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Re: p < 0.0001 sound good?

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Wow, forgot about the heart/migraine connection. The cardiologist I saw laughed me out of his office, despite the studies by reputable institutions. That was one of the worst appointments of my life. Anyway, when I'm doing worse, my infection's flaring, I also have hip tension/stiffness and I can easily end up with back problems if I'm not careful. Not sure how it all fits with your theory here, but just thought I'd throw it out there. penny <usenethod@...> wrote: I think acceptance/emphasis of trigger points is on the upswing. I think Boyd asserts that bruxism could be involved in migraine, whereas I think its role in headache is more canonical for tension headache (not real sure). This 'stract seems to tally with what Boyd is saying; on the other hand, there's that aperture-closing surgery that also suppresses migraine, which is kinda coming out of left field in relation to this, as far as I can see.------------------------------------------------------Trigger points were found in 92 (93.9%) migraineurs and in nine (29%) controls (P < 0.0001). Trigger point palpation provoked a migraine attack in 30 (30.6%) patients. -------------------------------------------------------European Journal of NeurologyVolume 13 Page

244 - March 2006doi:10.1111/j.1468-1331.2006.01181.x Volume 13 Issue 3 Trigger point evaluation in migraine patients: an indication of peripheral sensitization linked to migraine predisposition? E. P. Calandre, J. Hidalgo, J. M. García-Leiva and F. Rico-Villademoros Although migraine is a neurovascular disorder, both scalp tenderness and referred pain have been observed in migraine patients. The present study was carried out to investigate the presence of trigger points eliciting referred pain in 98 migraine patients and in 32 healthy subjects. Trigger points were found in 92 (93.9%) migraineurs and in nine (29%) controls (P < 0.0001). The number of individual migraine trigger points varied from zero to 14 (modal number: 4), and was found to be related to both the frequency of migraine attacks (P < 0.0001), and the duration of the disease (P = 0.017). About 74% of the total

detected trigger points were found in temporal and/or suboccipital areas; other locations were mainly found in patients showing more than four trigger points. Trigger point palpation provoked a migraine attack in 30 (30.6%) patients. Pericraneal allodynia was found in 15 (15.3%) patients. These data indicate that nociceptive peripheral sensitization is a usual finding in migraine, and that central sensitization can develop in patients with frequent attacks and long-lasting disease. Trigger points' detection in migraine patients could be useful when applying therapies like acupuncture, needling or botulinum toxin injections directed to reduce peripheral sensitization.

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Hypertonus seems like a real pervasive thing for you and me. I think

you've mentioned bruxing while awake, which I have certainly heard

of elsewhere, but the thought of it still strikes me as pretty

extreme. I myself, on bad days in early 2004, not long before the

stuff hit the fan for me, used to sit on my porch and clench

basically anything/everything... hands, thighs, etc. I couldn't stop

doing it without applying attention, and since my attention span was

like 5 seconds or something, I basically couldn't stop doing it

period.

Interesting that after ~2 years of olmesartan you had clearance of

some possibly-hypertonic/myo-fascio-neuropathic sx that haven't

relapsed so far after stopping the drug... tho I guess you are still

having at least some level of migraines again? Perhaps something

like resolution of myofascial trigger points during the years of

olmesartan, might be one contributer to permanent improvement of

these sx.

What a pity the whole thing is a fiction, as Kierkegaard said, or in

this case a speculation. I'm not sure how to move fwd with testing

and utilizing it. I guess my next move should be to spring 200 bucks

for one of the electronic bruxism wake-up devices in hopes that

works more completely for me than the NTI. Or perhaps a multi-week

course of hot baths and neuromuscular relaxants, which sounds

cheaper and more fun.

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