Journal
CEPHALALGIA
Volume 35, Issue 3, Pages 211-219Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/0333102414535110
Keywords
Neck pain; migraine; tension-type headache; prevalence; population; tenderness
Categories
Funding
- East Denmark Health Science Research Forum
- Danish Medical Association Research Fund
- Danish Health Insurance Foundation
- Danish Hospital Foundation for Medical Research
- Danish Headache Society
- Cool Sorption Foundation
- GlaxoSmithKline A/S
- Merck Sharp Dohme A/S
- Pfizer A/S
- Lundbeck Pharma A/S
- H. Lundbeck A/S
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Background We assessed the prevalence of neck pain in the population in relation to headache. Methods In a cross-sectional study, a total of 797 individuals completed a headache interview and provided self-reported data on neck pain. We identified migraine, TTH or both migraine and TTH (M+TTH) groups. Pericranial tenderness was recorded in 496 individuals. A total tenderness score (TTS) was calculated as the sum of local scores with a maximum score of 48. Results The one-year prevalence of neck pain was 68.4% and higher in those with vs. without primary headache (85.7% vs. 56.7%; adjusted OR 3.0, 95% CI 2.0-4.4, p < 0.001). Adjusting for age, gender, education and poor self-rated health, in comparison with those without headaches, the prevalence of neck pain (56.7%) was significantly higher in those with M+TTH (89.3%), pure TTH (88.4%) and pure migraine (76.2%) (p < 0.05 for all three group comparisons). Individuals with neck pain had higher TTS than individuals without neck pain (15.1 10.5 vs. 8.4 +/- 8.0, p < 0.001). Conclusions Neck pain is highly prevalent in the general population and even more prevalent in individuals with primary headaches. Prevalence is highest in coexistent M+TTH, followed by pure TTH and migraine. Myofascial tenderness is significantly increased in individuals with neck pain.
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