Headache and Pain Research

만성통증: Dong Eon Moon; Korean J Headache. 2001;2(2):81-87. Published online December 31, 2001

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Abstract PDF: Chronic pain, persists beyond the expected course of an acute disease process and is usually defined as pain lasting greater than 3 to 6 months, is probably the most common condition for which patients seek medical care. This type of pain causes much suffering and disability and is frequently mistreated or undertreated. Patients with chronic pain should undergo a careful assessment before therapy. Patients with chronic pain commonly experience depression, sleep disturbance, fatigue, and decreased overall physical and mental functioning. Therefore therapy is provided with the aim of decreasing pain and su- ffering while improving physical and mental functioning with a multidisciplinary approach. Korean Journal of Headache 2(2):81-87, 2001

만성 신경병증성 통증에서 기계적 이질통의 전달경로: Heung Sik Na, Seung Keun Back, Backil Sung, June Sun Kim, Seung Kil Hong; Korean J Headache. 2001;2(2):89-98. Published online December 31, 2001

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Abstract PDF: Incomplete peripheral nerve injury sometimes results in chronic neuropathic pain such as causalgia. This type of pain is characterized by spontaneous burning pain accompanied by hyperalgesia and allodynia. Hyperalgesia is defined as excessive sensitivity to pain. Allodynia is defined as painful sensation to innocuous stimuli such as touch. One of the salient symptoms of neuropathic pain is mechanical allodynia. To date, it is uncertain whether the signals for mechanical allodynia are conveyed to higher centers via dorsal column-medial lemniscal system or anterolateral system. In the present study, we performed to speculate the ascending pathway(s) of mechanical allodynia through the anatomical, chemical and phy- siological changes of dorsal horn and dorsal column nuclei following peripheral nerve injury. Korean Journal of Headache 2(2):89-98, 2001

신경병증성 통증의 진단과 치료: Dong Eon Moon; Korean J Headache. 2001;2(2):99-109. Published online December 31, 2001

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Abstract PDF: Neuropathic pains refer to a heterogenous group of pain conditions characterised by lesion or dys- function of the normal sensory pathways. Clinical characteristics include: Delayed onset of pain after nervous system lesion, pain in area of sensory loss, spontaneous and different evoked types of pains. The mechanisms underlying neuropathic pain are not yet clear, apoptosis seems to induce neuronal sensi- tization and loss of inhibitory systems, and these irreversible processes might be in common to nervous system damage by brain trauma or ischemia as well as neuropathic pain. The cellular pathobiology including apoptosis suggests future strategies against neuropathic pain that emphasize preventive aspects. Along these lines, a mechanism-based classification and treatments have recently been proposed, which is an attractive approach because it provides a frame for a rationally based therapy of neuropathic pains. There is currently no consensus concerning the optimal therapeutic strategy for neuropathic pain, despite an increasing number of clinical trials demonstrating successful pain relief with several drugs. An analysis of the various neuropathic symptoms, aimed at selecting treatments targeted at mechanisms, may ultimately help the choice of different pharmacologic agents. Korean Journal of Headache 2(2):99-109, 2001

요통의 해부, 병인과 감별 진단: Kwang-Soo Lee, Joong-Seok Kim; Korean J Headache. 2001;2(2):111-112. Published online December 31, 2001

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Abstract PDF: Physicians who work in primary care settings and neurology departments frequently evaluate patients with low back pain. However, there are wide variations in care, a fact that suggests there is professional uncertainty about optimal approach. In addition, there is evidence of excessive imaging and surgery for low back pain in Korea. In considering diagnostic tests, physicians should apply the principles outlined in an algorithm for the evaluation of low back pain, and must look for red flags- key historical and clinical clue that increase the likelihood of a serious underlying disorder. We discuss the epidemiology and etiology of back pain and review the literatures about diagnostic methods. Korean Journal of Headache 2(2):111-122, 2001

신경블록을 중심으로 한 요통 치료: Duck Mi Yoon; Korean J Headache. 2001;2(2):123-127. Published online December 31, 2001

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Abstract PDF: Back pain is the second most frequent chronic pain problem and sometimes troublesome. Anesthesiologist have been practicing pain medicine for decades, with specific nerve blocks as a highly valued contribution to patient care. Pain associated with radiculopathy is the principal indication for epidural steroid injections. Facet joint blocks are useful tool in diagnosis and treatment of facet syndrome. Radiofrequency techniques are also available. Other nerve blocks; Root block, transforaminal epidural block, lumbar sympathetic ganglion block, etc are also useful for back pain. Important determinant factor of successful treatment in all spinal disorder requires accurate diagnosis, strict patient selection, and skillful technique Korean Journal of Headache 2(2):123-127, 2001

통증 테이핑요법: Do-Il Go; Korean J Headache. 2001;2(2):129-131. Published online December 31, 2001

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수면과 두통: Te Gyu Lee; Korean J Headache. 2001;2(2):133-136. Published online December 31, 2001

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Abstract PDF: Sleep is an important, but easily neglected issue in pain disorders, in both clinical and basic medical aspects. Many pain and headache disorders, such as fibromyalgia, small fiber neuropathy, cluster, migraine and hypnic headaches, are intimately related to disturbance in sleep physiology or circardian rhythm. Many pharmaceutical agents for pain, including tricyclic anti-depressants, also significantly affect sleep. Herein sleep medicine is reviewed for chronic pain management. Korean Journal of Headache 2(2):133-136, 2001

어깨통증의 진단과 치료: Hee-Sang Kim; Korean J Headache. 2001;2(2):137-147. Published online December 31, 2001

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Abstract PDF: One of the most common peripheral joints to be treated in the physicians is the shoulder. The shoulder joint allows the arm to move with respect to the thorax. This motion normally occurs through a complex interaction of the individual motions of the glenohumeral, scapulothoracic, sternoclavicular, acromiocla- vicular, costosternal, and costovertebral joints as well as the articulation. The cause of shoulder pain are the traumatic arthritis, the immobilization arthritis, perishoulder joints problem, impingement syndrome, adhesive capsulitis of shoulder and bursitis, extracapsular ligaments (coracohumeral ligament, coracoclavicular ligament), subdeltoid bursa, and perishoulder tendinitis. The precise physical examination and the diagnosis are the necessary of treatment of shoulder problem. The methods of treatment of shoulder pain are included in the corticosteroid and local anesthetics injection, the physical therapy, and the exercise of the massage and the stretching. Korean Journal of Headache 2(2):137-147, 2001

Basic Principles of Koryo Hand Therapy Unique Modalities in Korean Medicine: Kyu Hyun Park, Tae Woo Yoo; Korean J Headache. 2001;2(2):149-156. Published online December 31, 2001

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Abstract PDF: Dr. Yoo found M5 in 1971 and developed 345 all corresponding points in hand. What is Koryo Hand Therapy? It is a technique of acupuncture discovered and developed by Dr.Yoo Tae Woo in 1971. It is administered exclusively on the hands of patients. It has its original theories or principles based on oriental medicine and is excellent in theoretical and systematical aspects. The technique takes advantages of the fact that a complete meridian system exists on the hands corresponding to a similar system on the body as whole. It has many benefits in KHT as followings; Effectiveness, Safety, Simple, Easy to use, Easy to learn, Cost effectiveness. Korean Journal of Headache 2(2):149-156, 2001

통증과 신경 손상 후 초과민성: Kang Ahn , Youngjin Lee; Korean J Headache. 2001;2(2):157-167. Published online December 31, 2001

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Abstract PDF: A study in Journal of American Medical Association estimate that 27.3 percent of females and 13.9 percent of males suffer from headaches. However, headache is still major conditions for which people are least satisfied with their medical care. The anatomical and physiological basis for the contribution of the cervical spine to chronic headaches has been well estimated not only tension headache but also migraine. In our view, pathogenesis of headache of cervical origin is closely related segmental spinal denervation supersensitivity due to spondylosis and attenuation of descending inhibitory influence. Segmental dry needling technique(IMS) has been regarded as effective treatment on the neuropathy due to denervation supersensitivity by Canon’s law. More study is needed to clarify the exact physiology of cervicogenic headache. Korean Journal of Headache 2(2):157-167, 2001

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