Cervicogenic Headache Caused by Myofascial Trigger Points in the Sternocleidomastoid: A Case Report

Roth, JK; Rs, Roth; Weintraub, JR; Dg, Simons

doi:10.1111/j.1468-2982.2007.01296.x

Cited by 23 publications

(15 citation statements)

References 37 publications

(45 reference statements)

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“…In that way, it may be possible that motor control impairments of the deep flexors could also contribute to the development of muscle TrPs in the superficial muscles. This hypothesis is in line with a recent case report, in which authors found that referred pain from TrPs in the sternocleidomastoid muscle mimics the pain pattern of CeH [64].…”

Section: Muscle Trps In Cehsupporting

confidence: 85%

The role of myofascial trigger points in musculoskeletal pain syndromes of the head and neck

Fernández‐de‐las‐Peñas

Simons²,

Cuadrado³

et al. 2007

Current Science Inc

101

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Neck and head pain syndromes are common problems seen in clinical practice. Pain features of commonly designated idiopathic neck pain and some primary headaches (ie, tension-type headache or migraine) fit the descriptions of referred pain originating in muscle trigger points (TrPs). This article discusses the scientific evidence supporting the role of muscle TrPs in chronic musculo-skeletal disorders of the neck and head. The relevance of referred pain elicited by muscle TrPs in patients with neck pain has been investigated in few studies. Some authors found that both muscle TrPs in neck-shoulder muscles and cervical joint dysfunctions contribute at the same time to neck pain perception. Furthermore, it seems that referred pain originated in muscle TrPs could also contribute to neck symptoms perceived by subjects after a rear-end crash. In addition, several recent studies reported that both TTH and migraine are associated with referred pain from TrPs in the suboccipital, upper trapezius, sternocleidomastoid, temporalis, or superior oblique muscles. Referred pain elicited by active TrPs mimics the pain areas observed during head pain attacks in these primary headaches. Based on available data, it seems that the pain profile of neck and head syndromes may be provoked referred pain from TrPs in the posterior cervical, head, and shoulder muscles. Additional studies are needed to delineate more information on the relation between muscle TrPs and musculoskeletal pain syndromes of the head and neck.

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Section: Muscle Trps In Cehsupporting

confidence: 85%

The role of myofascial trigger points in musculoskeletal pain syndromes of the head and neck

Fernández‐de‐las‐Peñas

Simons²,

Cuadrado³

et al. 2007

Current Science Inc

101

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show abstract

“…43 The results of our study are consistent with a previous case report where management of active TrP in the sternocleidomastoid muscle was effective for the treatment of a patient with CeH showing affectation of this muscle. 27 It should be noted that lower bound estimates of the 95% CIs for between-group changes exclude the MCID for pain intensity, the primary outcome, supporting statistically and clinically meaningful improvements in reduction of pain.…”

Section: Discussionmentioning

confidence: 98%

“…26 Furthermore, there is 1 case report where the referred pain elicited by sternocleidomastoid muscle active TrPs reproduced the headache pain pattern in CeH. 27 In addition, treatment of this active TrP was effective for the management of this patient. 27 It is possible that active TrPs in this muscle can be present in a subgroup of patients with CeH.…”

mentioning

confidence: 96%

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Manual Treatment for Cervicogenic Headache and Active Trigger Point in the Sternocleidomastoid Muscle: A Pilot Randomized Clinical Trial

Bodes-Pardo¹,

Pecos‐Martín²,

Gallego‐Izquierdo³

et al. 2013

Journal of Manipulative and Physiological Therapeutics

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“…Further, patients who were treated exhibited significant decreases in their headache frequency and intensity, which supports the role of TrPs in pain perception in this headache. Roth et al described a case report where TrPs from the sternocleidomastoid muscle mimicked this headache [62]. A recent study has shown that manual treatment of active TrPs is effective for the management of cervicogenic headache [63•].…”

Section: Trigger Points In Other Headachesmentioning

confidence: 99%

Myofascial Head Pain

Fernández‐de‐las‐Peñas

2015

Curr Pain Headache Rep

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Muscle nociception is mainly characterized by local tenderness and referred pain. The neurophysiological basis of muscle pain supports a role of sensitization mechanisms. From a clinical viewpoint, muscle pain is represented by the presence of myofascial trigger points (TrPs). Evidence suggests that TrPs are able to start a peripheral nociceptive mechanism and hence contributing to changes in the central nervous system. Several studies demonstrated that the referred pain elicited by TrPs reproduces the headache pattern in patients with tension-type headache (TTH), migraine, cervicogenic headache and, in some individuals, with cluster headache. In fact, sensitization of nociceptive pain pathways in the central nervous system due to prolonged nociceptive stimuli from TrPs seems to be responsible for the conversion of episodic to chronic TTH. In other headaches, TrPs may be able to stimulate the trigeminal nucleus caudalis and hence triggering a migraine or cluster headache attack. Proper treatment directed towards TrP inactivation has documented positive effects in individuals with these headaches; however, longitudinal studies are needed to further determine the role of TrPs in head pain.

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Cervicogenic Headache Caused by Myofascial Trigger Points in the Sternocleidomastoid: A Case Report

Cited by 23 publications

References 37 publications

The role of myofascial trigger points in musculoskeletal pain syndromes of the head and neck

The role of myofascial trigger points in musculoskeletal pain syndromes of the head and neck

Manual Treatment for Cervicogenic Headache and Active Trigger Point in the Sternocleidomastoid Muscle: A Pilot Randomized Clinical Trial

Myofascial Head Pain

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