Neuromodulation and Other Non-pharmacological Approaches in Tension-Type Headache

Grazzi, Licia; Grignani, Eleonora; Sansone, Emanuela; Láinez, Miguel J. A.; García-Ull, Jésica

doi:10.1007/978-3-030-14121-9_12

Cited by 1 publication

(1 citation statement)

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“…Manual therapy targeting the inhibition of AMTrPs can be effective in reducing headache symptoms and the intensity, duration, and frequency of episodes in TTH [2,10,23,24]. Physiotherapy interventions, such as transcutaneous electrical nerve stimulation (TENS) therapy and neuromodulation, may also be beneficial in pain modulation [2,25]. Psychological treatments for TTH include EMG biofeedback to learn to recognize and control muscle tension, progressive relaxation training to manage tension during daily activities, and cognitive behavioural therapy to identify and change the stress-inducing factors that exacerbate headaches [26][27][28][29][30].…”

Section: Introductionmentioning

confidence: 99%

Effects of Dry Needling on Active Myofascial Trigger Points and Pain Intensity in Tension-Type Headache: A Randomized Controlled Study

Monti-Ballano,

Márquez-Gonzalvo,

Lucha-López

et al. 2024

JPM

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Tension-type headache is the most prevalent type of headache and is commonly associated with myofascial pain syndrome and the presence of active myofascial trigger points. This randomized controlled trial aimed to assess the impact of dry needling on the total number of active trigger points, pain intensity, and perceived clinical change in tension-type headache subjects. Thirty-two subjects were randomly assigned to the control and dry needling groups. The presence of active trigger points in 15 head and neck muscles, the headache intensity, and the perceived clinical change were evaluated. A single dry needling technique was administered at each active trigger point across three sessions. Significant differences were observed in the post-treatment measures favouring the dry needling group, including reductions in the headache intensity scores (p = 0.034) and the total number of active trigger points (p = 0.039). Moreover, significant differences in the perception of clinical change were found between the control and treatment groups (p = 0.000). Dry needling demonstrated positive effects in reducing the number of active trigger points and improving the short-term headache intensity in tension-type headache patients. A single dry needling session applied in the cranio-cervical area resulted in a self-perceived improvement compared to the control subjects.

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