SUMMARY Our aim was to analyze the differences in the referred pain patterns and size of the areas of those myofascial trigger points (TrPs) involved in chronic tension type headache (CTTH) including a number of muscles not investigated in previous studies. Thirteen right handed women with CTTH (mean age: 38 ± 6 years) were included. TrPs were bilaterally searched in upper trapezius, sternoclei...

OBJECTIVE The primary objective was to determine the prevalence of neuropathic pain according to the new International Association for the Study of Pain (IASP) grading system. The secondary objective was to compare the system classification of neuropathic pain with the classification of neuropathic pain according to a patient-administered screening questionnaire. SETTING A Multidisciplinary P...

OBJECTIVES To evaluate the influence of dental visiting patterns on the dental status and Oral Health-related Quality of Life (OHQoL) of patients visiting the University Clinic of Salamanca (Spain). STUDY DESIGN This cross-sectional study consisted of a clinical oral examination and a questionnaire-based interviewin a consecutive sample of patients seeking a dental examination. Patients were ...

coronary artery. In some there is little to indicate why or how the patient actually died, as the only cardiac lesions found are of long standing. The fatal disturbance is often of function rather than of structure and in such cases the post-mortem diagnosis of acute coronary insufficiency is made by implication rather than observation. In seven necropsies on cases of acute coronary death cutan...

INTRODUCTION The skin resistivity (SkR) measurement is commonly recommended for acupoints measurement, but for trigger points (TrPs) only one study is available. The purpose of the study was to evaluate SkR for latent TrPs compared to non-TrPs and the surrounding tissue. MATERIAL AND METHODS Forty-two healthy volunteers with unilateral latent upper trapezius TrPs (12 men, 30 women) aged 21-23...

INTRODUCTION It has previously been reported that local and referred pain from active myofascial trigger points (MTPs) in the neck and shoulder region contribute to fibromyalgia (FM) pain and that the pain pattern induced from active MTPs can reproduce parts of the spontaneous clinical FM pain pattern. The current study investigated whether the overall spontaneous FM pain pattern can be reprodu...

The practice of acupuncture involves the stimulation of specific points on the skin called 'acupuncture points' which are small regions of local or referred pain that are more sensitive than surrounding tissue. The fact that acupuncture points can be identified subjectively as tender points and are found to have characteristic electrical properties suggest that they are functional entities rath...

BACKGROUND Ultrasound is increasingly used to evaluate shoulder pain, but the benefits of this are unclear. In this study, we examined whether ultrasound-defined pathologies have implications for clinical outcomes. METHODS We extracted reported pathologies from 3000 ultrasound scans of people with shoulder pain referred from primary care. In latent class analysis (LCA), we identified whether ...

Otalgia is ear pain. Ear disease causes primary otalgia. Secondary (referred) otalgia is referred to the ear from disease in structures remote from the ear. Otalgia, especially referred otalgia, can be a diagnostic challenge. The radiologic approach to a patient with otalgia relies on the physical examination. If the otoscopic findings are abnormal, the computed tomographic (CT) or magnetic res...