Headache

Rizzoli, Paul; Mullally, William J.

doi:10.1016/j.amjmed.2017.09.005

Cited by 105 publications

(101 citation statements)

References 51 publications

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“…Headache is one of the most frequent complaints in primary care practices and a very common condition reported by children, adolescents, and young adults [ 1 , 2 , 3 , 4 ]. However, headache phenotypes differ depending on the age group.…”

Section: Introductionmentioning

confidence: 99%

“…The authors demonstrated that 93% of the analyzed children presented a recent onset of headache, whereas medium- and late-onset headaches were reported by 3% and 4% of all patients, respectively [ 5 ]. The overall headache prevalence has been reported to be as high as 56% in children under 10 years of age and 91% in early adulthood [ 3 , 6 ]. Additionally, a relationship between gender and the frequency of headaches was observed in pediatric patients.…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, a relationship between gender and the frequency of headaches was observed in pediatric patients. Abu-Arafeh et al described odds ratio (OR) equal to 1.53 and 1.67 for the prevalence of headache and migraine in female and male patients, respectively [ 3 , 6 ]. During puberty, headaches are more common in girls, whereas in prepuberty, the frequency of headaches is similar in males and females [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…The diagnosis of primary headache is strongly related to the patient‘s medical history and typical characteristics of headaches described in ICHD-3. A thorough medical history and physical examination are crucial for identifying the etiology [ 3 , 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

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Headache in Children: Selected Factors of Vascular Changes Involved in Underlying Processes of Idiopathic Headaches

et al. 2020

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Headaches are common complaints in children. The International Classification of Headache Disorders, 3rd edition (beta version), defines more than 280 types of headaches. Primary headaches refer to independent conditions that cause pain and include migraine, tension-type headaches (TTH), and trigeminal autonomic cephalalgias (TACs). Several agents are involved in the pathogenesis of headaches. The factors associated with predisposition to atherosclerosis seem to be particularly important from the clinical point of view. The influence of obesity on the incidence of headaches has been well established. Moreover, idiopathic headaches, especially migraine, are thought to be one of the first signs of disorders in lipid metabolism and atherosclerosis. The risk of migraine increases with increasing obesity in children. Another factor that seems to be involved in both obesity and headaches is the adiponectin level. Recent data also suggest new potential risk factors for atherosclerosis and platelet aggregation such as brain-derived neurotrophic factor (BDNF), sCD40L (soluble CD40 ligand), serpin E1/PAI I (endothelial plasminogen activator inhibitor), and vascular endothelial growth factor (VEGF). However, their role is controversial because the results of clinical studies are often inconsistent. This review presents the current knowledge on the potential markers of atherosclerosis and platelet aggregation, which may be associated with primary headaches.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Headache in Children: Selected Factors of Vascular Changes Involved in Underlying Processes of Idiopathic Headaches

et al. 2020

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“…The tricyclic antidepressant amitriptyline is recommended for patients who have both CTTH and anxiety. [13][14][15] Nonpharmacologic treatments are generally included in clinical guidelines for the prevention of primary headaches. The European Federation of Neurological Societies guideline, 16 the Italian guideline for primary headaches, 17 in patients with CTTH is based on the high prevalence of musculoskeletal dysfunctions [19][20][21][22] and on the role of affective and social touch in pain modulation.…”

mentioning

confidence: 99%

Osteopathic Manipulative Therapy in Patients With Chronic Tension-Type Headache: A Pilot Study

Deodato¹,

Guolo²,

Monticco³

et al. 2019

Journal of Osteopathic Medicine

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Context: Nonpharmacologic treatment, such as osteopathic manipulative therapy (OMTh; manipulative care provided by foreign-trained osteopaths) may be a beneficial complementary treatment for tension-type headache. However, to the authors' knowledge, the benefit of OMTh in the management of tension-type headache has not been explored, especially chronic tension-type headache (CTTH). Objective: To investigate the effectiveness of OMTh compared with traditional treatment in reducing pain intensity, frequency, and duration of CTTH, and to evaluate the objective postural measurement of the forward head posture (FHP) as an integral parameter in the assessment of the effects of OMTh and traditional management of CTTH. Methods: Patients with CTTH were registered at the Headache Centre of Trieste in Italy. At the time of the study, none of the patients had been taking any headache prophylaxis in the past 3 months. A 3-month baseline period was recorded by all patients with an ad hoc diary. Patients were randomly placed in the test or control group using a simple randomization program in Excel (Microsoft). Patients in the OMTh group underwent a 3-month period of OMTh, and patients in the control group were treated with amitriptyline. Pain intensity, frequency, and duration of headaches, as well as FHP were analyzed. Results: The study enrolled 10 patients (mean [SD] age, 42.6 [15.2] years) in the OMTh group and 10 patients (51.4 [17.3] years) in the control group. The final assessment of OMTh patients showed statistically significant changes in all headache parameters: pain intensity decreased from a mean (SD) score of 4.9 (1.4) to 3.1 (1.1) (P=.002); frequency decreased from 19.8 (6) to 8.3 (6.2) days per month (P=.002); and the duration of headaches decreased from 10 (4.2) to 6 (3) hours (P=.01). Significant improvement of all parameters was found in the control group as well: pain intensity decreased from a mean (SD) score of 5.9 (0.7) to 4.2 (1.75) (P=.03); frequency decreased from 23.4 (7.2) to 7.4 (8.7) days per month (P=.003); and duration decreased from 7.8 (2.9) to 3.6 (2.1) hours (P=.002). Forward head posture significantly improved in OMTh patients (P=.003). Conclusions: Our data suggested that OMTh may be an effective treatment to improve headaches in patients with CTTH. Our results also suggest that OMTh may reduce FHP.

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Epidemiology and economics of chronic and recurrent pain

Turk¹,

Patel²

2022

Clinical Pain Management

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Headache

Cited by 105 publications

References 51 publications

Headache in Children: Selected Factors of Vascular Changes Involved in Underlying Processes of Idiopathic Headaches

Headache in Children: Selected Factors of Vascular Changes Involved in Underlying Processes of Idiopathic Headaches

Osteopathic Manipulative Therapy in Patients With Chronic Tension-Type Headache: A Pilot Study

Epidemiology and economics of chronic and recurrent pain

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