The Profile of Occipital Neuralgia Patients Regarding Past/Current Use of Medication.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
Introduction: Occipital neuralgia is a very severe headache disorder which usually occurs concomitantly with temporomandibular disorders and facial pain. Aim: Evaluate medication use: analgesics, muscle relaxants, anti-anxiety and antidepressant drugs in a group of subjects presenting with ON and craniomandibular disorders. Methods: History of chief complaint, clinical examination, evaluation of past/current use o medication, palpation of joint and muscles, assessment of signs and symptoms of craniomandibular disorders and occipital neuralgia in 105 subjects with occipital neuralgia and craniomandibular disorders, 50 individuals with tension-type headache and 30 subjects with no craniomandibular disorders. Outcome: The frequencies of analgesic use were about 95,2%, 76% and 43,4% in the subgroups with Occipital neuralgia, tension-type headache and no craniomandibular disorders, respectively (Chi-squared for independence p<0,0001, for trends p<0,0001): Occipital neuralgia versus tension-type headache (p<0,0003), Occipital neuralgia versus No CMDs (p<0,0001); tension-type headache versus No CMDs (p<0.003). Different analgesic types were used in different subgroups: Occipital neuralgia (mean 3,01), Tension-type headache (mean 2,3), No craniomandibular disorders (mean=1,5). Kruskal-Wallis statistics p<0,0001: Occipital neuralgia subgroup versus No Craniomandibular disorders subgroup p<0,001. Use of anti-anxiety drugs decreased from the Occipital Neuralgia subgroup (23,8%) to the Tension-type headache subgroup (10%) and to the No CMDs subgroup (3,3%). Chi-Squared for independence (p<0,009), for trends (p<0.003). Fisher´s exact test: Occipital neuralgia versus Tension-type headache subgroup (p<0,05); Occipital neuralgia versus No CMDs subgroup (p<0,009); Tension-type headache versus No CMDs subgroup (p=0,40). Antidepressants use decreased from the Occipital neuralgia (39%) to the Tension-type headache (32%) and to the No CMDs subgroup (20%). Chi-squared for independence (p=0,14), for trends (p=0,051), but the difference and the trend were not significant. The frequencies of muscle relaxation drugs were as follows Occipital neuralgia subgroup (60,9%); Tension-type headache subgroup (62%); No CMDs subgroup (26,7%). Chi-squared for independence (p<0,002), for trends (p<0,005): Occipital neuralgia versus Tension-type headache (p=1,000); Occipital neuralgia versus No CMDs (p<0,009), Tension-Type headache versus no CMDs (p<0,002). Conclusions: Occipital neuralgia subjects more frequently used analgesics, anti-anxiety, antidepressants and muscle relaxation drugs as compared with the other two subgroups.
Authors and Affiliations
Omar F. Molina, Bruno R Simião, Marcus S. Peixoto, Zeila Coelho Santos, Jamil Elias Dib, Daniella Mateus dos Santos, Fausto F. Junior
Keywords
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- EP ID EP555300
- DOI 10.9790/0853-1803076670.
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