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Migraines preceded by a muscle knot in neck...cause of knot?

From John Claude Krusz, MD, PhD, and Teri Robert, for About.com

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Question: Migraines preceded by a muscle knot in neck...cause of knot?

Answer:

Dear Sufferer,
The painful muscle "knot" may be muscle spasm or a trigger point due to excessive activity in nerve roots in the neck (cervical spine), or, they most likely are a part of the buildup to a migraine headache. Acupressure can prevent the headache, as you describe. We sometimes use trigger point injections with local anesthetics and other medications to relieve a chronic source of irritation. Some suppressive medications can reduce the firing in nerve trunks and also help the migraine pattern.
Good luck to you,
John Claude Krusz

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