Journals / Gülhane Tıp Dergisi / 2019 / Cilt: 61 - Sayı: 3

The efficacy of local anesthetic application to pericranial muscles in the treatment of episodic tension type headache in elderly population

Pages
128–131
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusions:Local lidocaine injections into the pericranial muscles can be used as an effective method in the treatment of episodic TTH in the elderly.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aims:Tension Type Headache (TTH), which is one of the primary headaches, has episodic and chronic types.
📊
Key Findings & Data:Methods:Twenty-five patients with a diagnosis of episodic TTH over the age of 65 were included in the study.
💡
Conclusion & Impact:Conclusions:Local lidocaine injections into the pericranial muscles can be used as an effective method in the treatment of episodic TTH in the elderly.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Aims:Tension Type Headache (TTH), which is one of the primary headaches, has episodic and chronic types. Peripheral and central nociceptive mechanisms plays a role in the pathogenesis of TTH. In the acute treatment of TTH, simple and combined analgesics, and antidepressants are used for preventive therapy, but new therapy options are needed. The aim of this study is to determine the therapeutic efficacy of local lidocaine injections to pericranial muscles in elderly patients with Episodic Tension Type Headache. Methods:Twenty-five patients with a diagnosis of episodic TTH over the age of 65 were included in the study. The patients received local 0.5% of lidocaine injections once a week for 4 sessions. Each patient received two injections to frontal muscles, temporal muscles, masseter muscles, sternocloidomastoid muscles, semispinalis capitis muscles, splenius capitis muscles and trapezius muscles bilaterally. The painful days, pain intensity (VAS-Visual Analog Scale) and the number of analgesics they had used were compared. Results:The median age of the patients were 67 (min-max: 65-80) years. The number of painful days, pain intensity (VAS -Visual Analogue Scale) and the number of analgesics they had used after injection were statistically significantly lower ( p <0.05) . Conclusions:Local lidocaine injections into the pericranial muscles can be used as an effective method in the treatment of episodic TTH in the elderly.

🔖

Cite This Article

ÖZTÜRK, B., ÖZÖN, A. Ö. (2019). The efficacy of local anesthetic application to pericranial muscles in the treatment of episodic tension type headache in elderly population. Gülhane Tıp Dergisi, Cilt: 61 - Sayı: 3, 128–131. https://ajindex.com/articles/160467

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Özge A, Karadaş Ö. Baş ağrısı sınıflamaları Turkiye Klinikleri J Neurol-Special Topics 2018;11(1):1-14
  2. Selçuki D, Kısabay Ak A. Gerilim Tipi Baş Ağrısı Tipleri, Tanı ve Tedavisi Turkiye Klinikleri J Neurol-Special Topics 2018;11(1):43-65
  3. Schwartz BS, Stewart WF, Simon D, Lipton RB. Epidemiology of Tension-Type Headache. JAMA. 1998;279:381- 383
  4. Silberstein SD, Lipton RB, Goadsby PJ. Tension-Type Headache: Diagnosis and treatment. In Clinical Practice of Headache. (2nd ed) Oxford, Martin Dunitz, 2002:113- 128
  5. Lipton RB, Hamelsky SW. Epidemiology and impact of headache. In: Silberstein SD, Lipton RB, Dalessio DJ, eds. Wolff’s Headache and Other Head Pain. 7th ed. New York, Ny. Oxford University Press; 2001: 85-107
  6. Olesen J, Langemark M. Mechanisms of tension headache. A speculativehypothesis. In: Olesen J, Edvinsson L, eds. Basic mechanisms of headache. Amsterdam:Elsevier, 1988:457-461
  7. Jensen K. Quantification of tenderness by palpitation and use of pressure algometers. In: Fricton JR, Awad E, eds. Adv Pain Res Ther, Vol.17. New York: Raven Press, 1990:165-181
  8. Bendtsen L, Schoenen J. Synthesis of tension-type headache mechanisms. In: Olesen J, Goadsby PJ, Ramadan N, et al., editors. The Headaches, 3rd edn. Philadelphia: Lippincott Williams & Wilkins; 2005. pp. 677- 681
  9. Karadaş O, Sütçigil L, Odabaşı Z. Kronik Gerilim Tipi Baş Ağrısı Tanısı Alan Hastalarda Melatonin Tedavisinin Etkinliği ile Anksiyete ve Depresyon Üzerine Etkisi J.Neurol.Sci.[Turk] 2013;30(1) 34; 116-123
  10. Karadaş O, Babacan A, Gül LH, Ipekdal IH, Türk Börü U. [The role of pericranial muscles in the succesful management of episodic tension type headache]. Agri. 2012;24(4):153-158
  11. Karadaş Ö, Gül HL, Inan LE. Lidocaine injection of pericranial myofascial trigger points in the treatment of frequent episodic tension-type headache. J Headache Pain. 2013 May 22;14:44
  12. William A. Catterall and Kenneth Mackie: local anesthetics, in Brunton LL, lazo JS, parker kKL(eds): Goodman & Gilman’s the pharmacological basis of therapeutics, ed 11. Texas, The Mcgraw-hill Mompanies Inc, 2006, pp 241-251
  13. Bendsten L. Central sensitization in tension type headache-possible pathophysiological mechanisms. Cephalalgia 2000;20:486-508
  14. Jensen R. Peripheral and central mechanisms in tension-type headache: an update. Cephalalgia. 2003;23(Suppl. 1):49–52
  15. Karadaş Ö, Inan LE, Ulaş Ü, Odabaşi Z. Efficacy of local lidocaine application on anxiety and depression and it