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Sinus, disabling tension-type, and temporomandibular joint headaches
1UPMC Headache Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Current Opinion in Neurology
|March 12, 2021
Summary
This review clarifies the roles of sinus issues, muscle tension headaches (TTH), and temporomandibular joint (TMJ) disorders in headaches. Better diagnosis and management improve patient outcomes and reduce unnecessary procedures.
Area of Science:
- Neurology
- Otolaryngology
- Dentistry
Background:
- Headache patients often inquire about sinus, muscle tension, and temporomandibular joint (TMJ) issues.
- Differentiating these headaches from migraine is a clinical challenge.
Purpose of the Study:
- To review current concepts in diagnosing and managing headaches attributed to sinus pathology, tension-type headache (TTH), and TMJ disorders.
- To differentiate these headache types from migraine.
Main Methods:
- Review of recent research on sinus and TMJ pathology related to headache.
- Analysis of physiologic studies concerning tension-type headache (TTH).
Main Results:
- Recent studies have elucidated the contribution of paranasal sinus and TMJ pathology to headache.
- Physiologic studies have enhanced the understanding of TTH.
Conclusions:
- Improved understanding of sinus headache, TTH, and TMJ headache aids differentiation from migraine.
- Accurate diagnosis reduces unnecessary medical and surgical interventions.
- Timely recognition of headache origin improves therapeutic results.
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