What Is Neck Pain In Migraine

 Migraine headache, or migraine is a common disabling episodic headache characterized by throbbing or pulsating pain on one side of the head. More than half of the migraine population experience neck pain before and/or during a migraine attack. While in most cases neck pain in migraine is limited to the upper neck region, sometimes the pain may radiate to the lower neck and/or shoulder. Different conditions can trigger this type of pain. These include degenerative conditions like osteoarthritis, a prolapsed disc in the neck, or a whiplash injury. Falling down or playing sports can also cause injury to the neck and trigger these headaches.





Treatments


Several techniques can help you manage pain and prevent further occurrences. Your doctor may apply pressure to different parts of your neck or base of your head to determine where your pain originates, and to see if a particular spot is triggering a migraine. Your doctor may also see if different neck positioning provokes a headache to occur.




Medication



Since inflammation and other problems with the nerves, muscles, tendons, or joints can cause these headaches, your doctor may recommend oral over-the-counter medications or prescribe an oral medication to relieve pain. These include:



aspirin or ibuprofen

acetaminophen

a muscle relaxant to ease muscle tightness and reduce spasms

a corticosteroid



Physical therapy


Your doctor may also recommend physical therapy to strengthen weak neck muscles and improve mobility of your joints. Your doctor may also recommend alternative therapies to lessen nerve, joint, or muscle pain in the neck. These include massage therapy, spinal manipulation through chiropractic care, cognitive behavioral therapy, acupuncture, and relaxation techniques. Other options for managing pain include:



avoiding activities that worsen pain

applying ice or heat for 10 to 15 minutes, several times a day

using a neck brace when sleeping upright to prevent bending your neck forward

practicing good posture when sitting, standing, or driving (stand or sit tall with your shoulders back, and don’t lean your head too far forward)



Comparison of Migraine Headache With Similar Headaches



Migraine may not always be severe. Migraines that involve both sides of the head with neck pain can be similar to tension-type headache. However, unlike tension-type headache, migraine headaches worsen with physical activity. One-sided migraine headaches with neck pain may also mimic cervicogenic headaches.




Cervicogenic headaches can become severe and debilitating. If you have a recurrent headache that doesn’t respond to medication, see a doctor. The outlook for cervicogenic headaches varies and depends on the underlying neck condition. However, it is possible to alleviate pain and resume an active lifestyle with 

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