Effects Of Dry Needling On Sternocleidomastoid Muscle For Pain And Disability In Migraine

This is a randomized control study of 60 volunteers with migraine induced by myofacial triggers in sternocleidomastoid muscle. The migraine will be diagnosed by the neurologist and for the evaluation of trigger points and muscle thickness ultrasound will be done. After the diagnostic procedure and complete history evaluation from the selected population 30 subjects will be subjected to dry needling group and 30 others will be kept in the placebo group. All the participants will receive six sessions at the myofascial trigger point area there should be the gap of at least 48 hours between two sessions. As for the assessment details, such as the frequency, intensity and duration of the headaches; the consumption of drugs; the thickness of SCM muscles; the pain pressure threshold and the cervical range motions will be recorded before, immediately following the response, and at the 1-month follow-up

Inclusion criteria

• Submitted with a headache diagnosis by a neurologist.
• Presence of active Trigger points in the Sternocleidomastoid muscle reproducing the symptoms of migraine.
• Active trigger points will be identified if "there is muscle sensitivity that has been activated by pressure and reproduces the patient's referred pain and headache."
• A jump sign the characteristic behavioral response to compression on a trigger point, will be produced.

Exclusion criteria

• background of neck trauma
• cervical radiculopathy
• History of head/shoulder surgery
• Diagnosis of other unusual headaches/migraines
• Phobia of pricking
• pregnancy