Full Question: I am a 56-year-old female and have had migraines since I was about 35. They are preceded by a muscle knot in my neck, mostly near the base of my ear (left or right leading to a headache on the same side). Sometimes applying pressure for 40 to 60 seconds will relieve the muscle knot and prevent the migraine. Usually has to be repeated several times a day. What causes the muscle knots? If I can find the source, could I prevent or end my migraines? Answer: Dear Sufferer; The painful muscle "knot" may be muscle spasm or a trigger point due to excessive activity in nerve roots in the neck (cervical spine), or, they most likely are a part of the buildup to a Migraine. Acupressure may prevent the Migraine, as you describe. We sometimes use trigger point injections with local anesthetics and other medications to relieve a chronic source of irritation. Some suppressive medications can reduce the firing in nerve trunks and also help the Migraine p...
The topic of spasticity has been on my mind since I’ve been experiencing it more lately. Four years ago, I did not understand what was spasticity and what was not. I complained of really tight muscles to my neurologist who suggested that I exercise more. His advice was logical but it didn’t directly solve my problem.
For many months I lived with this excess tightness which no amount of stretching seemed to resolve. Yoga was nice, as was swimming, but I never seemed to achieve that blissful level of release in my muscles which I so desired.
It wasn’t until a year later (or so) that the tightness and stiffness in my legs got to the point where I just had to complain about it in an appointment. During this appointment, I was consulting with the nurse practitioner who prescribed a trial of Baclofen. I started at a low dose as she suggested and gradually increased it every few days ever so much.
Within about a week, I began to fe...
Alternative Names Wry neck; Loxia Prevention While there is no known prevention, early treatment may prevent a worsening of the condition. References Spiegel DA, Hosalkar HS, Dormans JP, Drommond DS. The neck. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap. 679. Persing J. Prevention and management of positional skull deformities in infants. American Academy of Pediatrics Committee on Practice and Ambulatory Medicine, Section on Plastic Surgery and Section on Neurological Surgery. Pediatrics . 2003;112:199-202. Patel M, Shah K. Orthopedics. In: Rakel RE, ed. Textbook of Family Medicine . 7th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 42.
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