Myofascial trigger points and migraine-related disability in women with episodic and chronic migraine

The aim of this study was to investigate the differences in the presence of head and neck-shoulder trigger points (TrPs) between women with episodic or chronic migraine and their association with migraine-related disability.

One hundred and forty-three women, aged 18-60 years, suffering from migraine were recruited to participate. Migraine-related disability was evaluated with the migraine disability assessment questionnaire (MIDAS). TrPs were explored bilaterally within the masseter, temporalis, suboccipital, sternocleidomastoid, upper trapezius, and splenius capitis muscles.

Ninety-eight women exhibited episodic migraine and 45 chronic migraine. Women with chronic migraine reported higher related-disability than those with episodic migraine (P=0.045). Women with episodic migraine had a similar number of TrPs (total number: 4.3±3.3; active TrPs: 3.0±2.9; latent TrPs: 1.3±2.1) to those with chronic migraine (total number: 4.8±3.2; active TrPs: 3.4±2.9; latent TrPs: 1.4±1.9). No linear association between the number of TrPs and migraine-related disability was observed in women with episodic or chronic migraine.

Women with episodic and chronic migraine had a similar number of TrPs. TrPs may be considered as a trigger factor that can facilitate the onset of migraine or also can potentially also be a promoting factor for pain once the migraine attack has started and hence may contribute to related-disability.

Nevertheless, we observed that the number of TrPs in head and neck-shoulder muscles in an interictal state was not associated with the degree of migraine-related disability, suggesting a multi-factorial nature of self-perceived disability in this population.

Global Health Course

Global Health is fast becoming a priority of all health organisations. Get ahead of the curve, take part in this course and help improve health around the world.

Speak your mind

Your email will not be published.