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

The author describes a combined approach, called psychomotoric treatment, for patients with emotionally conditioned, somatic symptoms, such as headache, backache, neck-shoulder-arm pains, postural disorders and inhibited respiration. Many of these patients have previously been treated in vain with tranquilizers and ordinary physiotherapy. The physiotherapeutic part of the treatment (psychomotoric physiotherapy) is based on a comprehensive view of the muscular apparatus and functioning as a whole with emphasis on correction of postural disorders and liberation of respiration. It should also include close cooperation with the doctor, who may be called upon when emotional inhibition impedes further progress of the physiotherapy. The main indication area for this treatment is the clientele of the general practitioner. Patients with clear psychiatric symptoms should be treated only if anchored in a secure psychotherapeutic situation.
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PMID:Physiotherapy in certain aspects of psychosomatic medicine. 16 72

Headache is an extremely common symptom, and many headaches undoubtedly have a relationship to stressful situations. The clear definition, however, of a "tension headache" complex and its differentiation from migraine in some patients is difficult. The problems are in the identification of a specific headache pattern induced by stress or "tension" and the relationship of the symptom to involuntary contraction of neck and scalp muscles. Treatment consists of analgesics and occasionally mild tranquilizers. Psychotherapy consists of reassurance and often other supportive measures, including modification of life styles. Various feedback techniques have been reported of value, but their superiority to suggestion and hypnosis is still problematic.
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PMID:Tension headache. 66 20

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

Paroxysmal headache of the migraine type as well as permanent undulating headache (which we call cephalea) can lead to chronification, both often mixes within the chronification. Existence of psychogenic factors (in the broader sense) favourises chronification of headache. A self supporting circulus vitiosus may arise, in combination with the cervical column, depressivity, whiplash-injury, chronical over-use of drugs (often not without an iatrogenic component), expertise situations. Therapeutically we emphasise a polypragmasy orientated on target-symptoms. Analgesics and tranquilizers want to be excluded as much as possible. Clearly indicated antidepressant are of great value, physiotherapy and psychotherapy as well. As ultima ratio we administer a neuroleptic sleeping cure.
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PMID:[Chronified headache]. 147 92

We have treated a case of chronic fatigue syndrome with atopic diathesis was had suffered general malaise, low grade fever, swelling of the lymph nodes, myalgias and arthralgias for a long time. A 29-year-old female, who had been treated for atopic dermatitis for 5 years, complained of general malaise in May 1990. She was admitted to the nearest hospital in December 1990 because of low grade fever, swelling of the lymph nodes and an elevation of antinuclear antibody (2520x). She was transferred to our hospital in May 1991. A diagnosis of collagen disease was not compatible with her condition. In addition to general malaise, fever and lymph node swelling, headache, myalgias, muscle weakness, arthralgias and insomnia were observed, and a diagnosis of chronic fatigue syndrome was made based on the working case definition proposed by Holmes et al. Although eosinophilia, a high serum level of IgE, and elevation of RAST scores, low NK and ADCC activity, and a reduced level of NK cells in the peripheral blood were detected, serum antibodies to a number of viruses were in the normal range. Treatments with non-steroid anti-inflammatory drugs, minor tranquilizers and antidepressant drugs were not effective at all. An administration of magnesium sulphate was intravenously performed once a week in order to improve her condition, especially severe general malaise. After about 6-week's administration of magnesium sulphate, she noticed reduced easy fatigability and an improvement in her impaired daily activities. Finally she was able to leave the hospital in January 1992.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:[A case of chronic fatigue syndrome who showed a beneficial effect by intravenous administration of magnesium sulphate]. 149 95

The first approach in the emergency treatment of headache is the use of abortive measures in an attempt to forestall progression of early signs and symptoms. Abortive measures include analgesics, antiemetics, and anxiolytics; nonsteroidal anti-inflammatory drugs; ergots, generally preceded by administration of an antiemetic; conservative use of corticosteroids; major tranquilizers; and even narcotics (in certain extreme and selective situations). If abortive measures fail, IM or IV administration of dihydroergotamine mesylate, preceded by promethazine (IM) or metoclopramide (IM or IV) and followed by dexamethasone (IM or IV), is an effective emergency procedure. Every patient seeking care for headache from an emergency department should be instructed on how and where to obtain definitive follow-up and long-term treatment.
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PMID:Emergency treatment of headache. 155 91

A group of outpatients with chronic non-organic upper abdominal pain was followed up 5-7 years after the index investigation, to evaluate the predictive value of several variables on the basis of a questionnaire and a laboratory pain study. Fifty-four per cent had symptoms of irritable bowel syndrome. A low pain tolerance measured with an ischemic pain technique significantly predicted a poor course of the disease (P = 0.03). So did a high score indicating psychic vulnerability (P = 0.02) and two social factors: poor school and vocational education (P less than 0.01). Without significant predictive value were level of abdominal pain rated on a visual analogue scale, length of dyspepsia history, bowel habits, relation of pain to meals and to life events, heartburn, headache, back pain, dysmenorrhea, paresthesias in fingers or feet, present occupation, sex, marital status, days absent from work because of the disease, and consumption of tranquilizers, cigarettes, and alcohol. The findings indicate that psychologic factors and a low pain tolerance may be elements in this poorly understood syndrome. This is supported by earlier findings of a decreased pain tolerance and an elevated psychologic score in this group compared with controls.
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PMID:Predictors for the course of chronic non-organic upper abdominal pain. 278 Dec 39

A scale to evaluate the withdrawal syndrome induced by tranquilizers (TWS) is proposed to distinguish between anxiety induced symptoms and withdrawal induced symptoms. This scale was established and validated by Lader, the french translation was performed by the author. The most frequently observed symptoms during a withdrawal syndrome are physical tiredness, headache, vertigo and tremor but other symptoms are evaluated by this tranquilizers withdrawal scale.
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PMID:[A scale for evaluating withdrawal symptoms induced by anxiolytic agents]. 290 55

Out of the knowledge of various headache syndromes the physician has to develop a clear diagnostical and therapeutical concept. This is especially true for migraine. Relevant pathophysiological hypotheses are presented e.g. the neurogenic-vascular model of migraine. Metoclopramide and domperidone in combination with mono-analgesics, ergotamine and nonsteroidal-antiinflammatory drugs are favoured in the treatment of the acute migraine attack. 2 to 4 mg ergotamine for the attack, respectively 16 to 20 mg per month should not be exceeded. Mixed compounds, containing ergots, analgesics, codeine, caffeine, tranquilizers and barbiturates should be avoided as these drugs may induce rebound-headache. A prophylaxis of migraine is indicated if a migraineur suffers from at least 2 attacks per month or if a migraine attack lasts longer than 4 days. In the first place, beta-blockers and flunarizine, in some cases verapamil or naproxen, should be used; the effect of dihydroergotamine is questionable. Because of its severe side effects, methysergide should only be given if all other prophylactic drugs fail. Naproxen is standard medication in the short time prophylaxis of menstrual migraine.
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PMID:[Drug therapy of migraine]. 290 93

General concepts and specific factors to be used in the selection of patients for clinical drug trials in migraine are discussed. The definition of common migraine has been unsatisfactory and new diagnostic operational criteria are recommended. Patients with headaches that are a mixture of tension headache and migraine, and migraineurs who have interval headaches which are not clearly differentiated from migraine should be excluded. The headaches should be of moderate to severe degree, in the range of 2-6 per month, and should last from 3 h to 3 days. It would be best for migraine to have been present for at least 1 year, with 3 months retrospective and 2 months prospective observation prior to drug trial. The age of onset of migraine should be below 50, and the age of entry into the study less than 60. Migraineurs in good health, of either sex, are to be included in the study. Occasional use of minor tranquilizers and sedatives as well as of contraceptive drugs is acceptable, but patients who abuse drugs, who are allergic to compounds related to the trial drug and who require major psychotropic medication should be excluded. Also excluded are those whose compliance with the drug trial is doubtful for intellectual or, more often, psychological reasons.
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PMID:Selection of patients for clinical drug trials in migraine. 331 96


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