Body Pain, Allodynia and Fibromyalgia

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Key Questions
  • What is “allodynia” that most people with migraine experience at some point?
  • Why do some people with migraine experience body pain or sensitivities between migraine attacks as well as during them?
  • Can allodynia be a symptom of migraine?
  • Is fibromyalgia a comorbid condition with migraine?
  • What other common medical conditions involve central sensitization?
  • How do these conditions affect migraine? (and vice versa)
  • Where does the pain originate and why?
  • What factors are likely to lead to more frequent and chronic attacks?
  • What role does inflammation play?
  • How do you know when you have fibromyalgia?
  • How can allodynia and fibromyalgia be effectively treated?
  • What medicinal and complementary options are available?
  • Does heat or cold help with any of these conditions?
  • What are some ways to reduce body pain and stay active?
  • Which doctors are patients likely to see for these types of pain conditions?
  • What should patients watch out for if they have multiple doctors treating different aspects of pain and migraine?
Interview Notes

Find more about Gretchen Tietjen, MD and her work here:

Gretchen E. Tietjen, MD

Professor Emerita of Neurology
University of Toledo

Dr. Gretchen E. Tietjen is a graduate of the University of Michigan Medical School and its neurology residency program. She is a Distinguished University Professor Emerita of neurology at the University of Toledo, where she founded the Department of Neurology in 2000 and led as chair until 2020.

Specializing in headache medicine and vascular neurology, she also directed the Stroke Center for 15 years and the Headache Treatment and Research Center for over two decades. Her research focuses on the relationship between migraine and stroke, including the investigation of the vascular biology in migraine, the association of childhood maltreatment and migraine, and the effects of early life stress on vascular and brain biology in a rodent model.

Dr. Tietjen has published over 160 peer-reviewed papers, book chapters, reviews, and editorials. Her research has garnered national awards, including the Stroke Innovation Award from the journal Stroke and the Association of Migraine Disorders Innovation Award, as well as the American Headache Society’s Seymour Solomon Lecture Award, the Harold G. Wolff Lecture Award, the John R. Graham Lecture Award, the Women’s Health Research Lecture Award, and the 2022 Lifetime Achievement Award from the AHS.

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