Pathophysiology Although tension-type headaches are common, the pathophysiology and likely mechanism remain unclear. Current knowledge of the nociceptive (pain receptor) system suggests that the derivative pain of tension-type headaches has a muscular origin. Muscular or myofascial pain tends to be dull and achy, poorly localized, and radiating, whereas pain originating from cutaneous structure...

www.aafp.org/afp AMERICAN FAMILY PHYSICIAN 1405 unclear in approximately 30 percent of cases. Factors that complicate the diagnosis include the complex anatomy of the region and the frequent coexistence of two or more disorders. In one study of 21 patients with groin pain, 19 patients were found to have two or more disorders. The investigators concluded that groin pain in athletes is complex an...

OBJECTIVE To determine whether outpatient visits by elders seeing community family physicians differ in length or content from visits by younger patients; socioemotional preferences predict visit content; and satisfaction correlates with visit content differentially across age. METHODS In a multimethod cross-sectional study of 84 community family practices in northeastern Ohio, 3453 adult pat...

OBJECTIVE To assess the effects of physician-colleague and coworker abuse on family physicians in Canada. DESIGN A mixed-methods, bilingual study that included surveys and telephone interviews. SETTING Canada. PARTICIPANTS Family physicians in active practice who were members of the College of Family Physicians of Canada in 2009. METHODS Surveys were mailed to a random sample of family ...

evaluation of public participation and intersectoral collaboration in family physician program in rular areas of iran etemadi f1* (bsc), malekafzali ardakani h2 (phd), dejman m3 (phd) 1 deputy health and rehabilitation sciences, university of welfare and rehabilitation, tehran, iran 2 national institute of health research, the islamic republic of iran, tehran, iran 3 centre for research on soci...

Tools for Practice articles in Canadian Family Physician are adapted from articles published twice monthly on the Alberta College of Family Physicians (ACFP) website, summarizing medical evidence with a focus on topical issues and practice-modifying information. The ACFP summaries and the series in Canadian Family Physician are coordinated by Dr G. Michael Allan, and the summaries are co-author...

Tools for Practice articles in Canadian Family Physician are adapted from articles published twice monthly on the Alberta College of Family Physicians (ACFP) website, summarizing medical evidence with a focus on topical issues and practice-modifying information. The ACFP summaries and the series in Canadian Family Physician are coordinated by Dr G. Michael Allan, and the summaries are co-author...