J Korean Pain Soc.  1990 Dec;3(2):150-159.

Studies in Muscle Contraction Headache

• Choi JR

Abstract

The patient with muscle contraction headache usually have one or more specific trigger points. These trigger points have been treated with various treatment modalities including "stretch and spray" and regional infiltration with local anesthetics with or without corticosteroids. I treated 36 patients with muscle contraction headache with regional infiltration of local anesthetics and steroid into trigger points and the results were as follows 1) The diagnosis of muscle contraction headache was possible by confirming specific trigger points by palpation. 2) Patients relieved rapidly from headache by regional infiltration of local anesthetics and steroid into the tender point. 3) Single injection was effective in relieving headache. But the curability of the single injection could not be assessed because of difficulty in follow-up study. 4) Active trigger points could be occasionally inactive, which also made difficult in assessing the effectiveness of the treatment.

MeSH Terms

Adrenal Cortex Hormones
Anesthetics, Local
Diagnosis
Headache*
Humans
Muscle Contraction*
Palpation
Trigger Points
Adrenal Cortex Hormones
Anesthetics, Local