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Query: UMLS:C0018681 (headache)
 56,091 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Based on the assumption that there is a correlation between myofascial pain dysfunction (MPD), headache and/or back pain, this study intended to assess the occurrence of MPD among persons reporting pain in their head or back. Another main purpose was to measure the response to an offer of free examination of teeth and jaws and, if needed, also free treatment of TMJ-disorder. In an electrotechnical company comprising 698 employees, a total of 27 persons attended for examination after the offer had been presented to two groups selected by two different sampling methods. Of the attendants, women, middle-aged persons, and persons from the upper social strata were overrepresented. These same categories were also the most likely to report headache and/or back pain. Ten individuals out of the 27 attendants claimed to have experienced some TMJ-disorder, and these indivuduals tended also to complain about headache and back pain. A major finding was that the response to the offer was clearly affected by social background. The response pattern was much like that known about the seeking of treatment for MPD-- and for dental treatment generally.
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PMID:Response to an offer of consultation concerning TMJ-disorder. 13 19

A sample of students (739) were questioned and examined for symptoms and signs associated with mandibular dysfunction. The most frequently mentioned symptoms were headache, TMJ sounds, and pain in the face or neck. No significant differences were found between men and women with symptoms other than headache. The most common dysfunctional signs were dull occlusal sounds on repeated, firm closure of the teeth, tenderness of muscles in the jaw or head, and sounds on condylar movement. Women had a higher prevalence of these signs. Subjects who were aware of bruxism (7.9%) were more likely to have tenderness of the masseter muscle and limited mouth opening. Limited mouth opening was associated with dull occlusal sounds, pain on opening the mouth, and sounds in TMJs. Headaches were associated with tenderness in muscles and joints. Subclinical signs associated with dysfunction occurred more frequently than did awareness of symptoms.
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PMID:Prevalence of mandibular dysfunction in young adults. 28 42

To the otolaryngologist, there are multiple causes for head or facial pain: headaches due to ear diseases; idiopathic neuralgias; "referred otalgia" involving cranial nerves V, IX, X; temporomandibular joint dysfunction; rhinological pathologies, including post-traumatic trigeminal neuralgia; "facial sympathalgias"; the styloid process syndrome; and cervical spine problems. Less known causes of head and neck pain are stressed, and emphasis placed on their diagnosis and treatment.
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PMID:[ENT considerations of head and facial pain (author's transl)]. 39 37

In this paper the painful syndromes of temporal arteritis, polymyalgla rheumatica, glaucoma, trigeminal neuralgia, post-herpetic neuralgia, and temporomandibular joint dysfunction have been described. These conditions occur commonly in the elderly. The dangers of blindness occurring in temporal arteritis or polymyalgia rheumatica, the importance of early diagnosis in glaucomatous headache, the value of Tegretol in trigeminal neuralgia, the paucity of therapeutic agents in post-herpetic neuralgia and the value of dental treatment in tempor-mandibular joint dysfunction have been stressed.
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PMID:Chronic pain syndromes in the elderly. 88 Jan 67

A screening examination for the assessment of tempormandibular joint dysfunction was evaluated in a series of 279 patients. Tenderness upon palpation of one or more of the muscles of mastication and/or pain upon retrusion of the mandible was noted in seventy-nine patients (28 per cent). These objective signs of temporomandibular joint dysfunction did not correlate statistically with maximum opening of the mouth, age, taking of analesics or tranquilizers, headache or dizzy spells, crepitus, and the patients dental condition.
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PMID:The feasibility of a screening procedure regarding temporomandibular joint dysfunction. 105 37

The procedure of diagnosis of temporomandibular joint dysfunction in 200 patients referred from a headache unit is detailed. The condition is viewed as an orthopedic imbalance, and occlusal therapy and the administration of muscle relaxants are used in treatment.
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PMID:A two-year clinical dental evaluation of 200 cases of chronic headache: the craniocervical-mandibular syndrome. 105 98

With the aid of questionnaires symptoms of mandibular dysfunction and some general and oral conditions were studied in a group of previous patients and in a randomly selected population sample. From the two materials answers were obtained from 82 persons (81%) and 1.106 (91%) respectively. The results confirmed that women are heavily overrepresented in patient materials. This differs from the fairly equal sex distribution found in population studies of mandibular dysfunction. The most frequent symptoms of mandibular dysfunction were TMJ-sounds which appeared in 39 and 79% and pain on opening the mouth which appeared in 12 and 42% of the population and patient samples respectively. All symptoms of mandibular dysfunction, headache, clenching of the teeth and unilateral chewing appeared significantly more often in the previous patients, but the number of natural teeth did not differ in the two samples. The general state of health was poorer and general joint -- muscle symptoms were more common in the previous patients as well as in those of the population sample with symptoms of mandibular dysfunction. This finding suggests that functional disturbances of the masticatory system often may be related to impaired general health.
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PMID:Symptoms of functional disturbances of the masticatory system. A comparison of frequencies in a population sample and in a group of patients. 106 19

Conservative, non invasive and reversible treatment is possible and highly successful for most temporomandibular disorder patients. Unfortunately, at this time it is not possible to provide preventive therapy or predict an 'at risk' group. Perpetuating and aggravating factors can sometimes be identified and eliminated in patients suffering from a TMD. TMD treatment can also be of benefit for chronic headache patients. A logical approach to the management of TMJ disorders has been outlined that emphasises the principle of 'escalation of therapy'. This has the advantage of avoiding overtreatment and maintaining patient confidence if initial attempts fail.
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PMID:A management approach for temporomandibular disorders. 141 56

The signs and symptoms of temporomandibular joint dysfunction present in 219 Saudi Arabians attending a dental clinic for routine dental treatment are described. Joint sounds (36%) and muscle tenderness to palpation (34%) were common findings. Of the subjects examined, 31% reported suffering from frequent headaches. The study demonstrated a high incidence of signs and symptoms of temporomandibular joint dysfunction. Findings were similar to those of a previous study of an investigation in a bedouin community in Western Egypt (Abdel-Hakim, 1983).
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PMID:Signs and symptoms of temporomandibular joint dysfunction in a Saudi Arabian population. 143 51

Motor vehicle accidents with a whiplash mechanism of injury are one of the most common causes of neck injuries, with an incidence of perhaps 1 million per year in the United States. Proper adjustment of head restraints can reduce the incidence of neck pain in rear-end collisions by 24%. Persistent neck pain is more common in women by a ratio of 70:30. Whiplash injuries usually result in neck pain owing to myofascial trauma, which has been documented in both animal and human studies. Headaches, reported in 82% of patients acutely, are usually of the muscle contraction type, often associated with greater occipital neuralgia and less often temporomandibular joint syndrome. Occasionally migraine headaches can be precipitated. Dizziness often occurs and can result from vestibular, central, and cervical injury. More than one third of patients acutely complain of paresthesias, which frequently are caused by trigger points and thoracic outlet syndrome and less commonly by cervical radiculopathy. Some studies have indicated that a postconcussion syndrome can develop from a whiplash injury. Interscapular and low back pain are other frequent complaints. Although most patients recover within 3 months after the accident, persistent neck pain and headaches after 2 years are reported by more than 30% and 10% of patients. Risk factors for a less favorable recovery include older age, the presence of interscapular or upper back pain, occipital headache, multiple symptoms or paresthesias at presentation, reduced range of movement of the cervical spine, the presence of an objective neurologic deficit, preexisting degenerative osteoarthritic changes; and the upper middle occupational category. There is only a minimal association of a poor prognosis with the speed or severity of the collision and the extent of vehicle damage. Whiplash injuries result in long-term disability with upward of 6% of patients not returning to work after 1 year. Although litigation is very common and always raises questions of secondary gain in patients with persistent symptoms, most patients are not cured by a verdict. Acute treatment of neck pain consists of ice for 24 hours followed by heat applications, pain pills, NSAIDs, and muscle relaxants. Trigger point injections can be beneficial in both the acute and the persistent phases. Use of cervical collars should probably be kept to a minimum during the first 2 to 3 weeks after the injury and then avoided. Early passive mobilization and range of motion exercises may accelerate recovery. Physical therapy and transcutaneous nerve stimulators may be helpful in reducing pain and improving movement.(ABSTRACT TRUNCATED AT 400 WORDS)
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PMID:Some observations on whiplash injuries. 143 66


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