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Patients with IHS criteria of chronic tension headache , considering inclusion and exclusion criteria, enrolled to this study. They will be randomized to intervention or control group by block randomization method, then treat by standard drug( nortriptyline 10 mg daily) or trigger point massage.
They report severity, frequency, duration of headaches and number of analgesic drugs in diary during week 1 and week 4. Then data based on dairy will be analysis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Trigger point massage |
|
| Control | Active Comparator | Treatment with standard drug Nortriptyline |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Massage | Other | Massage the trigger points in 8 different points for 1 min in circle direction and 3 times a day. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Headache severity change | By Visual Analogue Scale score,from 0 that indicate no pain to 10 that indicate severe pain | Mean Visual Analogue Scale sore change in week 4 from the baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Headache frequency change | Number of attacks in week | Change in number of attacks in week 4 from the base line |
| Headache duration change | Time duration ( in minutes)of attacks in week |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D018781 | Tension-Type Headache |
| ID | Term |
|---|---|
| D051270 | Headache Disorders, Primary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| D008405 | Massage |
| ID | Term |
|---|---|
| D064746 | Therapy, Soft Tissue |
| D026201 | Musculoskeletal Manipulations |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
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Case and control group
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| Change in Time duration in week 4 from the baseline |
| Number of analgesic change | Number of analgesic drugs used during a week | Change in Number of analgesic drugs used in week 4 from the baseline |
| D009422 | Nervous System Diseases |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |