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 2.04.4, 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 MTTH (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.
Original language | English (US) |
---|---|
Pages (from-to) | 211-219 |
Number of pages | 9 |
Journal | Cephalalgia |
Volume | 35 |
Issue number | 3 |
DOIs | |
State | Published - Mar 26 2015 |
Externally published | Yes |
Keywords
- Neck pain
- migraine
- population
- prevalence
- tenderness
- tension-type headache
ASJC Scopus subject areas
- Clinical Neurology