Self‐Reported Comorbid Pains in Severe Headaches or Migraines in a US National Sample
Open accessAbstract
Aims.— To compare prevalence of self‐reported comorbid temporomandibular joint muscle disorder‐type, neck, back, and joint pains in people with severe headache or migraine; and analyze these self‐reported pains in the 2000‐2005 US National Health Interview Survey by gender and age for non‐Hispanic whites, Hispanics, and non‐Hispanic blacks (African Americans). Methods.— National Health Interview Survey data included information on gender, age, race, ethnicity, health status, and common pain types: severe headache or migraine, temporomandibular joint muscle disorder‐type, neck, and low back in the last 3 months, as well as prior‐month joint pains. Analyses included survey prevalence estimation and survey logistic regression to obtain odds ratios and 95% confidence intervals. Results.— The study included 189,967 adults: 48% males, 52% females; 73% white, 12% Hispanic, and 11% black. Of the entire sample, 29,712 (15%) reported severe headache or migraine, and 19,228 (64%) had severe headache or migraine with at least 1 comorbid pain. Two or more comorbid pains were reported in 10,200 (33%), with no gender difference, and with Hispanics (n = 1847 or 32%) and blacks (n = 1301 or 30%) less likely to report 2 or more comorbid pains than whites (n = 6747 or 34%) (odds ratio = 0.91, P = .032; OR = 0.82, P < .001, respectively). This group also reported significantly lower ratings of self‐rated health ( P < .001). Differences in type of comorbid pain by age patterns were found. Conclusions.— Severe headache or migraine is often associated with other common pains, seldom existing alone. Two or more comorbid pains are common, similarly affecting gender and racial/ethnic groups.
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Chronic headache commonly coexists with other chronic painful disorders such as low back pain.
“chronic headache commonly coexists with other chronic painful disorders such as low back pain.38–41”
From Usual care and a self-management support programme versus usual care and a relaxation programme for people living with chronic headache disorders: A randomised controlled trial protocol (CHESS) (2020) · cites this paper as [40]
The Results report that 53% of respondents with severe headache or migraine had low back pain in the prior three months, and the Introduction notes that chronic daily headache is associated with more coexisting body pains. The study does not establish that the headaches or low back pain in that reported comparison were chronic, so it supports coexistence but not the claim’s chronicity qualifiers. (LLM, conf=0.85)
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- Authors
- Plesh, O., Adams, S. H., & Gansky, S. A.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Plesh, Octavia
- Venue
- Headache: The Journal of Head and Face Pain
- Publisher
- Wiley
- Published
- 2012-05-03
- Volume
- 52
- Issue
- 6
- Pages
- 946-956
- ISSN
- 0017-8748 (ISSN-L)
- 1526-4610
- PMC
- PMC3370154
- OpenAlex
- W2002233732
- Cited by
- 70
- References
- 40
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 7 · 2022: 6 · 2021: 8 · 2020: 6 · 2019: 11 · 2018: 6 · 2017: 3 · 2016: 6 · 2015: 2 · 2014: 7 · 2013: 3 · 2012: 1
- FWCI
- 2.95
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Headache The Journal of Head and Face Pain (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute of Dental and Craniofacial Research (R03DE018759)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Migraine and Headache Studies
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- migraine, severe headache, comorbid pain, neck pain, low back pain, joint pain, prevalence, racial and ethnic differences, Hispanic adults, African American adults, self-rated health, age differences
- MeSH terms
- Adult, Back Pain, Black or African American, Female, Headache, Hispanic or Latino, Humans, Male, Temporomandibular Joint Disorders, Comorbidity, Prevalence, Age Distribution, Sex Distribution, Arthralgia, Neck Pain, White People, Self Report
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