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Headache and Cervical Spine Disorders: Classification and Treatment with Transcutaneous Electrical Nerve Stimulation

1986; Wiley; Volume: 26; Issue: 8 Linguagem: Inglês

10.1111/j.1526-4610.1986.hed2608431.x

1526-4610

Stefano Farina, Franco Granella, Giovanni Malferrari, Gian Camillo Manzoni,

Ophthalmology and Eye Disorders

SYNOPSIS A clearer definition of the relationship between headache and disorders of the cervical spine appearsnecessary not only for classification purposes but also for a more rational approach to the management ofsuch conditions. The classification proposed here would distinguish headaches etiologically related to cervicalspine disorders from those in which these disorders might represent just one of several triggering orcomplicating factors. The first group includes cervicogenic headache, occipital neuralgia, auriculotemporalneuralgia, cervicalgia and cervicobrachialgia; the second group includes muscle‐contraction headache andmixed headache. Treatment with transcutaneous electrical nerve stimulation (TENS) was applied in 10 patientswith cervicogenic headache, 15 patients with occipital neuralgia, and 35 patients with muscle‐contraction ormixed headache. Good results, i.e. HI improvement >60% in 70–80% of cases, were obtained in all three groupsof patients, with no significant differences between them.