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 Tietjen is professor and chair of neurology at the University of Toledo, and director of the University of Toledo Medical Center Headache Treatment and Research Program and Stroke Program. The UTMC Stroke Program, established in 1994, was the area’s first center, and today treats an average of 300 stroke patients each year. Dr. Tietjen has been the recipient of the Harold G. Wolff Lecture Award for Headache Research at the American Headache Society Conference, and the American Headache Society John R. Graham Lecture Award. She specializes in headache medicine and vascular neurology and has uncovered groundbreaking connections between migraine and stroke and between childhood abuse, post-traumatic stress, and migraine. Her research also includes migraine as a risk factor for stroke and cerebrovascular disease. Dr. Tietjen graduated from the University of Michigan medical school in 1984 and has more than 30 years in practice.

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