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

Inspired by the work of Bonica (Seattle, USA), the university clinic of Mainz has formed a study-group (existing since 5 years) which deals not only with the problems but also with the interpretation and treatment of chronic pain. Through the interdisciplinary co-work between collegues from different branches, 618 patients afflicted with chronic headache were examined and therapeutic plans were developed. These therapeutic plans have in general proved to be very successful compared to single, limited treatments by the different branches of medicine. Important experiences for the otolaryngologist as well as the general work to the organisation are discovered in detail.
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PMID:[Chronic headache: experiences of 5 years interdisciplinary work]. 13 79

A course of 10 daily acupuncture treatments was given to 200 patients who suffered from chronic pain syndromes of at least one year duration and the result assessed at the end of the course of treatment and after an interval of at least 2 months. Treatments were individualized using needling of body loci distally and near the site of pain, and ear acupuncture. In 38 patients suffering from chronic headaches, including 13 cases of migraine-type headache, 81% reported an improvement in their condition, but only one patient was pain free for the 2-month observation period. In 162 patients with other chronic pain problems, 99 or 61% were improved or pain free at the end of treatment; in 69 of these a worthwhile degree of improvement persisted over the observation period of 2 months. Thirteen percent of all patients did not respond to acupuncture and in 26% the response was considered as transient only. Daily treatments are not more effective than weekly or biweekly treatments. Pain in the neck and shoulder region, in the knee and low back pain responded to acupuncture with prolonged improvement in over 50% of the patients treated. Facial pain syndromes and pain in the region of the trunk were least responsive and only 3 of 11 patients with post-herpetic neuralgia reported still having less pain after 2 months. Needling of effective loci and particularly ear needling often causes an instantaneous reduction or disappearance of pain; the speed of this response can only be explained by a mechanism within the nervous system. Based on our experience acupuncture represents a useful therapeutic modality in the management of pain.
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PMID:Acupuncture in chronic pain. 13 11

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

Forty-seven patients with acne, unresponsive to tetracycline and erythromycin, were treated with 100 mg minocycline daily. About one-quarter showed a 50% improvement or better. Five patients became dizzy during the first week of therapy, making it necessary to stop the medication in four instances. Two patients stopped treatment after several months because of esophagitis in one and headaches in another. Vestibular side effects are the most common complication of treatment. Patients should be warned about this side effect and if it occurs should avoid driving or handling machines. In some instances, dizziness may be so severe that the drug will have to be discontinued.
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PMID:Acne: treatment with minocycline. 13 56

The frequent association between headache and hypertension has been recognized since the introduction of the sphygmomanometer. A cause and effect relationship proposed by early writers and widely accepted in the medical and lay community has been proposed, questioned and re-examined. The purpose of this review is to scan the literature on the subject, to present some factual data obtained from a 20 year follow-up study carried out at the Cardio-Vascular Clinic, Sydney Hospital and to summarize some personal views currently held on the relationship of hypertension and headache.
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PMID:Hypertension and headache. 14 Jun 51

Recognizing that pain is not a sensory sensation, but a subjective feeling, the neuroanatomical and neurophysiological aspects are shortly discussed which are the prerequisites of pain as an original phenomenon in higher life. The subcortical feeling of pain is compared with the pain sensation which extends to large parts of the cortex. The experience of pain may be suppressed or increased by the cortex. Since pain as a subjective phenomenon cannot be objectivated directly, the pain analysis has to consider the history of the patient and particularly the anatomical and physiological basis. The clinical diagnosis of facial and head pain differentiates the various pain syndrome which as localized pain are usually caused by externally visible changes from those projected pain phenomena in genuine or symptomatic neuralgias as well as referred pain sensations (e.g. in intracranial or occipitocervical lesions).
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PMID:[Facial and head pain from the neurologist's point of view (author's transl)]. 14 Sep 72

From the otolaryngologist's point of view, there are multiple causes for the frequent symptom of facial and head pain: headaches due to ear diseases: pain extending to the ear region, with special regard to "referred otalgia" involving the cranail nerves V, IX, X; facial pain due to temporomandibular dysfunction; rhinological causes of facial and head pain, including posttraumatic trigeminal neuralgia and "facial sympathalgies"; the syndrome of the elongated styloid process. The diagnosis and therapy of the "typical" ENT diseases is not described in detail since the paper deals mainly with less known and, regarding their diagnosis and treatment, problematic diseases.
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PMID:[Facial and head pain from the otorhinolaryngologist's point of view (author's transl)]. 14 Sep 75

We review the literature on the application of electromyographic (EMG) biofeedback to tension-related headaches, back and shoulder pain, and temporomandibular joint (TMJ) pain and present clinical treatment data on 18 patients with tension headaches, eight patients with back and shoulder pain, and six patients with TMJ pain. Electromyographic tension levels declined in all groups of patients; pain declined significantly in 12 of 18 patients with tension headaches and one of eight back pain patients, and decreased slightly in three headache patients, three back and shoulder pain patients, and two patients with TMJ pain. Conclusions suggest that EMG biofeedback is generally more effective in treating tension headaches, but much less effective in the treatment of back, shoulder, or jaw pain, although the numbers of patients are small in the latter two groups.
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PMID:Electromyographic biofeedback for pain related to muscle tension. A study of tension headache, back, and jaw pain. 14 23

A total of 2,716 patients attended a neurological out-patient clinic in North East England between May 1970 and May 1974. The symptomatology of 358 patients with primary psychiatric illness has been analyzed in a retrospective study. There were 172 symptom wordings and these were grouped in 18 headings. The most common symptoms were headache, dizziness and pain in the body. The presenting symptoms were analyzed with reference to age, sex, pattern of referral, diagnostic category and method of disposal. Aspects of non-organic disease in a neurological clinic are discussed.
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PMID:Primary psychiatric illness in a neurological out-patient department in North East England. An assessment of symptomatology. 14 14

Side effects of metrizamide (Amipaque) and meglumine iocarmate (Dimer-X) were compared in lumbar myelography of 161 patients by a prospective, parallel, interview study. Severe complications were not observed. The percentage pairs of smaller complications were mainly in favour of Dimer-X, but in 2 of the 54 pairs only the difference did raise to a significant level. In one pair there were less symptomless patients after Amipaque-myelography (p less than 0.05) and in another pair the men had more headache after Amipaque-myelography (p less than 0.01). It may be possible to show with larger comparative series, that Amipaque has a tendency to cause more central-subcortical or meningeal-side effects than Dimer-X.
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PMID:[Side effect of metrizamide and meglumine iocarmate in lumbar myelography. A prospective, parallel, interview study (author's transl)]. 14 86


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