Widespread sensory hypersensitivity is not a feature of chronic headache in elders

The Clinical Journal of Pain
Sureeporn UthaikhupGwendolen Jull

Abstract

To investigate if hypersensitivity is present in elders with pain. Chronic headache was used as a model of chronic pain and mechanical and thermal pain thresholds were measured. Ninety-three people with headache and 44 control individuals participated in the study. Headache patients completed a headache questionnaire. Pressure pain thresholds were measured over the forehead, upper neck, and at a remote site (tibialis anterior). Heat and cold pain thresholds were measured over the upper neck. In the headache group, 26 had headaches classifiable as migraine, 10 with tension-type, 24 with cervicogenic, and 33 headaches were unclassifiable. There were no significant differences between the headache groups and controls in pressure and cold pain thresholds (all P>0.05). Heat pain thresholds were significantly lower in the headache groups (all P<0.01) but there were no differences between headache types (all P>0.05). No strong relationships were found between any headache variables and pain thresholds. Central hyperexcitability does not seem to be a feature of elders with headache. This may be as a consequence of age-related changes in the sensory system but could also be related to the nature of the stimulus provided. Further researc...Continue Reading

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Citations

Jun 28, 2013·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Alessandro ChiarottoJorge Hugo Villafañe
Jul 1, 2014·The Journal of Manual & Manipulative Therapy·César Fernández-de-Las-Peñas, Carol A Courtney
Jun 4, 2015·PloS One·Sureeporn UthaikhupKritsana Boontha
Dec 12, 2012·Surgical Neurology International·Claudio YampolskyDamián Bendersky
Oct 11, 2019·Journal of Neural Transmission·Gianluca CoppolaFrancesco Pierelli
Sep 23, 2020·Cephalalgia : an International Journal of Headache·César Fernández-de-Las-PeñasLars Bendtsen
May 19, 2020·Cephalalgia : an International Journal of Headache·Li-Ling Hope PanShuu-Jiun Wang
Aug 18, 2018·Frontiers in Neurology·Antonio RussoGioacchino Tedeschi

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