Workshop : Clinical Reasoning for Identification of Trigger Points in Headache
Prof. Dr. César Fernández de las Peñas
Clinical and scientific evidence suggests a potential role of myofascial trigger points
(TrPs) in different headaches, i.e., tension-type headache and migraine. However, the
etiologic role of TrPs is different depending on what headache presents the patients.
For instance, in tension-type headache TrPs can be one of the main causes of central
sensitization, whereas in migraine TrP can be a precipitating or contributing factor for
activating the trigemino-vascular system. In addition, those muscles involved in either
headache can be slightly different. This brief practical workshop will discuss clinical
presentation of tension-type, migraine and cervicogenic headache and proper clinical
reasoning for identification of TrPs in these headache disorders.