Whiplash Patients with Cervicogenic Headache After Lateral Atlanto- Axial Joint Pulsed Radiofrequency Treatment

Chua, Nicholas; Halim, Willy; Evers, Andrea W M; Vissers, Kris

doi:10.5812/aapm.3590

Cited by 10 publications

(5 citation statements)

References 35 publications

(33 reference statements)

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“…In order to emphasize the importance of PRF in the treatment of chronic pain, we have published three reports in this issue ( 10 - 12 ). The authors of these articles reported successful applications of PRF for the treatment of pain conditions, including amputation pain, lumbar facet joint pain, and whiplash pain.…”

mentioning

confidence: 99%

Using Pulsed Radiofrequency for Chronic Pain

Imani

2012

Anesth Pain

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mentioning

confidence: 99%

Using Pulsed Radiofrequency for Chronic Pain

Imani

2012

Anesth Pain

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“…This application is now long past its initial stage. Good long term results have been published on the atlanto-axial join ( 7 ). This was a novel aspect of PRF.…”

Section: Introductionmentioning

confidence: 99%

Intravenous Application of Pulsed Radiofrequency–4 Case Reports

Teixeira

Sluijter

2013

Anesth Pain

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It has been suggested that PRF might possibly have an effect on the immune cells. We considered using the intravenous route to apply PRF in conditions that are caused by an unresolved immune action or connected to allostatic load, implicating an abnormally reacting immune system to obtain a systemic effect that could possibly be an additional tool in treating some of these conditions. These manuscript reports four cases that illustrate the wide variety of conditions where this new technique might be helpful.

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“…1 The incidence of WAD is ~600 per 100.000 persons, 2 and the costs associated with this condition are very high, with the symptom of headache noted as the most burdensome according to patients. 3,4 Different signs and symptoms are present in people with WAD, from neuromusculoskeletal impairments and sensitization [5][6][7][8][9] to psychological disturbances. [9][10][11][12][13][14] Some features such as pain catastrophizing, kinesiophobia, anxiety, and neck disability have been associated with the severity of WAD, both in the acute and chronic stages.…”

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confidence: 99%

“…According to the International Headache Classification Disorders (ICHD-III), whiplash-associated headache (WAH) is recognized as the development of a new headache or worsening of a pre-existing headache beginning within 7 days after a whiplash injury and is one of many potential symptoms that can present under the diagnosis of whiplash-associated disorders (WAD) 1 . The incidence of WAD is ~600 per 100.000 persons, 2 and the costs associated with this condition are very high, with the symptom of headache noted as the most burdensome according to patients 3,4 …”

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confidence: 99%

Higher Neck Pain Intensity and Pain Catastrophizing Soon After A Whiplash Injury Partially Explain the Presence of Persistent Headache

Anarte-Lazo,

Falla,

Rodriguez-Blanco

et al. 2024

The Clinical Journal of Pain

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Objective: To understand whether pain-related factors soon after a whiplash injury can explain the presence of chronic headache. Materials and Methods: A prospective study with a follow-up of 6 months was performed including 42 patients with acute whiplash-associated disorders. Neck pain intensity, the Neck Disability Index, the Tampa Scale Kinesiophobia, Pain Catastrophizing Scale, and the Anxiety State-Trait Scale were assessed at baseline. Differences in clinical characteristics between those with and without headache at 6 months were determined. The relative risk of presenting with headache was evaluated. A logistic regression model was performed to assess which factors at baseline could explain the presence of headache at 6 months. Results: At 6 months, 1/3 of the sample presented with chronic headache. Significant differences were found for several outcome measures when people with and without headache were compared (P<0.001). The highest relative risk of presenting with headache was found for moderate/severe levels of pain catastrophizing during the acute phase (RR=15.00, 95%CI=3.93, 57.22). The level of neck pain intensity and pain catastrophizing at baseline partially explained the presence of headache at 6 months (R2=0.627). Discussion: The risk of presenting with persistent headache attributed to a whiplash injury is increased when people present with higher neck pain intensity and pain catastrophizing soon after a whiplash injury. Evaluating neck pain intensity and pain catastrophizing at baseline may assist in identifying those more likely to develop chronic headache, potentially providing an opportunity for early targeted interventions.

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Whiplash Patients with Cervicogenic Headache After Lateral Atlanto- Axial Joint Pulsed Radiofrequency Treatment

Abstract: Whiplash associated disorders are very costly to any healthcare structure, whatever the policy that shapes it. The prevalence of cervicogenic headache in whiplash injuries are as high as 53%.

Cited by 10 publications

References 35 publications

Using Pulsed Radiofrequency for Chronic Pain

Using Pulsed Radiofrequency for Chronic Pain

Intravenous Application of Pulsed Radiofrequency–4 Case Reports

Higher Neck Pain Intensity and Pain Catastrophizing Soon After A Whiplash Injury Partially Explain the Presence of Persistent Headache

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