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Related Experiment Videos

Chronic post-traumatic neck and head pain.

Seymour Solomon1

  • 1Headache Unit, Montefiore Medical Center, Neurology, 111 East 210th Street, Bronx, NY 10467, USA.

Headache
|January 25, 2005
PubMed
Summary

Chronic post-traumatic neck and head pain is complex, rarely solely organic or psychogenic. Physiological, social, and cultural factors significantly influence pain perception and chronicity.

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Area of Science:

  • Pain Medicine
  • Sociology of Health
  • Trauma Studies

Background:

  • The pathophysiology of chronic post-traumatic neck and head pain remains incompletely understood.
  • Historically, a dichotomy existed between organic and psychogenic explanations.
  • Recent perspectives integrate sociocultural concepts into understanding these pain conditions.

Purpose of the Study:

  • To review current concepts of chronic post-traumatic neck and head pain.
  • To emphasize the physiological and sociological aspects of these disorders.
  • To explore the interplay of various factors in chronic pain.

Main Methods:

  • Review of the history of chronic post-traumatic head and neck pain.
  • Discussion of paradoxical observations, including global prevalence variations and symptom-trauma discordance.
  • Examination of organic, pathophysiologic, and modulating factors.

Main Results:

  • Chronic pain is rarely purely organic or psychogenic.
  • Prevalence of neck and head pain varies significantly worldwide.
  • Inconsistent relationships exist between trauma severity and symptom presentation.

Conclusions:

  • Chronic post-traumatic neck and head pain results from a complex interplay of factors.
  • Physiological, social, and cultural elements are crucial in modulating pain.
  • These factors can perpetuate or alleviate chronic pain conditions.

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