Diagnosis and treatment of persistent pain after trauma to the head and neck

R. Benoliel, E. Eliav, H. Elishoov, Y. Sharav

Research output: Contribution to journalArticle

46 Scopus citations

Abstract

Purpose: A retrospective and prospective study on 22 cases of persistent pain after trauma to the head and neck is presented. According to the predominant symptoms and signs, pain patterns could be divided into musculoskeletal, vascular, and neuropathic, facilitating treatment decisions. Most cases were musculoskeletal in origin, with many demonstrating a combination of two or three pain states. Results: The variety of pain complaints and their underlying pathophysiology are discussed and treatments for specific pain states are examined. Conclusion: Amitriptyline was the most useful drug in that it provided pain relief in musculoskeletal, vascular, and some neuropathic pain conditions. Multidrug therapy may be indicated in some recalcitrant cases, and drug alternatives are discussed.

Original languageEnglish (US)
Pages (from-to)1138-1147
Number of pages10
JournalJournal of Oral and Maxillofacial Surgery
Volume52
Issue number11
DOIs
StatePublished - Nov 1994
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

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