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Prevalence of neck pain in migraine and tension-type headache: a population study.
Cephalalgia. 2015 Mar; 35(3):211-9.C

Abstract

BACKGROUND

We assessed the prevalence of neck pain in the population in relation to headache.

METHODS

In a cross-sectional study, a total of 797 individuals completed a headache interview and provided self-reported data on neck pain. We identified migraine, TTH or both migraine and TTH (M+TTH) groups. Pericranial tenderness was recorded in 496 individuals. A total tenderness score (TTS) was calculated as the sum of local scores with a maximum score of 48.

RESULTS

The one-year prevalence of neck pain was 68.4% and higher in those with vs. without primary headache (85.7% vs. 56.7%; adjusted OR 3.0, 95% CI 2.0-4.4, p<0.001). Adjusting for age, gender, education and poor self-rated health, in comparison with those without headaches, the prevalence of neck pain (56.7%) was significantly higher in those with M+TTH (89.3%), pure TTH (88.4%) and pure migraine (76.2%) (p<0.05 for all three group comparisons). Individuals with neck pain had higher TTS than individuals without neck pain (15.1±10.5 vs. 8.4±8.0, p<0.001).

CONCLUSIONS

Neck pain is highly prevalent in the general population and even more prevalent in individuals with primary headaches. Prevalence is highest in coexistent M+TTH, followed by pure TTH and migraine. Myofascial tenderness is significantly increased in individuals with neck pain.

Authors+Show Affiliations

Department of Pain Medicine and Palliative Care, Mount Sinai Beth Israel, Icahn School of Medicine at Mount Sinai, NY, USA Department of Neurology, Headache Program, Mount Sinai Beth Israel, Icahn School of Medicine at Mount Sinai, NY, USA Danish Headache Center and Department of Neurology, University of Copenhagen, Glostrup Hospital, Denmark sashina@chpnet.org.Danish Headache Center and Department of Neurology, University of Copenhagen, Glostrup Hospital, Denmark.Unit for Quality and Patient Safety, Capital Region of Denmark, Denmark.Department of Neurology, Montefiore Headache Center, and Department of Epidemiology and Population Health, Albert Einstein College of Medicine, NY, USA.Department of Pain Medicine and Palliative Care, Mount Sinai Beth Israel, Icahn School of Medicine at Mount Sinai, NY, USA.Danish Headache Center and Department of Neurology, University of Copenhagen, Glostrup Hospital, Denmark.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24853166

Citation

Ashina, Sait, et al. "Prevalence of Neck Pain in Migraine and Tension-type Headache: a Population Study." Cephalalgia : an International Journal of Headache, vol. 35, no. 3, 2015, pp. 211-9.
Ashina S, Bendtsen L, Lyngberg AC, et al. Prevalence of neck pain in migraine and tension-type headache: a population study. Cephalalgia. 2015;35(3):211-9.
Ashina, S., Bendtsen, L., Lyngberg, A. C., Lipton, R. B., Hajiyeva, N., & Jensen, R. (2015). Prevalence of neck pain in migraine and tension-type headache: a population study. Cephalalgia : an International Journal of Headache, 35(3), 211-9. https://doi.org/10.1177/0333102414535110
Ashina S, et al. Prevalence of Neck Pain in Migraine and Tension-type Headache: a Population Study. Cephalalgia. 2015;35(3):211-9. PubMed PMID: 24853166.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of neck pain in migraine and tension-type headache: a population study. AU - Ashina,Sait, AU - Bendtsen,Lars, AU - Lyngberg,Ann C, AU - Lipton,Richard B, AU - Hajiyeva,Nazrin, AU - Jensen,Rigmor, Y1 - 2014/05/22/ PY - 2014/5/24/entrez PY - 2014/5/24/pubmed PY - 2015/12/15/medline KW - Neck pain KW - migraine KW - population KW - prevalence KW - tenderness KW - tension-type headache SP - 211 EP - 9 JF - Cephalalgia : an international journal of headache JO - Cephalalgia VL - 35 IS - 3 N2 - BACKGROUND: We assessed the prevalence of neck pain in the population in relation to headache. METHODS: In a cross-sectional study, a total of 797 individuals completed a headache interview and provided self-reported data on neck pain. We identified migraine, TTH or both migraine and TTH (M+TTH) groups. Pericranial tenderness was recorded in 496 individuals. A total tenderness score (TTS) was calculated as the sum of local scores with a maximum score of 48. RESULTS: The one-year prevalence of neck pain was 68.4% and higher in those with vs. without primary headache (85.7% vs. 56.7%; adjusted OR 3.0, 95% CI 2.0-4.4, p<0.001). Adjusting for age, gender, education and poor self-rated health, in comparison with those without headaches, the prevalence of neck pain (56.7%) was significantly higher in those with M+TTH (89.3%), pure TTH (88.4%) and pure migraine (76.2%) (p<0.05 for all three group comparisons). Individuals with neck pain had higher TTS than individuals without neck pain (15.1±10.5 vs. 8.4±8.0, p<0.001). CONCLUSIONS: Neck pain is highly prevalent in the general population and even more prevalent in individuals with primary headaches. Prevalence is highest in coexistent M+TTH, followed by pure TTH and migraine. Myofascial tenderness is significantly increased in individuals with neck pain. SN - 1468-2982 UR - https://www.unboundmedicine.com/medline/citation/24853166/Prevalence_of_neck_pain_in_migraine_and_tension_type_headache:_a_population_study_ L2 - https://journals.sagepub.com/doi/10.1177/0333102414535110?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -