2011
DOI: 10.1177/0333102411410086
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Cervicogenic headache and onabotulinumtoxinA: Where do we stand?

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Cited by 4 publications
(5 citation statements)
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“…These results are also in line with the hypothesis that individualized injections sites could inactivate the myofascial trigger points and improve the cervical outcomes better than the fixed sites specified in the PREEMPT protocol [ 34 ]. In addition, it seems that BoNT-A have more efficacy in migraine than in cervicogenic or tension type headache [ 6 , 35 ], where the cervical spine represents the major trigger. Moreover, the improvement of the cervical parameters in both the PT groups (i.e., PT only and BoNT-A+PT) seems to be consistent with the literature that recommends the use of manual therapy in chronic migraine for the musculoskeletal dysfunctions [ 8 , 17 , 18 ].…”
Section: Discussionmentioning
confidence: 99%
“…These results are also in line with the hypothesis that individualized injections sites could inactivate the myofascial trigger points and improve the cervical outcomes better than the fixed sites specified in the PREEMPT protocol [ 34 ]. In addition, it seems that BoNT-A have more efficacy in migraine than in cervicogenic or tension type headache [ 6 , 35 ], where the cervical spine represents the major trigger. Moreover, the improvement of the cervical parameters in both the PT groups (i.e., PT only and BoNT-A+PT) seems to be consistent with the literature that recommends the use of manual therapy in chronic migraine for the musculoskeletal dysfunctions [ 8 , 17 , 18 ].…”
Section: Discussionmentioning
confidence: 99%
“…This study, therefore, represents the largest series of patients treated with OBA for headaches attributed to mTBI. A single case report and several case series of patients with cervicogenic complications have demonstrated some efficacy for OBA . In addition, unusual headache types, including focal or nummular pain, have been shown to improve with OBA injections of different qualities and protocols .…”
Section: Discussionmentioning
confidence: 99%
“…A single case report and several case series of patients with cervicogenic complications have demonstrated some efficacy for OBA. [45][46][47][48][49] In addition, unusual headache types, including focal or nummular pain, 50 have been shown to improve with OBA injections of different qualities and protocols. [51][52][53] Previous studies of the utility of OBA for secondary headaches have not been of high enough quality to recommend its use.…”
Section: Discussionmentioning
confidence: 99%
“…OnabotulinumtoxinA is therefore administered to the scalp, since migraine pain is believed to come from the meninges, as well as to the forehead, bridge of the nose, the temples, the back of the head, and neck (Figs. 1,2) [21,23]. Some studies have suggested that the optimal injection points for onabotulinumtoxinA in the treatment of chronic migraine are in the temporal region and that it should be administered >45 mm above the zygomatic arch to avoid injection into the tendon [24,25].…”
Section: Onabotulinumtoxina and Chronic Migrainementioning
confidence: 99%
“…Cervicogenic headache is associated with throbbing pain and is always triggered by mechanical causes [79]. Several studies have reported benefits for onabotulinumtoxinA treatment in headaches related to the neck [23]. In a case report of a patient with a 5-year history of cervicogenic headache following whiplash injury, a dramatic response was observed after a single BT injection despite being medically refractory to usual therapies [80].…”
Section: Onabotulinumtoxina and Cervicogenic Headachementioning
confidence: 99%