CO-OCCURRING NECK-PAIN WITH MYOFASCIAL DYSFUNCTION IN PATIENTS WITH EPISODIC MIGRAINE.

OBJECTIVE

The aim: To determine the influence of co-occurring neck pain with cervical myofascial dysfunction on the development of psychoemotional disorders and the number of analgesics taken in patients with episodic migraine.

PATIENTS AND METHODS

Materials and methods: The study included 92 patients, 24 male and 68 female, mean age 42.5±15.5 years. Three groups were identify based on type headache: 1) both episodic migraine and cervicogenic headache with neck pain; 2) episodic migraine only; 3) neck pain only. Visual analogue scale (VAS) for pain syndrome, Migraine Disability Assessment (MIDAS) score, Headache Impact Test (HIT-6), Neck Disability Index, State-Trait Anxiety Inventory (STAI), Beck's Depression Inventory (BDI) and numbers days with analgesics intake were assessment.

RESULTS

Results: In patients, who suffered on episodic migraine combine with cervicogenic headache and neck pain number days with headache was more (p=0.000052), intensity attack was higher (p=0.003750) and number days with analgesics intake was greater (p=0.000003), compare with group with migraine only. The depression and anxiety state was more significant in patients with migraine and co-occurring neck pain comparable with migraine alone, but we found no significance differences between groups with migraine with neck pain and neck pain only. We observed significant correlation between STAI and Neck Disability Index (r=-0.5155), Neck Disability Index and HIT-6 (r=-0.4819). No correlation found between VAS for migraine, MIDAS and STAI and BDI.

CONCLUSION

Conclusions: Our study demonstrate, that co-occurring neck pain in patients with episodic migraine increasing of numbers days with headache, negatively impacts on mood disorders, daily activity and associated with greater acute analgesics use.