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Costochondritis is a common condition that is responsible for approximately 13–36% of acute chest pain-related concerns from adults depending on the setting, with 14–39% for adolescents. [8] It is most often seen in individuals who are older than 40 years of age and occurs more often in women than in men.
Other conditions that may produce similar symptoms include angina, pericarditis, pleurisy, and chest trauma. [1] Treatment is usually via reassurance, as the pain generally resolves without any specific treatment. Precordial catch syndrome is relatively common, and children between the ages of 6 and 12 are most commonly affected.
Chest pain is relatively common in children and adolescents. Unlike adults, the cause is rarely cardiac. [2] Approximately 0.3% to 0.6% of emergency department visits by pediatric patients are for chest pain. The emergency department visits are consistent throughout the seasons and times of year.
With chronic headache patients, the acupuncturist may needle "tender points at or near the site of maximal headache pain". [25] A study conducted by the University of North Carolina School of Medicine found that compared to medicinal treatment alone, medicinal treatment plus acupuncture resulted in more improvement for chronic daily headache ...
The headache is daily and unremitting from very soon after onset (within 3 days at most), usually in a person who does not have a history of a primary headache disorder. The pain can be intermittent, but lasts more than 3 months. Headache onset is abrupt and people often remember the date, circumstance and, occasionally, the time of headache onset.
Common over-the-counter medicines that can cause headaches when overused include Excedrin Migraine, Cafergot, and Advil. [11] [12] Dietary and medicinal caffeine consumption appears to be a modest risk factor for chronic daily headache onset, regardless of headache type. [13] [14] A lifelong history of headaches is a major risk factor for MOH. [15]
Chest pain is a common presenting problem. Overall chest pain is responsible for an estimated 6% of all emergency department visits in the United States and is the most common reason for hospital admission. [44] Chest pain is also very common in primary care clinics, representing 1-3% of all visits. [59]
Verapamil, nimodipine, and other calcium channel blockers may help reduce the intensity and frequency of the headaches. [1] A clinician may recommend rest and the avoidance of activities or vasoactive drugs which trigger symptoms (see § Causes). [1] Analgesics and anticonvulsants can help manage pain and seizures, respectively. [1]
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