Migraine and the Neck

Blau, J.N.; MacGregor, Anne

doi:10.1111/j.1526-4610.1994.hed3402088.x

Cited by 101 publications

(96 citation statements)

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“…According to previous research, the majority of women who experience migraines also experience neck pain and stiffness and consider neck pain to be a trigger for their migraines. 10,11 The pain reported by the migraine group during both the muscle length tests and passive accessory intervertebral movements was significantly higher than that reported by the control group. The migraine group reported significantly more pain during muscle length testing of the bilateral levator scapulae and left trapezius, but testing did not find significantly reduced length relative to the control group.…”

Section: Discussionmentioning

confidence: 93%

“…8 In addition to headache, 82% of women who have migraines also experience posterior ipsilateral neck stiffness or pain, which may be a premonitory symptom occurring a few hours before other migraine symptoms. 10,11 Cervical dysfunction has been reported in patients with migraine, with neck pain being a common and prominent migraine symptom. 12 When compared to controls, migraineurs have more tender and tight craniocervical musculature, greater forward head posture, and decreased cervical mobility.…”

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confidence: 99%

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An Exploratory Study to Determine the Relationship between Cervical Dysfunction and Perimenstrual Migraines

Horwitz

Stewart

2015

Physiotherapy Canada

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Purpose: To determine whether an association between cervical dysfunction and perimenstrual migraines exists. Methods: Forty perimenstrual migraine sufferers and 46 controls were compared. Information on the participants' ages and perceptions of neck pain and stiffness were solicited. The blinded physical examination of the cervical area consisted of postural, range of motion, muscle strength, muscle length, trigger point, neural mobility, and segmental cervical joint movement assessment. Results: The migraine group had increased perception of neck pain and stiffness (p < 0.001); reduced bilateral rotation (p ¼ 0.013); decreased muscle length in both trapezii, left sternocleidomastoid, and right occipitals (p ¼ 0.045); more pain on muscle stretch in both levator scapulae, both trapezii, left sternocleidomastoid, and both occipitals (p ¼ 0.013); increased trigger points bilaterally in the left trapezius (p ¼ 0.021), right trapezius (p ¼ 0.023), left sternocleidomastoid (p ¼ 0.0.004), and right sternocleidomastoid (p ¼ 0.021); reduced neural mobility with bilateral elbow lag (p ¼ 0.043); greater C4-C6 pain (p ¼ 0.045); and increased cervical stiffness in C5-C7 (p ¼ 0.023). There were no differences in posture and muscle strength. Decreased muscle length increased the risk of perimenstrual migraines 2.4-6.7 fold, reduced neural mobility 5.8-10.7 fold, and increased C7 stiffness 17.0 fold. Conclusion: The results suggest that an association between cervical dysfunction and perimenstrual headaches should be further explored.Key Words: cervical pain; headache; menstruation; migraine disorders. RÉ SUMÉObjectif : Cette é tude visait à dé terminer s'il y a un lien entre la dysfonction cervicale et les migraines pé rimenstruelles. Mé thodes : On a comparé 40 femmes souffrant de migraines pé rimenstruelles à 46 té moins. On a ré uni de l'information sur l'â ge des participantes et les perceptions de la douleur et de la raideur dans le cou. L'examen mé dical à l'insu de la ré gion cervicale a consisté à é valuer la posture, l'amplitude du mouvement, la force musculaire, la longueur des muscles, le point de dé clenchement, la mobilité neurale et le mouvement de l'articulation cervicale segmentaire. Ré sultats : Les patientes souffrant de migraines avaient une perception accrue de la douleur et de la raideur dans le cou (p < 0,001), une rotation bilaté rale ré duite (p ¼ 0,013); elles pré sentaient une diminution de la longueur musculaire au niveau des deux trapè zes, du sternoclé idomastoïdien gauche et des occipitaux droits (p ¼ 0,045); ressentaient plus de douleur à l'é tirement musculaire au niveau des deux muscles é lé vateurs de la scapula, des deux trapè zes, du sternoclé idomastoïdien gauche et des deux occipitaux (p ¼ 0,013); une é lé vation des points de dé clenchement des deux cô té s dans le trapè ze gauche (p ¼ 0,021), le trapè ze droit (p ¼ 0,023), le sternoclé idomastoïdien gauche (p ¼ 0,0004) et le sternoclé idomastoïdien droit (p ¼ 0,021); une ré duction de la mobilité neurale avec latence du coude de...

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Section: Discussionmentioning

confidence: 93%

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confidence: 99%

An Exploratory Study to Determine the Relationship between Cervical Dysfunction and Perimenstrual Migraines

Horwitz

Stewart

2015

Physiotherapy Canada

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“…Blau and MacGregor [5] proposed that migraine attacks can be triggered by neck pain which extends down the spine, indicating extracerebral involvement of the migraine process to include the hindbrain and the upper cervical cord. Early involvement of hindbrain and upper cervical cord could be an operative mechanism in "neck extenders" during the migraine attacks.…”

Section: Discussionmentioning

confidence: 99%

“…The sites of muscle contraction in migraine correlate with spatial distribution of pain and tenderness, suggesting that it is a secondary phemenon but one that nonetheless contributes to headache [1]. Patients take action to reduce the neck symptoms, typically by massaging the muscles or stretching the neck backwards [5].…”

Section: Discussionmentioning

confidence: 99%

Patients’ postures during migraine attacks

2003

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The aim of this study was to determine postures adopted by patients during migraine attack. A total of 199 migraine patients were questioned about their postures during the migraine attack. Of these, 92 patients did not choose a specific lying position, 22 could not lie down during the attack because of the increase in pain, while 6 avoided lying due to scalp tenderness. During the attack, 19 patients preferred holding their heads up (compared to painless period) with a few pillows and 41 applied pressure on the aching side; 15 lay with their necks extended and 15 lay face downward. Various combinations of these postures were also reported. Pain may arise from extracranial muscles as well as vessels during a migraine attack. The posture chosen during attack is a reflection of vascular and muscle pains that provoke symptoms. The postures that patients chose were aimed to lessen the severity of symptoms of their migraine attacks. Patients know the position they adopt and do not need to be told by a doctor, but they come to consultations to be understood, to learn that others behave in the same way, and in some, to obtain reasons for their posture. The existence of a specific lying posture can be an advantage for the physician in terms of approaching the patient and selecting an appropriate therapy.

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“…Мышечно-то-нический болевой синдром шейных мышц -фактор, несом-ненно способствующий учащению приступов мигрени [30,31]. В связи с этим в ряде случаев для лечения мигрени реко-мендуется комбинация стандартной терапии и лечебной гимнастики, метода релаксации и температурной БОС [29].…”

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