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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...
Alternative Names Diffuse esophageal spasm; Spasm of the esophagus Symptoms Difficulty swallowing or pain with swallowing Pain in the chest or upper abdomen It can be hard to tell a spasm from angina pectoris, a symptom of heart disease. The pain may spread to the neck, jaw, arms, or back Signs and tests Esophagogastroduodenoscopy (EGD) Esophageal manometry Esophagogram (barium swallow x-ray)
Back pain - nonspecific
Low back pain
Pain in any part of the back
Pain may radiate to the buttocks or upper leg(s)
Signs and tests
A physical examination focused on the back, the abdomen, and the extremities may confirm back pain or muscle spasm , but the examination does not reveal a specific cause (such as a herniated disk) or any neurological problem (such as weakness or change in sensation).
X-rays of the spine are usually normal. Further work-up may include a CT scan or MRI of the spine .
You should know
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