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Jens D Rollnik - One of the best experts on this subject based on the ideXlab platform.

  • pressure pain threshold and needle acupuncture in chronic tension type headache a double blind placebo Controlled Study
    Pain, 2000
    Co-Authors: Matthias Karst, Jens D Rollnik, Matthias Fink, Michaela Reinhard, S Piepenbrock
    Abstract:

    Abstract In order to examine the role of muscular mechanisms in chronic tension-type headache a Study with needle acupuncture was performed. Needle acupuncture could be of therapeutic value because it has shown some positive effects in myofascial pain syndromes. We performed a double-blind, placebo-Controlled Study with 39 patients (mean age 49.0 years, SD=14.8) fulfilling the International Headache Society criteria for chronic tension-type headaches. Participants were randomly assigned to verum or placebo condition. Six weeks after end of treatment no significant differences between placebo and verum could be observed with respect to visual analogue scale and frequency of headache attacks. Nevertheless, pressure pain thresholds significantly increased for the verum group. The findings of our Study support the hypothesis that peripheral mechanisms – such as increased muscle tenderness – only play a minor role in the pathogenesis of chronic tension-type headache.

  • treatment of tension type headache with botulinum toxin type a a double blind placebo Controlled Study
    Headache, 2000
    Co-Authors: Jens D Rollnik, Oliver Tanneberger, Margot Schubert, Udo Schneider, Reinhard Dengler
    Abstract:

    Objective.–To determine whether injections of botulinum toxin could be of therapeutic value in the treatment of tension-type headache. Background.–Botulinum toxin A is very effective at reducing muscle tenderness and pain in many diseases. Increased muscle tension may contribute to tension-type headache. Methods.–We performed a double-blind, placebo-Controlled Study with 21 patients fulfilling the International Headache Society criteria for tension-type headache. Participants were randomly assigned to treatment (pericranial injection of 10 × 20 mouse units botulinum toxin A) or placebo (injection of isotonic saline in the same manner). Results.–After 4, 8, and 12 weeks, no significant differences between placebo and treatment could be observed (with respect to visual analog scale, frequency and duration of headache attacks, consumption of analgesics, pressure pain threshold, total tenderness score, and quality-of-life parameters). Conclusions.–The findings of our Study strongly support the hypothesis that peripheral mechanisms, such as increased muscle tenderness, only play a minor role in the pathogenesis of tension-type headache.

Reinhard Dengler - One of the best experts on this subject based on the ideXlab platform.

  • treatment of tension type headache with botulinum toxin type a a double blind placebo Controlled Study
    Headache, 2000
    Co-Authors: Jens D Rollnik, Oliver Tanneberger, Margot Schubert, Udo Schneider, Reinhard Dengler
    Abstract:

    Objective.–To determine whether injections of botulinum toxin could be of therapeutic value in the treatment of tension-type headache. Background.–Botulinum toxin A is very effective at reducing muscle tenderness and pain in many diseases. Increased muscle tension may contribute to tension-type headache. Methods.–We performed a double-blind, placebo-Controlled Study with 21 patients fulfilling the International Headache Society criteria for tension-type headache. Participants were randomly assigned to treatment (pericranial injection of 10 × 20 mouse units botulinum toxin A) or placebo (injection of isotonic saline in the same manner). Results.–After 4, 8, and 12 weeks, no significant differences between placebo and treatment could be observed (with respect to visual analog scale, frequency and duration of headache attacks, consumption of analgesics, pressure pain threshold, total tenderness score, and quality-of-life parameters). Conclusions.–The findings of our Study strongly support the hypothesis that peripheral mechanisms, such as increased muscle tenderness, only play a minor role in the pathogenesis of tension-type headache.

S Piepenbrock - One of the best experts on this subject based on the ideXlab platform.

  • pressure pain threshold and needle acupuncture in chronic tension type headache a double blind placebo Controlled Study
    Pain, 2000
    Co-Authors: Matthias Karst, Jens D Rollnik, Matthias Fink, Michaela Reinhard, S Piepenbrock
    Abstract:

    Abstract In order to examine the role of muscular mechanisms in chronic tension-type headache a Study with needle acupuncture was performed. Needle acupuncture could be of therapeutic value because it has shown some positive effects in myofascial pain syndromes. We performed a double-blind, placebo-Controlled Study with 39 patients (mean age 49.0 years, SD=14.8) fulfilling the International Headache Society criteria for chronic tension-type headaches. Participants were randomly assigned to verum or placebo condition. Six weeks after end of treatment no significant differences between placebo and verum could be observed with respect to visual analogue scale and frequency of headache attacks. Nevertheless, pressure pain thresholds significantly increased for the verum group. The findings of our Study support the hypothesis that peripheral mechanisms – such as increased muscle tenderness – only play a minor role in the pathogenesis of chronic tension-type headache.

Matthias Karst - One of the best experts on this subject based on the ideXlab platform.

  • pressure pain threshold and needle acupuncture in chronic tension type headache a double blind placebo Controlled Study
    Pain, 2000
    Co-Authors: Matthias Karst, Jens D Rollnik, Matthias Fink, Michaela Reinhard, S Piepenbrock
    Abstract:

    Abstract In order to examine the role of muscular mechanisms in chronic tension-type headache a Study with needle acupuncture was performed. Needle acupuncture could be of therapeutic value because it has shown some positive effects in myofascial pain syndromes. We performed a double-blind, placebo-Controlled Study with 39 patients (mean age 49.0 years, SD=14.8) fulfilling the International Headache Society criteria for chronic tension-type headaches. Participants were randomly assigned to verum or placebo condition. Six weeks after end of treatment no significant differences between placebo and verum could be observed with respect to visual analogue scale and frequency of headache attacks. Nevertheless, pressure pain thresholds significantly increased for the verum group. The findings of our Study support the hypothesis that peripheral mechanisms – such as increased muscle tenderness – only play a minor role in the pathogenesis of chronic tension-type headache.

Udo Schneider - One of the best experts on this subject based on the ideXlab platform.

  • treatment of tension type headache with botulinum toxin type a a double blind placebo Controlled Study
    Headache, 2000
    Co-Authors: Jens D Rollnik, Oliver Tanneberger, Margot Schubert, Udo Schneider, Reinhard Dengler
    Abstract:

    Objective.–To determine whether injections of botulinum toxin could be of therapeutic value in the treatment of tension-type headache. Background.–Botulinum toxin A is very effective at reducing muscle tenderness and pain in many diseases. Increased muscle tension may contribute to tension-type headache. Methods.–We performed a double-blind, placebo-Controlled Study with 21 patients fulfilling the International Headache Society criteria for tension-type headache. Participants were randomly assigned to treatment (pericranial injection of 10 × 20 mouse units botulinum toxin A) or placebo (injection of isotonic saline in the same manner). Results.–After 4, 8, and 12 weeks, no significant differences between placebo and treatment could be observed (with respect to visual analog scale, frequency and duration of headache attacks, consumption of analgesics, pressure pain threshold, total tenderness score, and quality-of-life parameters). Conclusions.–The findings of our Study strongly support the hypothesis that peripheral mechanisms, such as increased muscle tenderness, only play a minor role in the pathogenesis of tension-type headache.