Trigger Point Massage in Chronic Tension Headache

Efficacy of Trigger Points Massage in Severity of Chronic Tension Headache:An Unmasked, Randomized, Controlled Trial

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.

Inclusion Criteria:

1. Chronic tension type headache according to IHS criteria
2. Finding painful trigger point in physical examination
3. no contraindication for massage
4. no prophylactic treatment
5. written inform consent

Exclusion Criteria:

1. Dementia or severe cognitive impairment
2. Under Treatment with drugs with prophylactic effect
3. History of RA or Cervicocephalic fracture or other skeletal deformity
4. Other complementary treatment