ReviewCurrent pain and headache reports2003
Convergence of cervical and trigeminal sensory afferents.
Review in Current pain and headache reports, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04317937 (The Effects Of Jaw Sensorimotor System In The Treatment Of Neck Pain And Dysfunction), which is not on this map. Cited by 53 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effects Of Jaw Sensorimotor System In The Treatment Of Neck Pain And Dysfunction
Who cites it
53 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence of orofacial and head pain: an umbrella review of systematic reviews.Journal of oral & facial pain and headache · 2024Pooled it
- Are Morphometric Alterations of the Deep Neck Muscles Related to Primary Headache Disorders? A Systematic Review.Sensors (Basel, Switzerland) · 2023Pooled it
- Effects of Integrating Jaw Opening and Closing Movements with Active Neck Exercises in the Management of Chronic Non-Specific Neck Pain: A Randomized Controlled Trial.Medicina (Kaunas, Lithuania) · 2024Trial
- Effects of adding electro-massage to manual therapy for the treatment of individuals with myofascial temporomandibular pain: a randomized controlled trial.Journal of applied oral science : revista FOB · 2024Trial
- Trial
- Texture analysis on muscle T2 maps can reveal changes in upper trapezius muscles related to primary headache disorders.Scientific reports · 2026Article
- Occipital shuntalgia: Rethinking post-shunt occipital headache etiology and care.Acta neurochirurgica · 2026Article
- Burning Mouth Syndrome as a Central Pain Disorder: A Case Study Demonstrating Response to Occipital Nerve Block Treatment.Dentistry journal · 2026Article
- Association Between Occlusal Wear, Viscoelastic Properties, and Pain in Masticatory Muscles in Individuals With or Without Headache and Neck Pain: A Pilot Cross-Sectional Study.International journal of dentistry · 2026Article
- Spinal Posture, Mobility, and Muscle Endurance in Women With Tension-Type Headache: A Case-Control Study.Pain research & management · 2026Article
- Temporomandibular Disorders and Orofacial Outcomes in Subjects with Neck Pain and/or Cervicogenic Headache: A Systematic Review with Meta-Analysis.Journal of clinical medicine · 2025Review
- Associations between temporomandibular disorders/bruxism and head and neck pains: a bidirectional Mendelian randomization study.Journal of oral & facial pain and headache · 2025Article
- Article
- Refractory Neuropathic Pain in the Head and Neck: Neuroanatomical and Clinical Significance of the Cervicotrigeminal Complex.Life (Basel, Switzerland) · 2025Review
- Integration of nociceptive activity from orofacial, cranial and cervical regions in the trigeminocervical nucleus: a scoping review with clinical implications.Journal of oral & facial pain and headache · 2025Article
- Hallmarks of primary headache: part 2- Tension-type headache.The journal of headache and pain · 2025Review
- Spinal pain prevalence and associated determinants: A population-based study using the National Survey for Wales.Physiological reports · 2024Article
- Neck Reflex Points: A New Clinical Test? Prevalence in Two Cohorts and Its Covariates.Diagnostics (Basel, Switzerland) · 2024Article
- The effect of simultaneous administration of occipital nerve block and cervical myofascial trigger point injection (MTrPI) on headache parameters in chronic migraine patients.Irish journal of medical science · 2024Article
- Effect of Repeated Greater Occipital Nerve Block in Patients with Ocular Neuropathic Pain: A Retrospective Observational Study.Journal of clinical medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Cranial nociceptive perception shows a distinct topographic distribution, with the trigeminal nerve receiving sensory information from the anterior portions of the head, the greater occipital nerve, and branches of the upper cervical roots in the posterior regions. However, this distribution is not respected during headache attacks, even if the etiology of the headache is specific for only one nerve. Nociceptive information from the trigeminal and cervical territories activates the neurons in the trigeminal nucleus caudalis that extend to the C2 spinal segment and lateral cervical nucleus in the dorsolateral cervical area. These neurons are classified as multimodal because they receive sensory information from more than one afferent type. Clinically, trigeminal activation produces symptoms in the trigeminal and cervical territory and cervical activation produces symptoms in the cervical and trigeminal territory. The overlap between the trigeminal nerve and cervical is known as a convergence mechanism. For some time, convergence mechanisms were thought to be secondary to clinical observations. However, animal studies and clinical evidence have expanded our knowledge of convergence mechanisms. In this paper, the role of convergence mechanisms in nociceptive physiology, physiopathology of the headaches, clinical diagnosis, and therapeutic conduct are reviewed.
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Registered trials
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