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Individual perceptions on the relationship between migraine and neck pain
Michael Schulz1, Wenrui Xu1, Julia Treleaven1
1The University of Queensland, School of Health and Rehabilitation Sciences, St Lucia, Qld, Australia.
Musculoskeletal Science & Practice
|July 6, 2023
Summary
Migraine and neck pain perceptions vary, with some treatments worsening symptoms. Understanding patient beliefs is crucial for effective migraine and neck pain management.
Area of Science:
- Neurology
- Pain Management
- Qualitative Research
Background:
- Neck pain frequently co-occurs with migraine, yet patient perceptions of this relationship are poorly understood.
- Exploring patient beliefs is vital for improving management strategies for migraine and associated neck pain.
Purpose of the Study:
- To investigate individual perspectives on the relationship between migraine and neck pain.
Main Methods:
- A retrospective qualitative study involving 70 participants (mean age 39.2, 60% female).
- Semi-structured interviews were conducted by an experienced physiotherapist.
- Inductive thematic analysis was employed to analyze interview responses.
Main Results:
- Five key themes emerged: timing of symptoms, causality beliefs, perceived burden, treatment experiences, and mismatched perspectives.
- Links were identified between symptom timing, causality beliefs, and the increased burden of co-occurring migraine and neck pain.
- Insights were gained into treatments that were perceived as ineffective or even aggravating.
Conclusions:
- Clinicians should discuss the etiology of neck pain in migraine with patients due to the complex relationship.
- Neck pain treatments may not always provide long-term relief and can sometimes worsen migraine; individual assessment is key.
- Tailored management decisions require open communication between clinicians and patients regarding their unique experiences.
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