The role of pericranial muscles in the succesful management of episodic tension type headache

Karadaş, Ömer; Babacan, Avni; Gul, Levent Hakan; İpekdal, İlker H.; Börü, Ülkü Türk

doi:10.5505/agri.2012.57704

Cited by 6 publications

(4 citation statements)

References 10 publications

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“…The knowledge of trigger points, the PPT and the craniocervical posture may contribute to the diagnosis, monitoring and treatment of patients with ETTH. 3,11 In this way, we seek to analyze the PPT in the myofascial trigger points and head posture of these individuals.…”

Section: Discussionmentioning

confidence: 99%

“…2 Analgesic and antidepressant agents, frequently used for treating TTH, aim to inhibit as well as alleviate pain. 3 Understanding the pathophysiology of this type of headache is fundamentally important because it can facilitate the development of more effective treatments, preventing its chronicity 4 and reducing the use and side effects of medications.…”

Section: Introductionmentioning

confidence: 99%

“…Regarding the muscles in the cervical region, the identification and pressure pain threshold (PPT) of the trigger points are fundamental because reports in the literature 3 have suggested that the direct application of techniques in these muscles is an effective alternative treatment in patients with ETTH. After a systematic review, Abboud et al 11 reported that there was a significant increase in the number of active trigger points in the upper trapezius, temporal, sternocleidomastoid and suboccipital muscles in individuals with TTH.…”

Section: Introductionmentioning

confidence: 99%

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Muscular Pressure Pain Threshold and Influence of Craniocervical Posture in Individuals With Episodic Tension-Type Headache

et al. 2017

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Objective: The objective of this study was to analyze the pressure pain threshold (PPT) of the sternocleidomastoid (SCM), suboccipital (SO) and upper trapezius (UT) muscles and the craniocervical posture in individuals with episodic tension-type headache (ETTH). Methods: This study was a cross-sectional, non-randomized study with 60 young adults (77% female) comprising both sexes and an age range of 18-27 years. Individuals were distributed into a control group (G1) and individuals with ETTH (G2). The frequency of headaches per month was recorded. A pressure dynamometer was used to evaluate the PPT. Photogrammetry was used to evaluate the cervical lordosis (CL) and cephalic protrusion (CP). The data were statistically analyzed. Results: There were differences in the PPT, where the UT, SO and SCM muscles presented lower sensitivity to pain, respectively. The SCM muscle presented a lower PPT in G2. The CL and CP angles were significantly lower in G2. Conclusion: Individuals with ETTH exhibited a significantly lower PPT in the SCM and SO muscles than in the UT muscle. Nevertheless, individuals with ETTH presented with the SCM muscle being more sensitive to pain as well as higher CL and CP than individuals without symptomatology.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Muscular Pressure Pain Threshold and Influence of Craniocervical Posture in Individuals With Episodic Tension-Type Headache

et al. 2017

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“…In recent years, local anesthetic injections to pericranial muscles in the treatment of TTH have been used (10,11). Some randomized, placebo-controlled studies have reported that TTH patients respond well to local anesthetic injections to pericranial muscles and are effective in the treatment (11).…”

Section: The Efficacy Of Local Anesthetic Application To Pericranial mentioning

confidence: 99%

The efficacy of local anesthetic application to pericranial muscles in the treatment of episodic tension type headache in elderly population

Öztürk¹,

Özön²

2019

Gulhane Med J

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Aims:Tension Type Headache (TTH), which is one of the primary headaches, has episodic and chronic types. Peripheral and central nociceptive mechanisms plays a role in the pathogenesis of TTH. In the acute treatment of TTH, simple and combined analgesics, and antidepressants are used for preventive therapy, but new therapy options are needed. The aim of this study is to determine the therapeutic efficacy of local lidocaine injections to pericranial muscles in elderly patients with Episodic Tension Type Headache.Methods:Twenty-five patients with a diagnosis of episodic TTH over the age of 65 were included in the study. The patients received local 0.5% of lidocaine injections once a week for 4 sessions. Each patient received two injections to frontal muscles, temporal muscles, masseter muscles, sternocloidomastoid muscles, semispinalis capitis muscles, splenius capitis muscles and trapezius muscles bilaterally. The painful days, pain intensity (VAS-Visual Analog Scale) and the number of analgesics they had used were compared.Results:The median age of the patients were 67 (min-max: 65-80) years. The number of painful days, pain intensity (VAS -Visual Analogue Scale) and the number of analgesics they had used after injection were statistically significantly lower ( p <0.05) .Conclusions:Local lidocaine injections into the pericranial muscles can be used as an effective method in the treatment of episodic TTH in the elderly.

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The Role of Other Peripheral Nerve Blocks

Karadaş

Gül

2019

Peripheral Interventional Management in Headache

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The role of pericranial muscles in the succesful management of episodic tension type headache

Abstract: Local lidocaine application can be used as an effective method in the treatment of ETTH patients with pericranial tenderness.

Cited by 6 publications

References 10 publications

Muscular Pressure Pain Threshold and Influence of Craniocervical Posture in Individuals With Episodic Tension-Type Headache

Muscular Pressure Pain Threshold and Influence of Craniocervical Posture in Individuals With Episodic Tension-Type Headache

The efficacy of local anesthetic application to pericranial muscles in the treatment of episodic tension type headache in elderly population

The Role of Other Peripheral Nerve Blocks

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