Observations on referred pain from the posterior abdominal wall and pelvis.
Explore the source record for details and available documents.
SEARCH · PubMed Health
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
A technique consisting of the application of digital pressure to posterior neck muscles was applied at the time of headache to 82 neuropsychiatric patients observed at a Veterans Administration Mental Hygiene Clinic. Results indicated correlation between sustained muscular contraction of neck muscles and pain in the head. Certain commonalities among the Minnesota Multiphasic Personality Inventory profiles of the patients were noted and a new scale of items was developed which may prove useful in identifying headache-prone persons and their psychological characteristics. Repression was not found to be higher than the populational mean.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The basic knowledge related to referred muscle pain is limited. To study referred pain, an experimental model using intramuscular electrical stimulation has been developed. Four experiments were performed: (1) the thresholds for eliciting local (LPT) and referred pain (RPT) were determined; (2) stimulus-response functions relating stimulus intensity, pain intensity ratings and size of pain areas were determined; (3) inter- and intrasession variabilities were assessed; and (4) prolonged stimulations were given with a duration of 10 min to evaluate temporal aspects of the referred muscle pain. Intramuscular electrical stimulation of the tibialis anterior muscle elicited pain at the stimulation site in 94% of the subjects, and referred pain in 78% of the subjects. Referred pain was located in the anterior part of the ankle. The mean RPT was 72% higher than the mean LPT (p<0.01). Correlation was found between stimulus intensity, sensory/pain rating scores and size of pain areas (0.74< or =r< or =0.98,p<0.04). Size of pain areas and sensation/pain rating scores were correlated (0.86< or =r< or =0.97, p<0.01). Intersession variability showed that the LPTs were not significantly different (p>0.16), but the RPTs were disparate (p<0.02). Intrasession values revealed a significant difference between the five LPTs, RPTs, local and referred pain rating scores. The size of the local and referred pain areas remained constant. Prolonged stimulation at 150% of RPT showed that the onset (the first occurrence of pain) of referred pain occurred significantly later (43 s +/- 80 s) than at the local pain site (p<0.03). This study showed that local and referred muscle pain can be elicited by intramuscular electrical stimulation, and indicated that temporal and spatial summation may be involved in the elicitation of referred muscle pain.
Referred pain; feeling pain at a site different than the source of pain; is also included in cancer pain. Mechanisms and treatment of referred pain has been evaluated because of a case with shoulder pain rising from diaphragmatic irritation.
OBJECTIVE: To determine the referred pain pattern of the abductor pollicis longus muscle. DESIGN: Intramuscular hypertonic saline was injected into the abductor pollicis longus of 15 healthy adults to induce muscle pain. Subjects completed pain drawings depicting the pain distribution. The drawings were transferred into the Pain Chart System for analysis. RESULTS: Referred pain distributions were as follows: the radial aspect of the wrist (61.9%), the dorsal aspects of the third and fourth fingers (14.3%), and a combination of the two distribution patterns (23.8%). CONCLUSION: Referred pain patterns of the abductor pollicis longus resemble the C6, 7, and 8 dermatomes, the superficial radial sensory nerve distribution, and are very similar to the area of pain experienced in de Quervain's tenosynovitis. Thus, identification of the abductor pollicis longus trigger point should be considered in pain of the radial aspect of the wrist and thumb, especially when no other neurologic abnormalities or inflammatory conditions are present.
Referred pain is common in the orofacial region and can cause considerable difficulties in diagnosis. Referred pain is defined as pain that is referred to a part of the body other than the site of origin, and as a result, severe pain may arise without an associated causative lesion. A muscular trigger point that resembled a tooth with endodontic involvement is discussed.
Detailed pain descriptions for patients with low back pain referred to physical therapy have not been adequately summarized in the literature. The purpose of this study was to present a detailed pain characteristic profile for patients who were referred to physical therapy for treatment of low back pain. One hundred patients (52 males and 48 females) completed portions of the McGill Pain Questionnaire and were interviewed to obtain additional descriptions of pain using a comprehensive pain questionnaire developed for this study. The scores on the McGill Pain Questionnaire demonstrated variability from those previously reported in other populations of patients with low back pain. The comprehensive pain questionnaire revealed that the most intense pain was distributed across the waking hours. Seventy-seven of the 98 subjects (79%) noted that lifting and forward flexed postures increased the pain intensity. In contrast, only 27 of 98 subjects (28%) reported an increase in symptoms with backward bending. Seventy-four of the 98 subjects reported that sitting made their pain worse, and 17 of 84 subjects (20%) reported that sitting resulted in their worst pain. Fifty-nine of 84 subjects stated a recumbent position was the most effective means of relieving the pain. Fifty-two subjects (53%) reported that they experienced pain severe enough to wake them from sleep (night pain). Only three of these patients (6%) stated they were unable to fall back asleep once they were awakened. It was concluded that the detailed pain profile was consistent with symptoms associated with activity-related spinal disorders.