Increased Prevalence of Tension-Type Headache Over a 12-Year Period is Related to Increased Pain Sensitivity. A Population Study

Buchgreitz, L.; Lyngberg, Ann Christine; Bendtsen, Lars; Jensen, Rigmor

doi:10.1111/j.1468-2982.2006.01248.x

Cited by 52 publications

(30 citation statements)

References 25 publications

(45 reference statements)

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“…The data from these clinical studies recently were confirmed in a population-based study demonstrating a close relation between altered pain perception and chronification of headache [13]. In addition, it was demonstrated that a previously reported increase in TTH prevalence over a 12-year period was related to increased pain sensitivity [53].…”

Section: Central Pain Sensitivitymentioning

confidence: 83%

The Role of Muscles in Tension-Type Headache

Bendtsen

Fernández-de-la-Peñas

2011

Curr Pain Headache Rep

122

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The tenderness of pericranial myofascial tissues and number of myofascial trigger points are considerably increased in patients with tension-type headache (TTH). Mechanisms responsible for the increased myofascial pain sensitivity have been studied extensively. Peripheral activation or sensitization of myofascial nociceptors could play a role in causing increased pain sensitivity, but firm evidence for a peripheral abnormality still is lacking. Peripheral mechanisms are most likely of major importance in episodic TTH. Sensitization of pain pathways in the central nervous system due to prolonged nociceptive stimuli from pericranial myofascial tissues seem to be responsible for the conversion of episodic to chronic TTH. Treatment directed toward muscular factors include electromyography biofeedback, which has a documented effect in patients with TTH, as well as physiotherapy and muscle relaxation therapy, which are most likely effective. Future studies should aim to identify the source of peripheral nociception.

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Section: Central Pain Sensitivitymentioning

confidence: 83%

The Role of Muscles in Tension-Type Headache

Bendtsen

Fernández-de-la-Peñas

2011

Curr Pain Headache Rep

122

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“…to begin with, suggesting that it is a consequence rather than cause [11]. There are many studies showing decreased pressure pain thresholds [12], while others have shown an inverse relation between pericranial tenderness and pain threshold [13].…”

Section: Mattoo Et Almentioning

confidence: 99%

Chronic Tension-Type Headache: Muscle Overactivity Versus Deficient Pain Controls

Mattoo

Tanwar

Bhatia

et al. 2018

Asian J Pharm Clin Res

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Objective: The oscillating school of thought between the peripheral and central mechanisms of pain origin hinders the selection of appropriate therapy for chronic tension-type headache (CTTH). The aim of this study was to assess the role of central and peripheral pain mechanisms together in CTTH. Methods:In the present study, we compared surface electromyography (sEMG) amplitudes and nociceptive flexion thresholds in patients diagnosed with CTTH (n=30) with age-matched healthy controls (n=30). For central pain modulation with spinal and supraspinal influences on nociception, we recorded nociceptive flexion reflex (NFR) by stimulating the sural nerve and observing the biceps femoris muscle response. sEMG was done for the temporalis and trapezius muscles at rest, during mental activity and during maximum voluntary contraction to assess contribution from peripheral pain. Results:We observed a decreased NFR threshold in CTTH patients as compared to healthy controls, suggesting a hyperalgesic state due to central factors. Electromyographic activity of trapezius muscle was increased at rest in CTTH while both temporalis and trapezius showed an overactivity in patients during mental task. Conclusion:Central factors are important in the pathogenesis of CTTH while, peripheral factors, such as stress-related muscle spasm may also contribute to pain state.

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“…It has been thought that sustained peripheral nociceptive inputs through sensitization of central mechanisms increase sensitivity to painful stimuli, ultimately resulting in TTH [6,7]. …”

Section: Introductionmentioning

confidence: 99%

Efficacy of Local Lidocaine Application on Anxiety and Depression and Its Curative Effect on Patients with Chronic Tension-Type Headache

et al. 2013

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Background: Tension-type headache (TTH) is a primary headache disorder. In this study, the efficacy of local lidocaine application on anxiety and depression and its curative effect in patients with chronic TTH was investigated. Methods: Forty-eight patients (24 local lidocaine injection, 24 local saline injection group) with chronic TTH were enrolled in our study. Injections were applied to the trigger points of the muscles that are innervated by C1-C3 and the trigeminal nerve, exit points of the fifth cranial nerve, and around the superior cervical ganglion. Each patient underwent one session every 3 days. Patients were evaluated before and 3 months after the treatment. Results: In both groups, the number of painful days in a month, visual analogue scale values, amount of analgesic use in a month, Hamilton depression score, and Hamilton anxiety score decreased after the treatment. As a result, all of the parameters were found to have improved in both groups (p < 0.05), the results were statistically significant, and the lidocaine group's response to the treatment was better than the placebo group (p < 0.001). Conclusion: Our findings suggest that local lidocaine administration can be an effective method in the treatment of chronic TTH.

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Increased Prevalence of Tension-Type Headache Over a 12-Year Period is Related to Increased Pain Sensitivity. A Population Study

Cited by 52 publications

References 25 publications

The Role of Muscles in Tension-Type Headache

The Role of Muscles in Tension-Type Headache

Chronic Tension-Type Headache: Muscle Overactivity Versus Deficient Pain Controls

Efficacy of Local Lidocaine Application on Anxiety and Depression and Its Curative Effect on Patients with Chronic Tension-Type Headache

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