Association of dynamic and widespread mechanical sensitivity in cluster headache. 2020

Ángel Guerrero-Peral, and Víctor Gómez-Mayordomo, and David García-Azorín, and Nuria González-García, and César Fernández-de-Las-Peñas, and Lars Arendt-Nielsen, and María L Cuadrado
Neurology Department, Hospital Clínico Universitario Valladolid, Valladolid, Spain.

We investigated if dynamic pressure pain sensitivity in the symptomatic area is associated with pressure sensitivity in local and distant pain-free areas in cluster headache (CH). A pressure algometry set consisting of 8 rollers with fixed pressure levels ranging from 500 to 5300 g was used to assess dynamic pressure pain sensitivity in men with episodic CH. Each roller was moved from an anterior-to-posterior direction over the temporalis muscle. The load level of the first painful roller was considered the dynamic pain threshold (DPT). Further, pain elicited during DPT (roller evoked pain) was also assessed. We used a pressure algometer to determine pressure pain thresholds (PPTs) over the temporalis muscle, C5/C6 joint, second metacarpal, and tibialis anterior. Patients were assessed in an asymptomatic (remission) phase, at least 6 months after their last cluster period and without taking pharmacological treatment. Forty men with episodic CH (mean age 42 years) were included. Both outcomes, DPTs (r = 0.781, P < 0.001) and roller-evoked pain (r = 0.586; P < 0.001) were bilaterally correlated. Further, DPT, but not roller-evoked pain, was moderately associated with PPTs measured at the symptomatic (temporalis: r = 0.665, P < 0.001) and distant pain-free (C5-C6 joint: r = 0.389, P = 0.013; second metacarpal: r = 0.551, P < 0.001; and, tibialis anterior: r = 0.308, P = 0.035) points. Dynamic pressure sensitivity in the trigeminal area was correlated to pressure pain sensitivity at both symptomatic and distant pain-free areas in men with CH supporting the use of roller pressure algometry. Dynamic pressure algometry may be a new tool for assessing the status of sensitization in primary headaches.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010147 Pain Measurement Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies. Analgesia Tests,Analogue Pain Scale,Formalin Test,McGill Pain Questionnaire,Nociception Tests,Pain Assessment,Pain Intensity,Pain Severity,Tourniquet Pain Test,Visual Analogue Pain Scale,Analog Pain Scale,Assessment, Pain,McGill Pain Scale,Visual Analog Pain Scale,Analgesia Test,Analog Pain Scales,Analogue Pain Scales,Formalin Tests,Intensity, Pain,Measurement, Pain,Nociception Test,Pain Assessments,Pain Intensities,Pain Measurements,Pain Questionnaire, McGill,Pain Scale, Analog,Pain Scale, Analogue,Pain Scale, McGill,Pain Severities,Pain Test, Tourniquet,Questionnaire, McGill Pain,Scale, Analog Pain,Scale, Analogue Pain,Scale, McGill Pain,Severity, Pain,Test, Analgesia,Test, Formalin,Test, Nociception,Test, Tourniquet Pain,Tests, Nociception,Tourniquet Pain Tests
D010812 Physical Stimulation Act of eliciting a response from a person or organism through physical contact. Stimulation, Physical,Physical Stimulations,Stimulations, Physical
D003027 Cluster Headache A primary headache disorder that is characterized by severe, strictly unilateral PAIN which is orbital, supraorbital, temporal or in any combination of these sites, lasting 15-180 min. occurring 1 to 8 times a day. The attacks are associated with one or more of the following, all of which are ipsilateral: conjunctival injection, lacrimation, nasal congestion, rhinorrhea, facial SWEATING, eyelid EDEMA, and miosis. (International Classification of Headache Disorders, 2nd ed. Cephalalgia 2004: suppl 1) Ciliary Neuralgia,Headache, Cluster,Histamine Cephalgia,Horton Syndrome,Neuralgic Migraine,Atypical Cluster Headache,Chronic Cluster Headache,Cluster Headache Syndrome,Episodic Cluster Headache,Horton's Syndrome,Atypical Cluster Headaches,Cephalgia, Histamine,Cephalgias, Histamine,Chronic Cluster Headaches,Ciliary Neuralgias,Cluster Headache Syndromes,Cluster Headache, Atypical,Cluster Headache, Chronic,Cluster Headache, Episodic,Cluster Headaches,Cluster Headaches, Atypical,Cluster Headaches, Chronic,Cluster Headaches, Episodic,Episodic Cluster Headaches,Headache Syndrome, Cluster,Headache Syndromes, Cluster,Headache, Atypical Cluster,Headache, Chronic Cluster,Headache, Episodic Cluster,Headaches, Atypical Cluster,Headaches, Chronic Cluster,Headaches, Cluster,Headaches, Episodic Cluster,Histamine Cephalgias,Hortons Syndrome,Migraine, Neuralgic,Migraines, Neuralgic,Neuralgia, Ciliary,Neuralgias, Ciliary,Neuralgic Migraines,Syndrome, Cluster Headache,Syndrome, Horton,Syndrome, Horton's,Syndromes, Cluster Headache
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006930 Hyperalgesia An increased sensation of pain or discomfort produced by minimally noxious stimuli due to damage to soft tissue containing NOCICEPTORS or injury to a peripheral nerve. Hyperalgesia, Tactile,Hyperalgesia, Thermal,Hyperalgia,Hyperalgia, Mechanical,Hyperalgia, Primary,Hyperalgia, Secondary,Allodynia,Allodynia, Mechanical,Allodynia, Tactile,Allodynia, Thermal,Hyperalgesia, Mechanical,Hyperalgesia, Primary,Hyperalgesia, Secondary,Hyperalgesic Sensations,Mechanical Allodynia,Mechanical Hyperalgesia,Tactile Allodynia,Thermal Allodynia,Allodynias,Hyperalgesias,Hyperalgesias, Thermal,Hyperalgesic Sensation,Mechanical Hyperalgia,Mechanical Hyperalgias,Primary Hyperalgia,Primary Hyperalgias,Secondary Hyperalgia,Secondary Hyperalgias,Sensation, Hyperalgesic,Sensations, Hyperalgesic,Thermal Hyperalgesia
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D017288 Pain Threshold Amount of stimulation required before the sensation of pain is experienced. Pain Thresholds,Threshold, Pain,Thresholds, Pain

Related Publications

Ángel Guerrero-Peral, and Víctor Gómez-Mayordomo, and David García-Azorín, and Nuria González-García, and César Fernández-de-Las-Peñas, and Lars Arendt-Nielsen, and María L Cuadrado
January 2004, Headache,
Ángel Guerrero-Peral, and Víctor Gómez-Mayordomo, and David García-Azorín, and Nuria González-García, and César Fernández-de-Las-Peñas, and Lars Arendt-Nielsen, and María L Cuadrado
August 2009, The journal of headache and pain,
Ángel Guerrero-Peral, and Víctor Gómez-Mayordomo, and David García-Azorín, and Nuria González-García, and César Fernández-de-Las-Peñas, and Lars Arendt-Nielsen, and María L Cuadrado
March 2011, Headache,
Ángel Guerrero-Peral, and Víctor Gómez-Mayordomo, and David García-Azorín, and Nuria González-García, and César Fernández-de-Las-Peñas, and Lars Arendt-Nielsen, and María L Cuadrado
March 1985, Headache,
Ángel Guerrero-Peral, and Víctor Gómez-Mayordomo, and David García-Azorín, and Nuria González-García, and César Fernández-de-Las-Peñas, and Lars Arendt-Nielsen, and María L Cuadrado
September 2017, European journal of pain (London, England),
Ángel Guerrero-Peral, and Víctor Gómez-Mayordomo, and David García-Azorín, and Nuria González-García, and César Fernández-de-Las-Peñas, and Lars Arendt-Nielsen, and María L Cuadrado
June 2015, Headache,
Ángel Guerrero-Peral, and Víctor Gómez-Mayordomo, and David García-Azorín, and Nuria González-García, and César Fernández-de-Las-Peñas, and Lars Arendt-Nielsen, and María L Cuadrado
January 1992, Functional neurology,
Ángel Guerrero-Peral, and Víctor Gómez-Mayordomo, and David García-Azorín, and Nuria González-García, and César Fernández-de-Las-Peñas, and Lars Arendt-Nielsen, and María L Cuadrado
September 2022, Physiotherapy theory and practice,
Ángel Guerrero-Peral, and Víctor Gómez-Mayordomo, and David García-Azorín, and Nuria González-García, and César Fernández-de-Las-Peñas, and Lars Arendt-Nielsen, and María L Cuadrado
June 1985, British medical journal (Clinical research ed.),
Ángel Guerrero-Peral, and Víctor Gómez-Mayordomo, and David García-Azorín, and Nuria González-García, and César Fernández-de-Las-Peñas, and Lars Arendt-Nielsen, and María L Cuadrado
January 1986, The New England journal of medicine,
Copied contents to your clipboard!