Diagnosis and treatment of persistent pain after trauma to the head and neck
| Autor: | H. Elishoov, Rafael Benoliel, Eli Eliav, Yair Sharav |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Adult
Male medicine.medical_specialty Amitriptyline Pain relief Pain Neck Injuries Facial Pain Neck Muscles medicine Craniocerebral Trauma Humans Prospective Studies Head and neck Prospective cohort study Myofascial Pain Syndromes Physical Therapy Modalities Pain Measurement Retrospective Studies Referred pain business.industry Persistent pain Headache Middle Aged Temporomandibular Joint Dysfunction Syndrome Vascular Headaches Carbamazepine Treatment Outcome Pain patterns Otorhinolaryngology Anesthesia Chronic Disease Masticatory Muscles Neuropathic pain Physical therapy Neuralgia Pain Clinics Wounds and Injuries Female Surgery Oral Surgery business medicine.drug |
| Zdroj: | Journal of Oral and Maxillofacial Surgery. 52:1138-1147 |
| ISSN: | 0278-2391 |
| Popis: | Purpose: A retrospective and prospective study on 22 cases of persistent pain after trauma to the head and neck is presented. According to the predominant symptoms and signs, pain patterns could be divided into musculoskeletal, vascular, and neuropathic, facilitating treatment decisions. Most cases were musculoskeletal in origin, with many demonstrating a combination of two or three pain states. Results: The variety of pain complaints and their underlying pathophysiology are discussed and treatments for specific pain states are examined. Conclusion: Amitriptyline was the most useful drug in that it provided pain relief in musculoskeletal, vascular, and some neuropathic pain conditions. Multidrug therapy may be indicated in some recalcitrant cases, and drug alternatives are discussed. |
| Databáze: | OpenAIRE |
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