Neck pain and migraine

…what is cause and what is effect?

  • Radiating neck pain before the muscle test increases risk of migraine attack
  • Neck pain after test triggers migraine attack
  • Pain trigger runs through trigeminocervical circuit

Prolonged contraction of the neck muscles triggers a migraine attack, especially in patients with neck pain radiating to the head. German scientists suggest that pain signals originating from the neck activate the trigeminovascular system and thus bring about a migraine attack. They draw that conclusion after investigating 65 patients with migraine and 32 healthy controls on neck pain and then letting them contract their neck flexors and extensor for a long time. Subsequently, they looked at which patients developed head or neck pain during the next day.


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