A1 Journal article – refereed

Characteristics of neck pain associated with adolescent headache




List of Authors: Laimi K, Salminen JJ, Metsähonkala L, Vahlberg T, Mikkelsson M, Anttila P, Aromaa M, Rautava Päivi, Suominen S, Liljeström MR, Sillanpää M.

Publisher: BLACKWELL PUBLISHING

Publication year: 2007

Journal: Cephalalgia

Journal name in source: CEPHALALGIA

Journal acronym: CEPHALALGIA

Volume number: 27

Issue number: 11

Number of pages: 11

ISSN: 0333-1024

DOI: http://dx.doi.org/10.1111/j.1468-2982.2007.01439.x


Abstract

The objective of the study was to find out what kind of neck pain (NP) is associated with headache (HA) and with various headache variables: frequency, type, intensity, disturbance, and relief with analgesics. A population-based sample of 12-year-olds with and without HA (n = 304) was followed for 4 years. At the age of 16 years, NP was evaluated on the basis of self-reported symptoms and a thorough physical examination of the neck region. Both self-reported and measured NP were associated with HA variables. Co-occurrent NP was found in adolescents with migraine as often as in those with tension-type HA. Especially, muscle pain and intensive, frequent NP were associated with disturbing HA unresponsive to analgesics. The study indicates that concomitant NP should be considered in adolescent HA sufferers, and a thorough cervical and muscle evaluation is recommended when planning the treatment of HA.



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