Pain sensitivity in relation to frequency of migraine and tension-type headache with or without coexistent neck pain: an exploratory secondary analysis of the population study
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Pain sensitivity in relation to frequency of migraine and tension-type headache with or without coexistent neck pain : an exploratory secondary analysis of the population study. / Ashina, Sait; Bendtsen, Lars; Burstein, Rami; Iljazi, Afrim; Jensen, Rigmor Hoejland; Lipton, Richard B.
I: Scandinavian Journal of Pain, Bind 23, Nr. 1, 2023, s. 76-87.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Pain sensitivity in relation to frequency of migraine and tension-type headache with or without coexistent neck pain
T2 - an exploratory secondary analysis of the population study
AU - Ashina, Sait
AU - Bendtsen, Lars
AU - Burstein, Rami
AU - Iljazi, Afrim
AU - Jensen, Rigmor Hoejland
AU - Lipton, Richard B.
PY - 2023
Y1 - 2023
N2 - Objectives: We aimed to investigate whether coexistent self-reported neck pain influences cephalic and extracephalic pain sensitivity in individuals with migraine and tension-type headache (TTH) in relation to diagnosis and headache frequency.Methods: A population of 496 individuals completed a headache interview based on ICHD criteria, providing data collected by self-administered questionnaires, assessments of pericranial total tenderness score (TTS) and pressure pain thresholds (PPT). Stimulus-response (SR) functions for pressure vs. pain were recorded. Presence of neck pain in the past year was assessed by the self-administered questionnaire. We categorized participants by primary headache type. We also categorized participants into 3 groups by headache frequency: chronic (>= 15) or episodic (Results: Individuals with chronic followed by episodic headache had higher TTS than controls (overall 130.001). The difference between chronic and episodic headache subgroups was significant in the group with neck pain (130.001) but not in the group without neck pain. In individuals with neck pain, mean TTS was higher in coexistent headache (migraine and TTH), 23.2 +/- 10.7, and pure TTH, 17.8 +/- 10.3, compared to pure migraine, 15.9 +/- 10.9 and no headache 11.0 +/- 8.3 (overall pConclusions: Coexistent neck pain is associated with greater pericranial tenderness in individuals with chronic headache and to a lesser degree in those with episodic headache. Sensitization maybe a substrate or consequence of neck pain and primary headache, but a longitudinal study would be needed for further clarification.
AB - Objectives: We aimed to investigate whether coexistent self-reported neck pain influences cephalic and extracephalic pain sensitivity in individuals with migraine and tension-type headache (TTH) in relation to diagnosis and headache frequency.Methods: A population of 496 individuals completed a headache interview based on ICHD criteria, providing data collected by self-administered questionnaires, assessments of pericranial total tenderness score (TTS) and pressure pain thresholds (PPT). Stimulus-response (SR) functions for pressure vs. pain were recorded. Presence of neck pain in the past year was assessed by the self-administered questionnaire. We categorized participants by primary headache type. We also categorized participants into 3 groups by headache frequency: chronic (>= 15) or episodic (Results: Individuals with chronic followed by episodic headache had higher TTS than controls (overall 130.001). The difference between chronic and episodic headache subgroups was significant in the group with neck pain (130.001) but not in the group without neck pain. In individuals with neck pain, mean TTS was higher in coexistent headache (migraine and TTH), 23.2 +/- 10.7, and pure TTH, 17.8 +/- 10.3, compared to pure migraine, 15.9 +/- 10.9 and no headache 11.0 +/- 8.3 (overall pConclusions: Coexistent neck pain is associated with greater pericranial tenderness in individuals with chronic headache and to a lesser degree in those with episodic headache. Sensitization maybe a substrate or consequence of neck pain and primary headache, but a longitudinal study would be needed for further clarification.
KW - central sensitization
KW - comorbidity
KW - headache
KW - neck pain
KW - pain threshold
KW - peripheral sensitization
KW - population
KW - tenderness
KW - MYOFASCIAL TRIGGER POINTS
KW - MUSCLE TENDERNESS
KW - CENTRAL SENSITIZATION
KW - TEMPORAL REGION
KW - GLOBAL BURDEN
KW - PREVALENCE
KW - EPIDEMIOLOGY
KW - DISABILITY
KW - NOCICEPTION
KW - THRESHOLD
U2 - 10.1515/sjpain-2022-0030
DO - 10.1515/sjpain-2022-0030
M3 - Journal article
C2 - 36137215
VL - 23
SP - 76
EP - 87
JO - Scandinavian Journal of Pain
JF - Scandinavian Journal of Pain
SN - 1877-8860
IS - 1
ER -
ID: 321552939