pharmacological management of persistent headaches associated with neck pain (i.e., tension-type or cervicogenic). METHODS: This guideline is based on systematic reviews of high-quality studies. A multidisciplinary expert panel considered the evidence of clinical benefits, cost-effectiveness, societal and ethical values, and patient experiences when formulating recommendations. Target audience includes clinicians; target population is adults with persistent headaches associated with neck pain...
February 1, 2019: European Journal of Pain: EJP
https://read.qxmd.com/read/30704679/nonmigraine-headache-and-facial-pain
#7
REVIEW
Angeliki Vgontzas, Paul B Rizzoli
The vast majority of headache patients encountered in the outpatient general medicine setting will be diagnosed with a primary headache disorder, mostly migraine or tension-type headache. Other less common primary headaches and secondary headaches, related to or caused by another condition, are the topic of this article. Nonmigraine primary headaches include trigeminal autonomic cephalalgias, primarily cluster headache; facial pain, primarily trigeminal neuralgia; and miscellaneous headache syndromes, such as hemicrania continua and new daily persistent headache...
March 2019: Medical Clinics of North America
https://read.qxmd.com/read/30704678/migraine-and-tension-type-headache-diagnosis-and-treatment
#8
REVIEW
Rebecca Burch
Migraine and tension-type headache are highly prevalent. Migraine is associated with significant work- and family-related disability. Migraine is underdiagnosed; it reasonable to err on the side of migraine when choosing between primary headaches. Barriers to appropriate treatment of migraine include lack of access to providers, misdiagnosis, and acute and preventive therapies not being prescribed. Acute, rescue, and preventive treatment options are extensive, and new classes of treatments are either available or in development...
March 2019: Medical Clinics of North America
https://read.qxmd.com/read/30704505/the-trpc6-inhibitor-larixyl-acetate-is-effective-in-protecting-against-traumatic-brain-injury-induced-systemic-endothelial-dysfunction
#9
Xingjuan Chen, Natalie N Taylor-Nguyen, Ashley M Riley, B Paul Herring, Fletcher A White, Alexander G Obukhov
BACKGROUND: The incidence of traumatic brain injuries (TBIs) is on the rise in the USA. Concussions, or mild TBIs without skull fracture, account for about 75% of all TBIs. Mild TBIs (mTBIs) lead to memory and cognitive deficits, headaches, intraocular pressure rises, axonal degeneration, neuroinflammation, and an array of cerebrovascular dysfunctions, including increased vascular permeability and decreased cerebral blood flow. It has been recently reported that besides vascular dysfunction in the cerebral circulation, mTBI may also cause a significant impairment of endothelial function in the systemic circulation, at least within mesenteric microvessels...
January 31, 2019: Journal of Neuroinflammation
https://read.qxmd.com/read/30704400/behavioral-and-cognitive-animal-models-in-headache-research
#10
Doga Vuralli, Anne-Sophie Wattiez, Andrew F Russo, Hayrunnisa Bolay
Animal models have provided a growing body of information about the pathophysiology of headaches and novel therapeutic targets. In recent years, experiments in awake animals have gained attention as more relevant headache models. Pain can be assessed in animals using behavioral alterations, which includes sensory-discriminative, affective-emotional and cognitive aspects. Spontaneous behavioral alterations such as increased grooming, freezing, eye blinking, wet dog shake and head shake and decreased locomotion, rearing, food or water consumption observed during pain episodes are oftentimes easy to translate into clinical outcomes, but are giving little information about the localization and modality of the pain...
January 31, 2019: Journal of Headache and Pain
https://read.qxmd.com/read/30701730/features-of-the-clinical-picture-in-patients-of-middle-age-with-essential-hypertension
#11
V A Parfenov, Т М Ostroumova, O D Ostroumova, E E Pavleyva
AIM: To evaluate the presence and the severity of the complaints (headache, dizziness, memory loss, concentration of attention, sleep disturbances, decreased mood, increased anxiety), the state of cognitive functions, emotional status and quality of night sleep in treatment-naïve middle-aged patients with mild to moderate EAH compared to healthy volunteers of the same age. MATERIALS AND METHODS: 103 treatment-naïve patients with EAH aged 40-59 years at the enrollment, who met the inclusion/exclusion criteria and provided written informed consent (46 men, mean age 53...
September 20, 2018: Terapevticheskiĭ Arkhiv
https://read.qxmd.com/read/30691768/dry-needling-versus-friction-massage-to-treat-tension-type-headache-a-randomized-clinical-trial
#12
Fahimeh Kamali, Marzieh Mohamadi, Leila Fakheri, Fatemeh Mohammadnejad
Tension type headache (TTH), the most common type of headache, is known to be associated with myofascial pain syndrome and the existence of myofascial trigger points. There are several treatment options for myofascial trigger points. In this study we compared the effectiveness of dry needling and friction massage to treat patients with TTH. A convenience sample of 44 patients with TTH participated in this randomized clinical trial. The frequency and intensity of headache, pressure pain threshold at the trigger point site, and cervical range of motion were recorded...
January 2019: Journal of Bodywork and Movement Therapies
https://read.qxmd.com/read/30681030/current-perspectives-on-the-development-and-treatment-of-chronic-daily-headache-in-children-and-adolescents
#13
Mark Connelly, Subhjit Sekhon
Headache disorders subsumed under the term chronic daily headache (CDH), including chronic migraine, chronic tension-type headache and new daily persistent headache, affect up to 4% of the pediatric population and can be highly disabling and challenging to effectively treat. Although historically the knowledge base about this group of headache disorders in children primarily was derived from clinical observation and extrapolation from adult studies, over the past several years there have been important research findings relevant to the development and management of pediatric CDH that can help inform clinical practice...
January 25, 2019: Pain Management
https://read.qxmd.com/read/30676714/evaluation-and-management-of-life-threatening-headaches-in-the-emergency-department
#14
David Zodda, Gabrielle Procopio, Amit Gupta
Headache is the fourth most common reason for emergency department encounters, accounting for 3% of all visits in the United States. Though troublesome, 90% are relatively benign primary headaches --migraine, tension, and cluster headaches. The other 10% are secondary headaches, caused by separate underlying processes, with vascular, infectious, or traumatic etiologies, and they are potentially life-threatening. This issue details the important pathophysiologic features of the most common types of life-threatening headaches, the key historical and physical examination information emergency clinicians must obtain, the red flags that cannot be missed, and the current evidence for best-practice testing, imaging, treatment, and disposition...
February 2019: Emergency Medicine Practice
https://read.qxmd.com/read/30671941/transcranial-magnetic-and-direct-current-stimulation-tms-tdcs-for-the-treatment-of-headache-a-systematic-review
#15
REVIEW
Joan M Stilling, Oury Monchi, Farnaz Amoozegar, Chantel T Debert
BACKGROUND: Headache is among the most prevalent causes of disability worldwide. Non-pharmacologic interventions, including neuromodulation therapies, have been proposed in patients who are treatment resistant or intolerant to medications. OBJECTIVE: To perform a systematic review on the use of transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS) for the treatment of specific headache disorders (ie, migraine, tension, cluster, posttraumatic)...
January 23, 2019: Headache
https://read.qxmd.com/read/30667047/headaches-attributed-to-ischemic-stroke-and-transient-ischemic-attack
#16
Felipe Araujo Andrade Oliveira, Pedro Augusto Sampaio Rocha-Filho
INTRODUCTION: Although headaches attributed to ischemic strokes and transient ischemic attack occur frequently, they are often overlooked and underdiagnosed as manifestations of cerebrovascular disease. METHOD: This is a narrative review. RESULTS: The prevalence of headache attributed to ischemic stroke varies between 7.4% and 34% of cases and of headache attributed to transient ischemic attack, from 26% to 36%. Headache attributed to ischemic stroke is more frequent in younger patients, in migraineurs, in those who have suffered a larger stroke, a posterior circulation infarction, or a cortical infarction, and is less frequent in lacunar infarctions...
January 22, 2019: Headache
https://read.qxmd.com/read/30649625/-healthcare-behavior-of-migraine-and-headache-patients-when-treatment-is-accompanied-by-the-digital-migraine-app
#17
H Göbel, B Frank, A Heinze, W Zimmermann, C Göbel, A Göbel, J Brunkhorst, K Rupp
BACKGROUND: Tension-type headache and migraine are the second and third most prevalent disorders of mankind worldwide, after dental caries. The widespread implementation of smartphones enables the use of specific software applications (apps) for digital treatment accompaniment. In this study, the use of the migraine app (Migräne-App) for iOS and Android was examined in the practical treatment of migraine and headache patients in an extensive population sample. METHODS: An online survey was developed for the analysis of experiences as part of the treatment accompaniment and app usage...
January 16, 2019: Der Schmerz
https://read.qxmd.com/read/30647037/efficacy-and-safety-of-different-drug-monotherapies-for-tension-type-headache-in-adults-study-protocol-for-a-bayesian-network-meta-analysis
#18
Runsheng Xie, Jinhui Tian, Yangyang Wang, Yefeng Cai, Hui Li
INTRODUCTION: Tension-type headache (TTH) is the most prevalent neurological disease, with an estimated 1.5 billion cases worldwide. Pharmacotherapy should be considered by patients with TTH who have a limited response to non-pharmacological treatment. However, recommendations for the vast array of therapeutic drugs for TTH partially overlap, with conflicting recommendations for strength in different guidelines; these may confuse the decision-making process of clinicians. Hence, the aims of this study are to analyse the available direct and indirect evidence on different drug monotherapies for TTH in adults, and to generate a treatment ranking according to their efficacy and safety outcomes by using a Bayesian network meta-analysis (NMA)...
January 15, 2019: BMJ Open
https://read.qxmd.com/read/30640741/variables-associated-with-the-use-of-prophylactic-amitriptyline-treatment-in-patients-with-tension-type-headache
#19
Maria Palacios-Ceña, Kelun Wang, Matteo Castaldo, Carlos Ordás-Bandera, Paola Torelli, Lars Arendt-Nielsen, César Fernández-de-Las-Peñas
OBJECTIVE: To investigate differences in clinical, psychological and psychophysical outcomes according to use of prophylactic medication (amitriptyline) in tension type headache (TTH). METHODS: One hundred and seventy-three (n=173) individuals with TTH participated. Headache features and symptomatic medication intake were collected with a 4-weeks headache diary at baseline and at 6-months. Burden of headache (Headache Disability Inventory-HDI), sleep quality (Pittsburgh Sleep Quality Index-PSQI), anxiety/depression (Hospital Anxiety and Depression Scale-HADS), and trait/state anxiety levels (State-Trait Anxiety Inventory-STAI) were also assessed at baseline...
January 11, 2019: Clinical Journal of Pain
https://read.qxmd.com/read/30621592/development-and-validation-of-a-telephone-classification-interview-for-common-chronic-headache-disorders
#20
Rachel Potter, Siew Wan Hee, Frances Griffiths, Katherine Dodd, Eleanor Hoverd, Martin Underwood, Manjit Matharu
BACKGROUND: For a trial of supportive self-management for people with chronic headache we needed to develop and validate a telephone classification interview that can be used by a non-headache specialist to classify common chronic headache types in primary care. We aimed to specifically: exclude secondary headaches other than medication overuse, exclude primary headache disorders other than migraine and tension type headache (TTH), distinguish between chronic migraine and chronic TTH, and identify medication overuse headache...
January 8, 2019: Journal of Headache and Pain
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