Clinical Evidence of Generalised Mechanical Hypersensitivity in Local Musculoskeletal Pain Syndromes and Headaches Doctoral thesis

Citation for published version (APA): Fernandez-de-las-Penas, C. (2012). Clinical evidence of generalised mechanical hypersensitivity in local musculoskeletal pain syndromes and headaches. General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights. ? Users may download and print one copy of any publication from the public portal for the purpose of private study or research. ? You may not further distribute the material or use it for any profit-making activity or commercial gain ? You may freely distribute the URL identifying the publication in the public portal ? Take down policy If you believe that this document breaches copyright please contact us at [email protected] providing details, and we will remove access to the work immediately and investigate your claim. 2 This dissertation is based on the following peer-reviewed articles referred to by their Roman number in the text. mechanical pain sensitivity over nerve tissues in patients with strictly unilateral migraine. Pressure pain sensitivity mapping of the temporalis muscle revealed bilateral pressure hyperalgesia in patients with strictly unilateral migraine. Generalized neck-shoulder hyperalgesia in chronic tension type headache and unilateral migraine assessed by pressure pain sensitivity topographical maps of the trapezius muscle. Bilateral pressure pain sensitivity mapping of the temporalis muscle in chronic tension type headache. Bilateral widespread mechanical pain sensitivity in myofascial temporomandibular disorder: Evidence of impairment in central nociceptive processing. and mechanical pain sensitivity of myofascial trigger points in the infraspinatus muscle. Muscle trigger points and pressure pain hyperalgesia in the shoulder muscles in patients with unilateral shoulder impingement: A blinded, controlled study. Exploration of the extent of somato-sensory impairment in patients with unilateral lateral epicondylalgia.Nielsen L. Widespread mechanical pain hyper-sensitivity as sign of central sensitization in unilateral lateral epicondylalgia: A blinded, controlled study. from Spain, and all the remaining co-authors for their invaluable contribution to the present research. Medicine, Universidad Rey Juan Carlos for their generous support during my research work. Special thanks are dedicated to my wife, Cristina Alonso Blanco, my first daughter Marta Fernandez Alonso, my second son who cannot survive (Miguel Ángel Fernández Alonso), and my family, particularly my parents and brothers, for their endless love to me. Abstract Introduction: Musculoskeletal pain syndromes in the upper quadrant and headache, especially tension-type headache …