Symptoms
Migraine triggers (myofascial)
Cervical and masticatory trigger points can lower the migraine threshold and trigger attacks in susceptible patients.
Overview
Cervical and masticatory trigger points can lower the migraine threshold and trigger attacks in susceptible patients. Identifying which muscle reproduces the patient's familiar pain on palpation guides treatment and often produces meaningful change alongside standard care.
Clinical notes
Identify reproducible trigger points whose palpation reproduces the prodrome or pain. Combine with standard migraine care.
Red flags — when to refer
Aura with focal neurological deficits, thunderclap onset, new headache after 50 — refer.
Muscles often involved
References
- • Travell & Simons — Myofascial Pain and Dysfunction