5,160 results match your criteria Headache Tension


If headache has any association with hypertension, it is negative. Evidence from a population-based study in Nepal.

Cephalalgia 2021 Jun 20:3331024211020398. Epub 2021 Jun 20.

Department of Neuromedicine and Movement Science, 8018Norwegian University of Science and Technology, Trondheim, Norway.

Background: Hypertension and headache disorders are major contributors to public ill health, linked by a long-standing but questionable belief that hypertension is a conspicuous cause of headache. In Nepal, where hypertension is common and often untreated, we assessed the substance of this belief, hypothesising that, should hypertension be a significant cause of headache, a clear positive association between these disorders would exist.

Methods: In a cross-sectional, nationwide study, trained health workers conducted face-to-face structured interviews, during unannounced home visits, with a representative sample of the Nepalese adult population (18-65 years). Read More

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Reduction of headache intensity and frequency with maxillary stabilization splint therapy in patients with temporomandibular disorders-headache comorbidity: a systematic review and meta-analysis.

J Dent Anesth Pain Med 2021 Jun 1;21(3):183-205. Epub 2021 Jun 1.

Division of Dental Public Health and Pediatric Dentistry, Herman Ostrow School of Dentistry of University of Southern California, Los Angeles, California, USA.

This systematic review and meta-analysis aimed to analyze the effectiveness of maxillary stabilization splint (SS) therapy to reduce headache (HA) intensity and HA frequency in patients with temporomandibular disorders (TMD)-HA comorbidity. Randomized controlled trials (RCTs) using full-arch coverage, hard resin, and maxillary SS therapy were included. Electronic databases, including Cochrane Library, MEDLINE through PubMed, Web of Science, and EMBASE, were searched. Read More

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Postprandial fasting related headache during Ramadan in Saudi Arabia: A cross-sectional study.

Cephalalgia 2021 Jun 16:3331024211017915. Epub 2021 Jun 16.

Neurology Department, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Background: Headache disorders are classified as primary or secondary; however, among the secondary headaches, those attributed to food ingestion are not well understood. Therefore, we conducted this study to describe and characterize a new headache entity that occurred during the holy month of Ramadan. This headache occurred within 4 h of breaking the fast. Read More

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The presence of headache at onset in SARS-CoV-2 infection is associated with long-term post-COVID headache and fatigue: A case-control study.

Cephalalgia 2021 Jun 16:3331024211020404. Epub 2021 Jun 16.

CNAP, Center for Sensory-Motor Interaction, Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.

Objective: To investigate the association of headache during the acute phase of SARS-CoV-2 infection with long-term post-COVID headache and other post-COVID symptoms in hospitalised survivors.

Methods: A case-control study including patients hospitalised during the first wave of the pandemic in Spain was conducted. Patients reporting headache as a symptom during the acute phase and age- and sex-matched patients without headache during the acute phase participated. Read More

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Validation of the Temporomandibular Disorder Pain Screener in a Specialized Headache Center.

J Oral Facial Pain Headache 2021 Spring;35(2):150-156

Aims: To investigate the sensitivity and specificity of the TMD pain screener in a headache population.

Methods: A cross-sectional study was conducted at the Danish Headache Center (DHC). Patients were included if they had primary or secondary headache, trigeminal neuralgia, or facial pain. Read More

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Association Between Primary Headache and Bruxism: An Updated Systematic Review.

J Oral Facial Pain Headache 2021 Spring;35(2):129-138

Aims: To answer the question: among observational studies, is there any association between primary headaches and bruxism in adults?

Materials And Methods: A systematic review of observational studies was performed. The search was performed in seven main databases and three gray literature databases. Studies in which samples were composed of adult patients were included. Read More

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Headache Related to PPE Use during the COVID-19 Pandemic.

Curr Pain Headache Rep 2021 Jun 15;25(8):53. Epub 2021 Jun 15.

Division of Neurology, National University Hospital and Yong Loo Lin School of Medicine, National University of Singapore, NUHS Tower Block, Level 10, 1E Kent Ridge Road, Singapore, 119228, Singapore.

Purpose Of Review: Personal protection equipment (PPE)-associated headache is an unusual secondary headache disorder that predominantly occurs in healthcare workers as a consequence of the donning of protective respirators, face masks and/or eyewear. The appreciation of this entity is important given the significant ramifications upon the occupational health of healthcare workers and could additionally have an impact on persons living with pre-existing headache disorder(s).

Recent Findings: There has been a renewed interest and recognition of PPE-associated headaches amongst healthcare professionals, largely brought about by the ongoing COVID-19 pandemic which has besieged healthcare systems worldwide. Read More

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Recent advancements in tension-type headache: a narrative review.

Expert Rev Neurother 2021 Jun 15. Epub 2021 Jun 15.

Department of Clinical and Molecular Medicine, Sapienza University, Rome, Italy.

Introduction: Tension-type headache (TTH) is the most common primary headache disorder with a prevalence of up to 78% in general population and huge expenses in terms of health service. Despite its high incidence and impact on life's quality the knowledge on the pathophysiology and efficacious treatment of TTH was still limited.

Areas Covered: In recent years, a series of studies highlighted the heterogeneous nature of this pathology that seems to be determined by a complex interaction between genetic, environmental and neuro-muscular factors, which result in nociceptive system activation. Read More

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Delayed pneumocephalus induced by repeated percutaneous aspiration after spinal surgery: A case report and literature review.

Medicine (Baltimore) 2021 Jun;100(23):e26322

Department of Internal Medicine, People's Hospital of Xilin County, Baise, China.

Rationale: Severe tension pneumocephalus can lead to drowsiness, coma, and even brain hernia and death. The occurrence of delayed pneumocephalus after spinal surgery is rarely reported and often ignored. Herein, we report a case of delayed pneumocephalus after repeated percutaneous aspiration following spinal surgery. Read More

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Osteopathic Manipulative Treatment of Herpes Zoster Ophthalmicus/Postherpetic Neuralgia.

Cureus 2021 May 8;13(5):e14906. Epub 2021 May 8.

Osteopathic Manipulative Medicine, Touro College of Osteopathic Medicine, New York, USA.

Herpes zoster (HZ) and herpes zoster ophthalmicus (HZO) are the result of reactivation of varicella-zoster virus (VZV) from a dormant condition. Although HZ symptoms typically subside after a few weeks, HZO and postherpetic neuralgia (PHN) can persist at least 90 days after the appearance of the HZ rash. Presently, there is no gold standard for a disease-modifying therapy for postherpetic neuralgia and the current treatment is focused on early intervention and management of symptoms and dermatological complications. Read More

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[CME/Answers: New-Onset Headache in Adults: Evidence-Based Assessment in the Primary Care Setting].

Praxis (Bern 1994) 2021 Jun;110(8):469-470

Klinik für Neurologie, Universitätsspital Zürich und Universität Zürich.

CME/Answers: New-Onset Headache in Adults: Evidence-Based Assessment in the Primary Care Setting Many people suffer from headaches. Primary (idiopathic) headaches such as migraine and tension type headaches are most common. They may significantly affect occupational and social aspects of daily life, but are usually not dangerous. Read More

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Clinical observation of warming acupuncture and moxibustion at the temples combined with Deanxit in the treatment of tension headache with anxiety and depression: a retrospective study.

Ann Palliat Med 2021 May;10(5):5541-5548

Baotou Medical College, Baotou, China.

Background: Tension-type headache (TTH), also called muscle contraction headache or neurological headache, is mainly characterized by chronic and persistent bilateral headache in the neck and a severe sense of restraint in the head. This study aims to analyze the effect of warming acupuncture and moxibustion at temples combined with Deanxit on tension headache.

Methods: A total of 252 patients with anxiety and tension headache were randomly divided into routine group and study group. Read More

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Internet addiction, headache, and insomnia in university students: a cross-sectional study.

Neurol Sci 2021 Jun 9. Epub 2021 Jun 9.

Postgraduate Program in Neuropsychiatry and Behavioral Sciences, Federal University of Pernambuco (UFPE), Rua General Joaquim Inacio, 830, Sala 1412 - Edf The Plaza Business Center, Recife, CEP: 50070-495, Pernambuco, Brazil.

Objective: There is controversy about whether there is an association between headache and internet addiction. Therefore, the objective was to assess whether there is an association between the headache, insomnia, and internet addiction.

Methods: This was a cross-sectional study with 420 university students. Read More

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Efficacy of cranial microcurrent stimulation in patients with tension-type headache: A prospective, randomised, double-blinded, sham-controlled clinical trial.

Int J Clin Pract 2021 Jun 7:e14437. Epub 2021 Jun 7.

Department of Rehabilitation Medicine, Catholic University of Daegu School of Medicine, Daegu, South Korea.

Objective: To investigate the therapeutic effect of cranial microcurrent stimulation (CMS) in patients with tension-type headaches (TTH).

Methods: This study was designed as a prospective, randomised, double-blinded and sham-controlled trial. A total of 22 patients with tension-type headache were selected as our study participants and randomly assigned into two groups: CMS group (n = 11) and Sham group (n = 11). Read More

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The efficacy of botulinum toxin A treatment for tension-type or cervicogenic headache: a systematic review and meta-analysis of randomized, placebo-controlled trials.

Scand J Pain 2021 Jun 4. Epub 2021 Jun 4.

Pain Clinic, Division of Surgical Medicine and Intensive Care, University Hospital of North Norway, Tromsø, Norway.

Objectives: The pathogeneses of chronic tension-type headache (CTTH) and cervicogenic headache (CEH) are not well established. Peripheral activation or sensitization of myofascial nociceptors is suggested as a potential mechanism and injections of botulinum toxin (BONTA) have thus been used in the treatment for both headache conditions. BONTA inhibits the release of acetylcholine at the neuromuscular junction and inhibits contraction of skeletal muscles. Read More

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Optic nerve sheath fenestration for visual rehabilitation in moyamoya disease.

Saudi J Ophthalmol 2020 Jul-Sep;34(3):223-226. Epub 2021 Feb 27.

Department of Neuro-Ophthalmology, Sankara Nethralaya, Medical Research Foundation, Chennai, Tamil Nadu, India.

A 13-year-old female presented with decrease in vision in both eyes with headache and vomiting for 15 days. Her visual acuity was perception of light with inaccurate projection in the right eye and counting fingers close to face in the left eye. Pupils were nonreactive. Read More

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February 2021

A Bibliometric Analysis of Research Trends of Acupuncture Therapy in the Treatment of Migraine from 2000 to 2020.

J Pain Res 2021 25;14:1399-1414. Epub 2021 May 25.

Jiangsu Province Hospital of Chinese Medicine, Nanjing, Jiangsu Province, People's Republic of China.

Background: Migraine is the second-leading cause of disability worldwide. It is often characterized by attacks of severe, mostly unilateral, pulsating headache associated with symptoms such as photophobia, phonophobia, nausea, vomiting, and cutaneous allodynia. Acupuncture therapy has been used worldwide for the treatment of migraine. Read More

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Use of Nutraceutical Ingredient Combinations in the Management of Tension-Type Headaches with or without Sleep Disorders.

Nutrients 2021 May 13;13(5). Epub 2021 May 13.

Child Neurology and Psychiatry Medicine, Systems Medicine Department, Tor Vergata University of Rome, Via Montpellier 1, 00133 Rome, Italy.

Headache is the most common pain complaint in the pediatric population, with tension type headache (TTH) having a prevalence of 10-15% in children. Up to 70% of pediatric patients with chronic headache also experience sleep disruption, with a likely bidirectional relationship between headache and poor sleep. Treatment options include specific pharmacological approaches as well as non-pharmacological alternatives; nutraceuticals have the advantage of a relative lack of side effects. Read More

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Headache in patients with mesial temporal lobe epilepsy with hippocampal sclerosis.

Epilepsy Behav 2021 May 29;121(Pt A):108081. Epub 2021 May 29.

Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Neurology, University of Health Sciences, Turkey. Electronic address:

Objective: It is remarkable that epilepsy and migraine are similar diseases with many parallel clinical features, as well as sharing common pathophysiological mechanisms. However, the pathogenetic role of hippocampal sclerosis (HS) in epilepsy and headache coexistence has not been clarified. In this study, we aimed to investigate the frequency of headache/migraine and the relationship between headache and HS lateralizations in patients with mesial temporal lobe epilepsy (MTLE), accompanied by HS. Read More

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Nociplastic pain: towards an understanding of prevalent pain conditions.

Lancet 2021 May;397(10289):2098-2110

Department Internal Medicine I, Klinikum Saarbrücken, Saarbrücken, Germany; Department of Psychosomatic Medicine and Psychotherapy, Technische Universität München, München, Germany.

Nociplastic pain is the semantic term suggested by the international community of pain researchers to describe a third category of pain that is mechanistically distinct from nociceptive pain, which is caused by ongoing inflammation and damage of tissues, and neuropathic pain, which is caused by nerve damage. The mechanisms that underlie this type of pain are not entirely understood, but it is thought that augmented CNS pain and sensory processing and altered pain modulation play prominent roles. The symptoms observed in nociplastic pain include multifocal pain that is more widespread or intense, or both, than would be expected given the amount of identifiable tissue or nerve damage, as well as other CNS-derived symptoms, such as fatigue, sleep, memory, and mood problems. Read More

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Vitamin D, Chronic Migraine, and Extracranial Pain: Is There a Link? Data From an Observational Study.

Front Neurol 2021 13;12:651750. Epub 2021 May 13.

Neurology and Stroke Unit, ASST Sette Laghi di Varese, Varese, Italy.

Several studies focused on the role of vitamin D (vitD) in pain chronification. This study focused on vitD level and pain chronification and extension in headache disorders. Eighty patients with primary headache underwent neurological examination, laboratory exams, including serum calcifediol 25(OH)D, and headache features assessment along with three questionnaires investigating depression, anxiety, and allodynia. Read More

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Effectiveness of Progressive Muscle Relaxation and Deep Breathing Exercise on Pain, Disability, and Sleep Among Patients With Chronic Tension-Type Headache: A Randomized Control Trial.

Holist Nurs Pract 2021 May 28. Epub 2021 May 28.

College of Nursing (Dr Gopichandran), Neurology Department (Dr Srivastsava), and Biostatistics Department (Dr Vanamail), All India Institute of Medical Sciences (AIIMS), New Delhi, India; SRM College of Nursing, Chennai, India (Dr Kanniammal); Meenakshi Ammal Dental College, Meenakshi Academy of Higher Education and Research (MAHER), Chennai, India (Drs Valli and Mahendra); and National Institute of Nursing Education, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India (Dr Dhandapani).

A randomized control trial was conducted to assess the effectiveness of progressive muscle relaxation and deep breathing exercises on pain, disability, and sleep quality among patients with chronic tension-type headache. Of the 169 randomly selected patients, 84 performed the intervention and reported less pain severity and disability and better sleep quality after 12 weeks. Read More

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Other Primary Headache Disorders.

Authors:
Jonathan H Smith

Continuum (Minneap Minn) 2021 06;27(3):652-664

Purpose: This article provides an overview of a diverse group of primary headache disorders that are categorized in the International Classification of Headache Disorders, 3rd Edition (ICHD-3), as "other primary headache disorders." This article provides clinicians with a distilled understanding of the diagnoses and their epidemiology, pathophysiology, and management.

Recent Findings: Cough-induced headache requires neuroimaging to exclude posterior fossa pathology and recently has been reported as a common symptom in patients with CSF-venous fistula. Read More

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Tension Pneumocephalus.

R I Med J (2013) 2021 Jun 1;104(5):47-48. Epub 2021 Jun 1.

PGY3, Emergency Medicine Residency, the Alpert Medical School of Brown University, Providence, RI.

Tension pneumocephalus (TPC) is a rare but devastating intracranial condition where increased intracranial pressure due to entrapped air causes compression of the brain leading to headache, seizures, altered mental status (AMS), and death. The author presents the case of patient with a past medical history of eye-enucleation who subsequently developed TPC in the setting of occult trauma. The diagnosis was made via commuted tomography (CT) scan and the patient underwent needle and burr-hole decompression in the emergency department (ED). Read More

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Teleophthalmology as a Model for Detecting Ocular Diseases in Tribal Areas of a North West State in India.

Indian J Community Med 2021 Jan-Mar;46(1):62-65. Epub 2021 Mar 1.

Department of Ophthalmology, Dr RP Govt Medical College, Kangra at Tanda, Himachal Pradesh.

Background: Lahaul and Spiti district of Himachal Pradesh, a high altitude tribal district, situated at altitudes varying from 10,000 to 15, 000 ft. above mean sea level is cut off from the rest of the country for nearly 6 months due to heavy snowfall in the mountain passes. In the absence of any ophthalmologist and ophthalmic technician, the provision of eye care is virtually absent. Read More

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Conservative management of neck and thoracic pain in an adult with neurofibromatosis-1.

J Can Chiropr Assoc 2021 Apr;65(1):121-126

Chiropractic Department, D'Youville College.

Objective: To describe the case of a 21-year-old female with previously diagnosed neurofibromatosis type 1 (NF1) with neck, scapular, lumbar, and temporomandibular discomfort along with headaches.

Clinical Features: The patient had chronic tightness and pain in the cervicothoracic region as well as pain in the lumbar spine at the site of prior neurofibroma removal. Radiographs demonstrated multilevel osseous changes. Read More

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The clinical characteristics of primary headache and associated factors in children: A retrospective descriptive study.

Ann Med Surg (Lond) 2021 May 2;65:102374. Epub 2021 May 2.

Faculty of Medicine, Pediatric Department Division of Child Neurology, The University of Jordan, Jordan.

Background: Headache is the most encountered manifestation of pain in childhood. The purpose of this study was to investigate the incidence and clinical characteristics of primary headaches. Further, the factors associated with primary headache were examined. Read More

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Clinical, psychological, and sensory characteristics associated with headache attributed to temporomandibular disorder in people with chronic myogenous temporomandibular disorder and primary headaches.

J Headache Pain 2021 May 22;22(1):42. Epub 2021 May 22.

Center for Pain Research and Innovation, Adams School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Background: Headache attributed to Temporomandibular Disorder (HATMD) is a secondary headache that may have features resulting in diagnostic overlap with primary headaches, namely, tension-type (TTH) or migraine. This cross-sectional study of people with both chronic myogenous TMD and primary headaches evaluated characteristics associated with HATMD.

Methods: From a clinical trial of adults, baseline data were used from a subset with diagnoses of both TMD myalgia according to the Diagnostic Criteria for TMD (DC/TMD) and TTH or migraine according to the International Classification of Headache Disorders, 3rd edition. Read More

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Post-traumatic headache attributed to traumatic brain injury: classification, clinical characteristics, and treatment.

Lancet Neurol 2021 06;20(6):460-469

Danish Headache Center, Department of Neurology, Rigshospitalet Glostrup, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Danish Knowledge Center on Headache Disorders, Glostrup, Denmark; Department of Nervous Diseases of the Institute of Professional Education, IM Sechenov First Moscow State Medical University, Moscow, Russia; Department of Neurology, Azerbaijan Medical University, Baku, Azerbaijan. Electronic address:

Post-traumatic headache is a common sequela of traumatic brain injury and is classified as a secondary headache disorder. In the past 10 years, considerable progress has been made to better understand the clinical features of this disorder, generating momentum to identify effective therapies. Post-traumatic headache is increasingly being recognised as a heterogeneous headache disorder, with patients often classified into subphenotypes that might be more responsive to specific therapies. Read More

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Impaired neck motor control in chronic whiplash and tension-type headache.

Acta Neurol Scand 2021 May 21. Epub 2021 May 21.

Copenhagen City Heart Study, Frederiksberg-Bispebjerg Hospital, Copenhagen University Hospital, Copenhagen, Denmark.

Objectives: The purpose of this study is twofold, first to present a new method based on head laser tracking designed to measure head or hand movements and second to further investigate if patients suffering from chronic whiplash or tension-type headache have impaired motor control of neck muscles.

Material And Methods: A new laser tracking instrument was designed to measure the ability of a test person to track a reference point moving on the wall by a laser fixed to the forehead or held in the hand. The reference point to be tracked moves in runs of a circle or a square at three different speeds 10, 20, or 30 cm/s. Read More

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