Active myofascial trigger points (MTrPs) have been found to contribute to chronic tension-type headache and migraine. The purpose of this case series was to examine if active trigger points (TrPs) provoking cluster-type referred pain could be found in cluster headache patients and, if so, to evaluate the effectiveness of active TrPs anaesthetic injections both in the acute and preventive headache's treatment.
Twelve patients, 4 experiencing episodic and 8 chronic cluster headache, were studied. TrPs were found in all of them.
Abortive infiltrations could be done in 2 episodic and 4 chronic patients, and preemptive infiltrations could be done in 2 episodic and 5 chronic patients, both kind of interventions being successful in 5 (83.3%) and in 6 (85.7%) of the cases respectively. When combined with prophylactic drug therapy, injections were associated with significant improvement in 7 of the 8 chronic cluster patients.
Our data suggest that peripheral sensitization may play a role in cluster headache pathophysiology and that first neuron afferent blockade can be useful in cluster headache management.
Author: Elena P Calandre, Javier Hidalgo, Juan M Garcia-Leiva, Fernando Rico-Villademoros and Antonia Delgado-Rodriguez
Published by Head &Face Medicine 2008
link: Myofascial trigger points in cluster headache patients: a case series.
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Myofascial trigger points in cluster headache patients
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2 comments:
Now, if I can just plan my cluster headaches around my doc's appts for myo-facial and soft-tissue work, lol! Interesting tho. I'm on the trail of melatonin myself, hoping newer and much larger doses might be the key to my cluster headaches and even Migraine. Still, a little soft tissue work sure couldn't hurt, right??... :)
Ellen
visit me at my WEGO Health Migraine blog
Ellen, I am a female, 42 years old, with episodic clusters. I am currently beginning a new cycle, lucky me, and was wondering about your melatonin comment. How much are you taking of it? Is it helping? What else do you use that might help? I've got to stop taking ibuprofen so much every day or my body is going to shut down. I have two small boys and this is taking over my life, as usual.
Thanks for listening.
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