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Cervicogenic headache

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https://www.readbyqxmd.com/read/27910088/the-efficacy-of-greater-occipital-nerve-blockade-in-chronic-migraine-a-placebo-controlled-study
#1
H L Gul, A O Ozon, O Karadas, G Koc, L E Inan
OBJECTIVE: GON blockade with local anesthetics is an effective treatment for a group of headaches, such as cervicogenic headache, cluster headache, occipital neuralgia, migraine. Our aim was to evaluate the efficacy of greater occipital nerve (GON) blockade in patients with chronic migraine (CM) by using a control group. MATERIALS AND METHODS: We included 44 CM patients and randomly divide the patients into two groups, as group A (bupivacaine) and group B (placebo) to our study...
December 2, 2016: Acta Neurologica Scandinavica
https://www.readbyqxmd.com/read/27848263/joint-arthropathy-at-the-cranio-vertebral-junction-scintigraphic-patterns-on-bone-spect-ct
#2
Vittorio M Russo, Anneli Duits, Ranju T Dhawan, Adrian T H Casey
Osteoarthritic degeneration at the cranio-vertebral junction (CVJ) is an underrecognized source of suboccipital and neck pain, limited range of motion and cervicogenic headaches. Correlation of radiographic findings with clinical symptoms is often difficult. Limited evidence currently exists to support the use of bone single-photon emission computed tomography/computed tomography (SPECT/CT) in this subgroup of patients. The aim of this study was to describe the scintigraphic patterns of joint arthropathy at the CVJ on bone SPECT/CT in patients with suboccipital/neck pain and cervicogenic headache...
November 16, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27811528/clinical-efficacy-of-an-ultrasound-guided-greater-occipital-nerve-block-at-the-level-of-c2
#3
Matthew J Pingree, Joshua S Sole, Travis G Oʼ Brien, Jason S Eldrige, Susan M Moeschler
BACKGROUND AND OBJECTIVES: The purpose of this prospective open-label study was to investigate the analgesic effects of an ultrasound-guided greater occipital nerve (GON) block at the level of C2, as the nerve courses superficially to the obliquus capitis inferior muscle. METHODS: Patients with a diagnosis of occipital neuralgia or cervicogenic headache were recruited for the study. Ultrasound-guided GON blocks at the level of C2 were performed by experienced clinicians according to a standardized protocol...
November 2, 2016: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/27744136/do-subjects-with-acute-subacute-temporomandibular-disorder-have-associated-cervical-impairments-a-cross-sectional-study
#4
Harry von Piekartz, Ani Pudelko, Mira Danzeisen, Toby Hall, Nikolaus Ballenberger
BACKGROUND: There is preliminary evidence of cervical musculoskeletal impairment in some temporomandibular disorder (TMD) pain states. OBJECTIVES: To determine whether people with TMD, classified as either mild or moderate/severe TMD, have more cervical signs of dysfunction than healthy subjects. DESIGN: Cross-sectional survey. METHOD: Based on the Conti Amnestic Questionnaire and examination of the temporomandibular joint (Axis I classification of the Research Diagnostic Criteria for TMD), of 144 people examined 59 were classified to a mild TMD group, 40 to a moderate/severe TMD group and 45 to an asymptomatic control group without TMD...
December 2016: Manual Therapy
https://www.readbyqxmd.com/read/27716128/is-tailored-treatment-superior-to-non-tailored-treatment-for-pain-and-disability-in-women-with-non-specific-neck-pain-a-randomized-controlled-trial
#5
Åsa Svedmark, Mats Djupsjöbacka, Charlotte Häger, Gwendolen Jull, Martin Björklund
BACKGROUND: The evidence for the effect of treatments of neck pain is modest. In the absence of causal treatments, a possibility is to tailor the treatment to the individuals' functional limitations and symptoms. The aim was to evaluate treatment effects of a tailored treatment versus a non-tailored treatment. Our hypothesis was that tailored treatment (TT) would have better effect on pain intensity and disability than either non-tailored treatment (NTT) (same treatment components but applied quasi-randomly) or treatment-as-usual (TAU) (no treatment from the study, no restrictions)...
September 30, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27684803/cervicogenic-headache-alleviation-after-cervical-coblation-nucleoplasty-a-prospective-cohort-study
#6
Liangliang He, Jianning Yue, Liqiang Yang, Baishan Wu, Guoqing Cao, Yuna Guo, Guanghui Lai, Yuanzhang Tang, Jiaxiang Ni
A degenerative cervical disc is a pain generator for headaches, and headaches can benefit from cervical prolapse surgery. However, as an alternative intervention for open cervical surgery, no study has reported whether headaches can benefit from cervical nucleoplasty.The objective of this study was to evaluate the efficacy of cervical coblation nucleoplasty in the treatment of cervicogenic headaches.In a prospective cohort study performed between December 2013 and August 2015, 20 patients with cervicogenic headaches undergoing cervical nucleoplasty for shoulder-arm pain were recruited into group C, and 20 patients with cervicogenic headaches undergoing lumbar nucleoplasty for low back pain, matched for age and sex, were recruited into group L...
September 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27676679/currently-recommended-ton-injectate-volumes-concomitantly-block-the-gon-clinical-implications-for-managing-cervicogenic-headache
#7
Sayed E Wahezi, Kyle Silva, Naum Shaparin, Andrew Lederman, Mohammed Emam, Nogah Haramati, Sherry A Downie
BACKGROUND: Headache (HA) is a significant cause of morbidity globally. Despite many available treatment options, HAs that are refractory to conservative management can be challenging to treat. Third occipital nerve (TON) and greater occipital nerve (GON) irritation are potential etiologic agents of primary and cervicogenic HAs that can be targeted using minimally invasive treatment options such as nerve blocks or radiofrequency ablation. However, a substantial number of patients that undergo radiofrequency ablation do not experience pain relief despite a positive diagnostic medial branch block (MBB)...
September 2016: Pain Physician
https://www.readbyqxmd.com/read/27676673/ultrasound-guided-intermediate-site-greater-occipital-nerve-infiltration-a-technical-feasibility-study
#8
Jonathan Zipfel, Adrian Kastler, Laurent Tatu, Julien Behr, Rachid Kechidi, Bruno Kastler
BACKGROUND: Two studies recently reported that computed tomography (CT) guided infiltration of the greater occipital nerve at its intermediate site allows a high efficacy rate with long-lasting pain relief following procedure in occipital neuralgia and in various craniofacial pain syndromes. OBJECTIVE: The purpose of our study was to evaluate the technical feasibility and safety of ultrasound-guided intermediate site greater occipital nerve infiltration. STUDY DESIGN: Retrospective study...
September 2016: Pain Physician
https://www.readbyqxmd.com/read/27620871/graded-aerobic-treadmill-testing-in-pediatric-sports-related-concussion-safety-clinical-use-and-patient-outcomes
#9
Dean Cordingley, Richard Girardin, Karen Reimer, Lesley Ritchie, Jeff Leiter, Kelly Russell, Michael J Ellis
OBJECTIVE The objectives of this study were 2-fold: 1) to evaluate the safety, tolerability, and clinical use of graded aerobic treadmill testing in pediatric patients with sports-related concussion (SRC), and 2) to evaluate the clinical outcomes of treatment with a submaximal aerobic exercise program in patients with physiological post-concussion disorder (PCD). METHODS The authors conducted a retrospective chart review of pediatric patients (age < 20 years) with SRC who were referred to a multidisciplinary pediatric concussion program and underwent graded aerobic treadmill testing between October 9, 2014, and February 11, 2016...
December 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27582619/cervico-cephalalgiaphobia-a-subtype-of-phobia-in-patients-with-cervicogenic-headache-and-neck-pain-a-pilot-study
#10
Rob A B Oostendorp, Hans Elvers, Emilia Mikolajewska, Nathalie Roussel, Emiel van Trijffel, Han Samwel, Jo Nijs, William Duquet
OBJECTIVES: The term 'cephalalgiaphobia' was introduced in the mid-1980s and defined as fear of migraine (attacks). We hypothesized that a specific subtype of cephalalgiaphobia affects patients with cervicogenic headache (CEH). This study aimed to: (1) define the term 'cervico-cephalalgiaphobia'; (2) develop a set of indicators for phobia relevant to patients with CEH; and (3) apply this set to a practice test in order to estimate the frequency of cervico-cephalalgiaphobia in the Dutch primary care practice of manual physical therapy...
September 2016: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/27582617/a-normative-study-of-cervical-range-of-motion-measures-including-the-flexion-rotation-test-in-asymptomatic-children-side-to-side-variability-and-pain-provocation
#11
Kim Budelmann, Harry von Piekartz, Toby Hall
OBJECTIVES: Cervical movement impairment has been identified as a core component of cervicogenic headache evaluation. However, normal range of motion values in children has been investigated rarely and no study has reported such values for the flexion-rotation test (FRT). The purpose of this study was to identify normal values and side-to-side variation for cervical spine range of motion (ROM) and the FRT, in asymptomatic children aged 6-12 years. Another important purpose was to identify the presence of pain during the FRT...
September 2016: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/27559275/the-influence-of-home-exercise-programs-for-patients-with-non-specific-or-specific-neck-pain-a-systematic-review-of-the-literature
#12
REVIEW
Margaret Zronek, Holly Sanker, Jennifer Newcomb, Megan Donaldson
STUDY DESIGN: Systematic review of randomized controlled trials (RCT). OBJECTIVES: To examine the effects of a therapeutic home exercise program (HEP) for patients with neck pain (associated with whiplash, non-specific, or specific neck pain, with or without radiculopathy, or cervicogenic headache) on pain, function, and disability. Our secondary aim was to describe the design, dosage, and adherence of the prescribed HEPs. BACKGROUND: Neck pain is a leading cause of disability that affects 22-70% of the population...
May 2016: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/27555998/relief-of-cervicogenic-headaches-after-single-level-and-multilevel-anterior-cervical-diskectomy-a-5-year-post-hoc-analysis
#13
Jonathan J Liu, Gilbert Cadena, Ripul R Panchal, Rudolph J Schrot, Kee D Kim
STUDY DESIGN: Prospective study. OBJECTIVE: Because single-level disk arthroplasty or arthrodesis in the lower subaxial spine improves headaches after surgery, we studied whether this effect may be better appreciated after two-level arthroplasty. METHODS: We performed an independent post hoc analysis of two concurrent prospective randomized investigational device exemption trials for cervical spondylosis, one for single-level treatment and the other for two adjacent-level treatments...
September 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27497890/effectiveness-of-physiotherapy-for-seniors-with-recurrent-headaches-associated-with-neck-pain-and-dysfunction-a-randomized-controlled-trial
#14
Sureeporn Uthaikhup, Jenjira Assapun, Kanokwan Watcharasaksilp, Gwendolen Jull
BACKGROUND CONTEXT: A previous study demonstrated that in seniors, the presence of cervical musculoskeletal impairment was not specific to cervicogenic headache but was present in various recurrent headache types. Physiotherapy treatment is indicated in those seniors diagnosed with cervicogenic headache but could also be adjunct treatment for those with cervical musculoskeletal signs who are suspected of having transitional headaches. PURPOSE: To determine the effectiveness of a physiotherapy program for seniors with recurrent headaches associated with neck pain and cervical musculoskeletal dysfunction, irrespective of the headache classification...
August 4, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27385490/a-case-of-cervicogenic-headache-caused-by-c5-nerve-root-derived-shwannoma-case-report
#15
Gakuji Gondo, Tsuyoshi Watanabe, Junya Kawada, Masahiko Tanaka, Kazuaki Yamamoto, Satoshi Tanaka, Satoshi Endo
INTRODUCTION: We report a case of cervicogenic headache caused by an intradural extramedullary tumor of the middle cervical spine, which has not previously been reported. CASE PRESENTATION: The patient was a 73-year-old male who visited a physician for a chief complaint of pain from the left lower jaw to the auricle and occipital region. The headache was induced with retroflexion of the neck. On cervical magnetic resonance imaging, an intradural extramedullary tumor was noted on the left side at the C4/5 level...
July 5, 2016: Cephalalgia: An International Journal of Headache
https://www.readbyqxmd.com/read/27342391/consensus-recommendations-for-anaesthetic-peripheral-nerve-block
#16
S Santos Lasaosa, M L Cuadrado Pérez, A L Guerrero Peral, M Huerta Villanueva, J Porta-Etessam, P Pozo-Rosich, J A Pareja
INTRODUCTION: Anaesthetic block, alone or in combination with other treatments, represents a therapeutic resource for treating different types of headaches. However, there is significant heterogeneity in patterns of use among different professionals. DEVELOPMENT: This consensus document has been drafted after a thorough review and analysis of the existing literature and our own clinical experience. The aim of this document is to serve as guidelines for professionals applying anaesthetic blocks...
June 22, 2016: Neurología: Publicación Oficial de la Sociedad Española de Neurología
https://www.readbyqxmd.com/read/27317503/exercises-for-mechanical-neck-disorders-a-cochrane-review-update
#17
REVIEW
A R Gross, J P Paquin, G Dupont, S Blanchette, P Lalonde, T Cristie, N Graham, T M Kay, S J Burnie, G Gelley, C H Goldsmith, M Forget, P L Santaguida, A J Yee, G G Radisic, J L Hoving, G Bronfort
BACKGROUND: Neck pain (NP) is disabling and costly. OBJECTIVES: To assess the effectiveness of exercise on pain, disability, function, patient satisfaction, quality of life (QoL) and global perceived effect (GPE) in adults with NP. METHODS: We searched computerised databases up to May 2014 for randomized controlled trials (RCTs) comparing exercise to a control in adults with NP with/without cervicogenic headache (CGH) or radiculopathy. Two reviewers independently conducted selection, data abstraction and assessed risk of bias...
August 2016: Manual Therapy
https://www.readbyqxmd.com/read/27280016/dose-response-of-spinal-manipulation-for-cervicogenic-headache-study-protocol-for-a-randomized-controlled-trial
#18
Linda Hanson, Mitchell Haas, Gert Bronfort, Darcy Vavrek, Craig Schulz, Brent Leininger, Roni Evans, Leslie Takaki, Moni Neradilek
BACKGROUND: Cervicogenic headache is a prevalent and costly pain condition commonly treated by chiropractors. There is evidence to support the effectiveness for spinal manipulation, but the dose of treatment required to achieve maximal relief remains unknown. The purpose of this paper is to describe the methodology for a randomized controlled trial evaluating the dose-response of spinal manipulation for chronic cervicogenic headache in an adult population. METHODS/DESIGN: This is a mixed-methods, two-site, prospective, parallel groups, observer-blind, randomized controlled trial conducted at university-affiliated research clinics in the Portland, OR and Minneapolis, MN areas...
2016: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/27256162/a-cross-sectional-clinic-based-study-in-patients-with-side-locked-unilateral-headache-and-facial-pain
#19
Sanjay Prakash, Chaturbhuj Rathore, Prayag Makwana, Ankit Dave
OBJECTIVE: To undertake the epidemiological evaluation of the patients presenting with side-locked headache and facial pain in a tertiary neurology outpatient clinic. BACKGROUND: Side-locked unilateral headache and facial pain include a large number of primary and secondary headaches and cranial neuropathies. A diagnostic approach for the patients presenting with strictly unilateral headaches is important as many of these headache disorders respond to a highly selective drug...
July 2016: Headache
https://www.readbyqxmd.com/read/27230912/intradural-synovial-cyst-of-the-atlantoaxial-joint-a-case-report
#20
Sebastian Hartmann, Anja Tschugg, Pujan Kavakebi, Claudius Thomé
BACKGROUND: Intradural synovial cysts of the cervical spine represent a rare disease entity, causing stenosis of the spinal canal and thereby leading to progressive myelopathy. In particular, at the cranio-cervical junction early intervention is necessary to prevent permanent neurological dysfunction. We present the case of a 74-year-old man who presented with moderate cervicogenic headache, gait disturbance and progressive left-sided weakness. Magnetic resonance imaging (MRI) of the cervical spine confirmed a left-sided cystic mass located anteriorly at the craniovertebral junction compressing the surrounding structures...
August 2016: Acta Neurochirurgica
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