These findings suggest that structural alterations in the insula, postcentral gyrus, superior parietal lobule and rostral prefrontal cortex may disrupt the pathway used to discriminate sensory features of pain or the trigemino-thalamo-cortical pathway, and induce hypersensitivities to painful stimuli in migraineurs.
In the first section, the patient is required to note, for each headache day, sleep time (hours), presence of aura symptoms, time of pain onset and features of pain (intensity, side, type, presence of associated symptoms).
Conclusions: Relationships among various clinical features of pain after SCI reveal common clinical patterns important for increased understanding of pain mechanisms and for the design of therapeutic interventions for pain management.
Recent preliminary studies suggested the utility of an easy-to-use smartphone-based electronic pain diary (IHCS AID Diary) which enables assessment of clinical features of pain over time.
In collaboration with TERIN, an Italian ICT (information and communication technology) consortium, we have developed an easy-to-use smartphone-based electronic pain diary (IHCS AID Diary) which enables assessment of clinical features of pain over time.
Convergence of neural pathways at the level of the limbic system would be consistent with a mechanism in which somatic perceptual and cognitive features of pain would be integrated with attentional and emotion mechanisms.
The bilateral somatosensory cortex, left premotor cortex, bilateral dorsolateral prefrontal cortices, right premotor cortex, bilateral supplementary motor areas and bilateral superior parietal lobules participate in the discrimination of sensory features of pain [28].
The potential use of a smartphone-based electronic pain diary via telemedicine seems to be a feasible and reliable method for conducting remote assessments of clinical features of pain in chronic pain patients over time, thus improving clinical monitoring, differential diagnosis and treatment of pain.
Given the prominent features of pain with nausea and vomiting in migraine headache, the fact that headache and migraine patients preferred a strain such as this, with its associated cannabinoid and terpene profile, would make sense given the known therapeutic effects of this cannabinoid and these terpenes.
Following the baseline assessment for features of pain sensitisation, all participants will receive usual physiotherapy care.
