Management of patients with headache and cervicalgia in outpatient practice

The management of patients with headache (cephalgia) concurrent with neck pain (cervicalgia) remains an urgent problem of modern medicine. Concurrent cervicalgia in cephalgia substantially lowers quality of life in these patients and is encountered in more than half the patients. Cervicalgia is cons...

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Main Authors: E. A. Chechet, A. I. Isaikin
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2016-01-01
Series:Неврология, нейропсихиатрия, психосоматика
Subjects:
Online Access:https://nnp.ima-press.net/nnp/article/view/562
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author E. A. Chechet
A. I. Isaikin
author_facet E. A. Chechet
A. I. Isaikin
author_sort E. A. Chechet
collection DOAJ
description The management of patients with headache (cephalgia) concurrent with neck pain (cervicalgia) remains an urgent problem of modern medicine. Concurrent cervicalgia in cephalgia substantially lowers quality of life in these patients and is encountered in more than half the patients. Cervicalgia is considered as a risk factor of migraine and tension headache attacks. Cervicogenic headache is assigned to one of the most common forms of secondary cephalgias. It is shown that patients with daily headache have functional insufficiency of the antinociceptive system that plays an important role in the maintenance and chronization of neck pain. The diagnosis of different cephalgic syndromes and the identification of causes of cervicalgia commonly raise problems in a physician; the rate of misdiagnoses and hence inadequate treatment has been high so far. The detection of various comorbid conditions, including cervicalgia, in a patient with cephalgia makes it possible to use effective treatment and to achieve good results.
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spelling doaj.art-5a69735b0622406487c86aa8f82b15872024-10-17T16:15:22ZrusIMA-PRESS LLCНеврология, нейропсихиатрия, психосоматика2074-27112310-13422016-01-0174717710.14412/2074-2711-2015-4-71-77522Management of patients with headache and cervicalgia in outpatient practiceE. A. Chechet0A. I. Isaikin1I.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityThe management of patients with headache (cephalgia) concurrent with neck pain (cervicalgia) remains an urgent problem of modern medicine. Concurrent cervicalgia in cephalgia substantially lowers quality of life in these patients and is encountered in more than half the patients. Cervicalgia is considered as a risk factor of migraine and tension headache attacks. Cervicogenic headache is assigned to one of the most common forms of secondary cephalgias. It is shown that patients with daily headache have functional insufficiency of the antinociceptive system that plays an important role in the maintenance and chronization of neck pain. The diagnosis of different cephalgic syndromes and the identification of causes of cervicalgia commonly raise problems in a physician; the rate of misdiagnoses and hence inadequate treatment has been high so far. The detection of various comorbid conditions, including cervicalgia, in a patient with cephalgia makes it possible to use effective treatment and to achieve good results.https://nnp.ima-press.net/nnp/article/view/562cervicalgianeck paintension headachemigraineprimary headachesecondary headachecervicogenic headachediagnosistreatment
spellingShingle E. A. Chechet
A. I. Isaikin
Management of patients with headache and cervicalgia in outpatient practice
Неврология, нейропсихиатрия, психосоматика
cervicalgia
neck pain
tension headache
migraine
primary headache
secondary headache
cervicogenic headache
diagnosis
treatment
title Management of patients with headache and cervicalgia in outpatient practice
title_full Management of patients with headache and cervicalgia in outpatient practice
title_fullStr Management of patients with headache and cervicalgia in outpatient practice
title_full_unstemmed Management of patients with headache and cervicalgia in outpatient practice
title_short Management of patients with headache and cervicalgia in outpatient practice
title_sort management of patients with headache and cervicalgia in outpatient practice
topic cervicalgia
neck pain
tension headache
migraine
primary headache
secondary headache
cervicogenic headache
diagnosis
treatment
url https://nnp.ima-press.net/nnp/article/view/562
work_keys_str_mv AT eachechet managementofpatientswithheadacheandcervicalgiainoutpatientpractice
AT aiisaikin managementofpatientswithheadacheandcervicalgiainoutpatientpractice