Pain descriptors in combination of migraine without aura and cervicogenic headache

Bakhtadze M.A.; Kuzminov K.O.

doi:https://doi.org/10.17116/pain20222004116

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OBJECTIVE

To analyze pain descriptors in combination of migraine without aura (MwoA) and cervicogenic headache (CeH).

MATERIAL AND METHODS

We analyzed 145 patients (121 women and 24 men) aged 18-65 (mean 40.2±9.9) with MwoA and CeH. They were divided into 3 groups: MwoA (group 1; n=34); MwoA combined with CeH (group 2; n=64); CeH (group 3; n=47). We applied the Second Short-Form of the McGill Pain Questionnaire (SF-MPQ-2) to analyze pain descriptors.

RESULTS

Differences were found between the 1^st and the 3^rd groups, i.e. in cases of no combination of MwoA with CeH. Indeed, patients with CeH rarely used descriptors «throbbing pain», «splitting headache» and «sickening». Intensity of these sensations was not as high as in the MwoA group. No differences were found between the 1^st (MwoA) and the 2^nd (MwoA and CeH) groups. Patients with MwoA used the same descriptors as patients with MwoA coexisted with CeH.

CONCLUSION

If we focus only on descriptive characteristics of pain, CeH could be overlooked. To avoid this, we should consider not only the well-known clinical characteristics of CeH, but also be guided by diagnostic criteria of the International Classification of Headache Disorders.

Keywords:

migraine without aura

cervicogenic headache

pain descriptors

the Second Short-Form of the McGill Pain Questionnaire

Authors:

Bakhtadze M.A.

Pirogov Russian National Research Medical University;
Center for Manual Therapy

Kuzminov K.O.

Pirogov Russian National Research Medical University;
Manual Therapy Center

Received:

23.08.2022

Accepted:

29.08.2022

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