DOI: https://doi.org/10.22141/2224-0713.2.104.2019.161634

Features of pain syndrome in patients with episodic and chronic tension-type headache

Yu.I. Romanenko, I.A. Grigorova, I.V. Romanenko, I.Yu. Romanenko

Abstract


Background. Tension-type headache (TTH) is the most common type of headache. Some studies have shown that muscle tension increases significantly with an increase in the frequency of TTH, muscle tenderness may increase during attacks of headache. It has been suggested that the continuous nociceptive contribution of peripheral myofascial structures can cause central sensitization and, possibly, chronic headache. The aim of this work was to study the peculiarities of pain syndrome in patients with episodic and chronic TTH. Materials and methods. A total of 108 patients (55 men, 53 women) diagnosed with frequent episodic tension-type headache (group I, n = 64) and chronic tension-type headache (group II,
n = 44) were examined. Clinical neurological examination, palpation
of the pericranial and neck muscles on both sides were carried out, with counting the number of tender pericranial muscles (NTPM) and tender neck muscles (NTNM) for each patient and their average number in the group. The subjective severity of pain was determined using visual analogue scale, McGill pain questionnaire was used to characterize the headache. Results. Data of visual analogue scale in both groups did not differ significantly, pain was moderate with a tendency to be more severe in group II. In both groups, the palpation tenderness of the pericranial and neck muscles on both sides was mainly in the range from mild to moderate, except for the trapezoid and splenius muscle of the head, where the pain was moderate to severe. In group I compared with group II, there was a significant increase in the number of NTPM and NTNM on the left side, NTPM on the right side, and no differences between NTNM in groups I and II were noted. In patients with episodic TTH, the severity of muscle tenderness decreased with age; indicators describing sensory and psycho-emotional characteristics of pain were higher, a positive correlation was found between the pericranial muscle tenderness and the severity and frequency of headaches per month. In patients with chronic TTH, a correlation was found between the severity, the average duration of headache per month, the sensory and psycho-emotional characteristics of pain, which may indicate the involvement of central and peripheral nociceptive mechanisms in the pathogenesis of chronic TTH. Conclusions. The presence of muscle tenderness, sensory and psychoemotional characteristics of pain must be taken into account when planning treatment and rehabilitation strategies that will prevent the progression and chronicity of headache, and contribute to improvement in the quality of life of patients.


Keywords


episodic tension-type headache; chronic tension-type headache; pericranial muscle tenderness; neck muscle tenderness; visual analog scale; McGill pain questionnaire

References


Lyngberg AC, Rasmussen BK, Jorgensen T, Jensen R. Has the prevalence of migraine and tension-type headache changed over a 12-year period? A Danish population survey. Eur J Epidemiol. 2005;20(3):243–249. doi: 10.1007/s10654-004-6519-2.

Russell MB, Levi N, Saltyte-Benth J, Fenger K. Tension-type headache in adolescents and adults: a population based study of 33,764 twins. Eur J Epidemiol. 2006;21(2):153–160. doi: 10.1007/s10654-005-6031-3.

Yu S, Han X. Update of chronic tension-type headache. Curr Pain Headache Rep. 2015 Jan;19(1):469. doi: 10.1007/s11916-014-0469-5.

Bigal ME, Lipton RB. Tension-type headache: classification and diagnosis. Curr Pain Headache Rep. 2005 Dec;9(6):423-9.

Yu S, Han X. Update of chronic tension-type headache. Curr Pain Headache Rep. 2015 Jan;19(1):469. doi: 10.1007/s11916-014-0469-5.

Fuensalida-Novo S, Palacios-Ceña M, Fernández-Muñoz JJ, Castaldo M, Wang K, Catena A, Arendt-Nielsen L, Fernández-de-Las-Peñas C. The burden of headache is associated to pain interference, depression and headache duration in chronic tension type headache: a 1-year longitudinal study. J Headache Pain. 2017;18(1):119. doi: 10.1186/s10194-017-0829-8.

Probyn K, Bowers H, Caldwell F, Mistry D, Underwood M, Matharu M, Pincus T; CHESS Team. Prognostic factors for chronic headache: A systematic review. Neurology. 2017;89(3):291-301. doi: 10.1212/WNL.0000000000004112.

Wei CB, Jia JP, Wang F, Zhou AH, Zuo XM, Chu CB. Overlap between Headache, Depression, and Anxiety in General Neurological Clinics: A Cross-sectional Study. Chin Med J (Engl). 2016, 129 (12):1394-9. doi: 10.4103/0366-6999.183410.

Bendtsen L, Fernández-de-la-Peñas C. The role of muscles in tension-type headache. Curr Pain Headache Rep. 2011 Dec;15(6):451-8. doi: 10.1007/s11916-011-0216-0.

Fernandez-de-las-Penas C, Cuadrado ML, Arendt-Nielsen L, Ge HY, Pareja JA. Increased pericranial tenderness, decreased pressure pain threshold, and headache clinical parameters in chronic tension-type headache patients. Clin J Pain. 2007;23(4):346–352. doi: 10.1097/AJP.0b013e31803b3770.

Madsen BK, Søgaard K, Andersen LL, Skotte J, Tornøe B, Jensen RH. Neck/shoulder function in tension-type headache patients and the effect of strength training. J Pain Res. 2018 Feb 23;11:445-454. doi: 10.2147/JPR.S146050.

Alonso-Blanco C, Fernández-de-las-Peñas C, Fernández-Mayoralas DM, de-la-Llave-Rincón AI, Pareja JA, Svensson P. Prevalence and anatomical localization of muscle referred pain from active trigger points in head and neck musculature in adults and children with chronic tension-type headache. Pain Med. 2011 Oct;12(10):1453-63. doi: 10.1111/j.1526-4637.2011.01204.x.

Ashina S, Bendtsen L, Lyngberg AC, Lipton RB, Hajiyeva N, Jensen R. Prevalence of neck pain in migraine and tension-type headache: a population study. Cephalalgia. 2015 Mar;35(3):211-9. doi: 10.1177/0333102414535110.

Abboud J, Marchand AA, Sorra K, Descarreaux M. Musculoskeletal physical outcome measures in individuals with tension-type headache: a scoping review. Cephalalgia. 2013 Dec;33(16):1319-36. doi: 10.1177/0333102413492913.

Ashina S, Bendtsen L, Buse DC, Lyngberg AC, Lipton RB, Jensen R. Neuroticism, depression and pain perception in migraine and tension-type headache. Acta Neurol Scand. 2017 Nov;136(5):470-476. doi: 10.1111/ane.12751.

Bendtsen L. Central sensitization in tension-type headache–possible pathophysiological mechanisms. Cephalalgia. 2000;20(5):486–508. doi: 10.1046/j.1468-2982.2000.00070.x.

Bezov D, Ashina S, Jensen R, Bendtsen L. Pain perception studies in tension-type headache. Headache. 2011 Feb;51(2):262-71. doi: 10.1111/j.1526-4610.2010.01768.x.

Danilov A.B. Diagnosis and treatment of fibromyalgia. Lechashhij Vrach. 2012;5:30-34 (in Russian).

Breivik H., Borchgrevink C., Allen S.M. et al. Assessment of pain. Br. J. Anaesth. 2008;101(1):17—24. doi: https://doi.org/10.1093/bja/aen103

Hawker G, Mian H, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short‐Form McGill Pain Questionnaire (SF‐MPQ), Chronic Pain Grade Scale (CPGS), Short Form‐36 Bodily Pain Scale (SF‐36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11:S240-52. doi: 10.1002/acr.20543.

Kjersti Aaseth, Ragnhild Berling Grande, Christofer Lundqvist, Michael Bjørn Russell. Pericranial tenderness in chronic tension-type headache: the Akershus population-based study of chronic headache. J Headache Pain. 2014 Feb;15(1):58. doi: 10.1186/1129-2377-15-58.

Ching-I Hung, Chia-Yih Liu, Ching-Hui Yang and Shuu-Jiun Wang. Headache: an important factor associated with muscle soreness/pain at the two-year follow-up point among patients with major depressive disorder. J Headache Pain. 2016;17: 57. https://doi.org/10.1186/s10194-016-0648-3




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