8/20/07 #8 - Knot in neck preceding Migraine?
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?
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..
John Claude Krusz and Teri Robert
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