Tension headache physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sabeeh Islam, MBBS[2]

Overview

Tension type headache may have following examination findings: Increased pericranial muscle (head, neck or shoulders) and myofascial tissue tenderness on manual palpation. Increased number of myofacial trigger points: frontal, temporal, masseter, ptrygoid, sternocleidomastoid, splenius, and trapezius mucles.

Physical examination

  • Tension type headache may have following examination findings:[1][2]
    • Increased pericranial muscle (head, neck or shoulders) and myofascial tissue tenderness on manual palpation.[3][4]
    • Increased number of myofacial trigger points: frontal, temporal, masseter, ptrygoid, sternocleidomastoid, splenius, and trapezius mucles.[5]


References

  1. Sandrini G, Antonaci F, Pucci E, Bono G, Nappi G (December 1994). "Comparative study with EMG, pressure algometry and manual palpation in tension-type headache and migraine". Cephalalgia. 14 (6): 451–7, discussion 394–5. doi:10.1046/j.1468-2982.1994.1406451.x. PMID 7697707.
  2. Jensen R, Fuglsang-Frederiksen A (June 1994). "Quantitative surface EMG of pericranial muscles. Relation to age and sex in a general population". Electroencephalogr Clin Neurophysiol. 93 (3): 175–83. doi:10.1016/0168-5597(94)90038-8. PMID 7515793.
  3. Fernández-de-Las-Peñas C, Alonso-Blanco C, Cuadrado ML, Gerwin RD, Pareja JA (September 2006). "Myofascial trigger points and their relationship to headache clinical parameters in chronic tension-type headache". Headache. 46 (8): 1264–72. doi:10.1111/j.1526-4610.2006.00440.x. PMID 16942471.
  4. Fernández-de-las-Peñas C, Alonso-Blanco C, Cuadrado ML, Gerwin RD, Pareja JA (March 2006). "Trigger points in the suboccipital muscles and forward head posture in tension-type headache". Headache. 46 (3): 454–60. doi:10.1111/j.1526-4610.2006.00288.x. PMID 16618263.
  5. Fernández-de-Las-Peñas C, Cuadrado ML, Pareja JA (May 2007). "Myofascial trigger points, neck mobility, and forward head posture in episodic tension-type headache". Headache. 47 (5): 662–72. doi:10.1111/j.1526-4610.2006.00632.x. PMID 17501847.

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