8/20/07 #8 - Knot in neck preceding Migraine?

Ask the Clinician Health Pro
  • 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 pattern..

    Add This Infographic to Your Website or Blog With This Code:

     

    Good luck,
    John Claude Krusz and Teri Robert

     

    If you need to find a headache and Migraine specialist, please see our listing of patient recommended specialists.

     

     

    About Ask the Clinician:

    Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri Robert.

     

    If you have a question, please click HERE. Accepted questions will be answered by publishing the answers here. Due to the number of questions submitted, no questions will be answered privately, and questions will be accepted only when submitted via THIS FORM. Please do not submit questions via email, private message, or SharePost comments. Thank you.

     

    Please note: We cannot handle emergencies or diagnose via the Internet. Please do not ask us to diagnose; see your physician for diagnosis.

     

    We hope you find this general medical and health information useful, but this Q & A is meant to support not replace the professional medical advice you receive from your doctor. For all personal medical and health matters, including decisions about diagnoses, medications and other treatment options, you should always consult your doctor. See full Disclaimer.

Published On: August 20, 2007