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Headaches & Treatments

Back Clinic Headaches & Treatment Team. The most common cause of headaches can relate to neck complications. From spending excessive time looking down at a laptop, desktop, iPad, and even from constant texting, an incorrect posture for extended periods of time can begin to place pressure on the neck and upper back, leading to problems that could cause headaches. The majority of these types of headaches occur due to tightness between the shoulder blades, which in turn causes the muscles on the top of the shoulders to tighten and radiating pain into the head.

If the source of the headaches is related to a complication of the cervical spine or other regions of the spine and muscles, chiropractic care, such as chiropractic adjustments, manual manipulation, and physical therapy, can be a good treatment option. Also, a chiropractor may often follow up chiropractic treatment with a series of exercises to improve posture and offer advice for future lifestyle improvements to avoid further complications.

Supplements To Ease Headaches: El Paso Back Clinic

Supplements To Ease Headaches: El Paso Back Clinic

Supplements To Ease Headaches: Individuals dealing with headaches or migraines should consider incorporating supplements to ease headaches’ severity and frequency. Nutrition and food habits affect all systems in the body. Although slower to take effect than medications, if a diet is used correctly to heal the body and maintain health, other treatments may not be necessary or require less. Many health providers understand that food is a medicine that can assist healing therapies like massage and chiropractic care, which makes the treatment more effective when used with dietary adjustments.

Supplements To Ease Headaches: EP Chiropractic Clinic

Supplements To Ease Headaches

An unhealthy lifestyle and diet are not the only contributing factor to headaches. Others include:

  • Stress.
  • Job occupation.
  • Sleeping problems.
  • Muscular tension.
  • Vision problems.
  • Certain medication usage.
  • Dental conditions.
  • Hormonal influences.
  • Infections.

Healthy Diet Foundation

The goal of functional medicine is to help individuals reach their health and wellness goals that, include:

  • Regularly active lifestyle.
  • Optimal breathing patterns.
  • Quality sleep patterns.
  • Thorough hydration.
  • Healthy nutrition.
  • Improved digestive health.
  • Improved mental health.
  • Improved musculoskeletal health.

Pain Receptors – Headache

Pain and discomfort symptoms present when various head structures become inflamed or irritated. These structures include:

  • Nerves of the head and neck.
  • Muscles of the neck and head.
  • The skin of the head.
  • Arteries that lead to the brain.
  • Membranes of the ear, nose, and throat.
  • Sinuses that form part of the respiratory system.

The pain can also be referred, meaning that pain in one area can spread to nearby areas. An example is headache pain developed from neck stiffness and tightness.



Determining whether food sensitivities cause or contribute to headaches or migraines can be challenging. Nutritionists and dieticians recommend keeping a food journal to keep track of foods, snacks, drinks, alcohol intake, how the body reacts, and how the individual feels.

  • This process can help recognize foods or eating patterns that may contribute to headaches.
  • An integrative health practitioner can support this process and help identify sensitivities.
  • By eliminating and avoiding processed foods, headaches may be alleviated. This includes limited exposure to artificial colors, sweeteners, flavors, and other unnatural additives.


  • Histamines can also be triggers for headaches.
  • Histamine is a vasoactive amine that induces mucus production, blood vessel dilation, and bronchoconstriction.
  • Histamine is in most body tissues, like the nose, sinuses, skin, blood cells, and lungs. But pollen, dander, dust mites, etc., can release histamine.


  • Dehydration can affect all of the body and cognitive functions.
  • Hydrating regularly can prevent headaches and relieve pain.
  • An easy way to test the cause of headaches is to consider drinking plenty of water/hydrating before any other relief option.
  • Drinking pure water with no additives is the quickest and easiest way to hydrate your body.
  • Eat foods with high water content for enhanced hydration, including citrus fruits, cucumbers, melons, zucchini, celery, spinach, and kale.

Toxic Chemicals

  • Toxic chemicals are found in all kinds of products.
  • Cleaning products, make-up, shampoo, and other products have been found to contain chemicals that can worsen headaches and even cause migraines.
  • Consider using natural products and educating on toxic chemicals to know what to look for in everyday products.

Natural Options

Consider a few natural supplements to ease headaches.


  • Magnesium deficiency has been linked to headaches.
  • Foods naturally high in magnesium include legumes, almonds, broccoli, spinach, avocados, dried figs, and bananas.

Ginger Root

  • Ginger root is a natural remedy for nausea, diarrhea, upset stomach, and indigestion.
  • Ginger root extract can be taken in supplement form or fresh ginger added to meals and teas.

Coriander Seeds

  • Coriander syrup is effective against migraine pain.
  • A method to relieve a headache is to pour hot water over fresh seeds and inhale the steam.
  • To increase the effectiveness, place a towel over your head.

Celery or Celery Seed Oil

  • Celery can reduce inflammation and lower blood pressure.
  • However, pregnant women or individuals with kidney conditions, low blood pressure, taking thyroid medication, blood thinners, lithium, or diuretics should not use celery seed.

Peppermint and Lavender Essential Oils

  • Both have a natural numbing and cooling effect that helps relieve headache pain.
  • Peppermint oil has also been found to be a natural antibacterial, antiviral, antifungal, antiparasitic, and pain reliever.
  • Lavender oil can eliminate nervous tension, enhance blood circulation, and relieve pain.
  • Both are effective pain relief tools for headache and migraine sufferers.


  • This shrub grows in Europe, some parts of Asia, and North America.
  • A study found that individuals who consumed 75 mg of the extract twice daily reduced migraine attacks’ frequency.


  • A herb plant whose dried leaves have been found to relieve symptoms associated with headaches, migraines, menstrual cramps, asthma, dizziness, and arthritis.
  • Feverfew can be found in supplements.
  • It can alter the effects of certain prescription and non-prescription medications.

There is plenty of evidence to support the benefits of healthy nutrition. Combined with a healthy diet and lifestyle, these supplements can help relieve headaches. As with any supplement, talk to a doctor before starting a supplement regimen.

Chiropractic Care For Migraines


Ariyanfar, Shadi, et al. “Review on Headache Related to Dietary Supplements.” Current Pain and headache report vol. 26,3 (2022): 193-218. doi:10.1007/s11916-022-01019-9

Bryans, Roland, et al. “Evidence-based guidelines for the chiropractic treatment of adults with headache.” Journal of Manipulative and physiological therapeutics vol. 34,5 (2011): 274-89. doi:10.1016/j.jmpt.2011.04.008

Diener, H C et al. “The first placebo-controlled trial of a special butterbur root extract for the prevention of migraine: reanalysis of efficacy criteria.” European Neurology vol. 51,2 (2004): 89-97. doi:10.1159/000076535

Kajjari, Shweta, et al. “The Effects of Lavender Essential Oil and its Clinical Implications in Dentistry: A Review.” International Journal of clinical pediatric dentistry vol. 15,3 (2022): 385-388. doi:10.5005/jp-journals-10005-2378

Maier, Jeanette A et al. “Headaches and Magnesium: Mechanisms, Bioavailability, Therapeutic Efficacy and Potential Advantage of Magnesium Pidolate.” Nutrients vol. 12,9 2660. 31 Aug. 2020, doi:10.3390/nu12092660

Mansouri, Samaneh, et al. “Evaluating the effect of Coriandrum sativum syrup on being migraine-free using mixture models.” Medical Journal of the Islamic Republic of Iran vol. 34 44. 6 May. 2020, doi:10.34171/mjiri.34.44

Pareek, Anil, et al. “Feverfew (Tanacetum parthenium L.): A systematic review.” Pharmacognosy Reviews vol. 5,9 (2011): 103-10. doi:10.4103/0973-7847.79105

Skypala, Isabel J et al. “Sensitivity to food additives, vaso-active amines and salicylates: a review of the evidence.” Clinical and translational allergy vol. 5 34. 13 Oct. 2015, doi:10.1186/s13601-015-0078-3

Vision Problems Could Be Cause of Neck Pain and Headaches

Vision Problems Could Be Cause of Neck Pain and Headaches

Shoulder and neck discomfort, pain, and headaches could be caused by vision problems and eye strain that require corrective glasses, contact lenses, or an updated prescription. Spending long periods of activity involving eye usage, like driving, reading/writing reports, studying plans, instructions, reviewing charts, orders, etc., on mobile devices and computer screens fatigues the eyes. Individuals with tired eyes try to reduce eye strain by tilting their head or neck and hunching forward, which results in an unhealthy posture. And for individuals that need glasses squinting and straining the eyes also leads to unhealthy postures, directly contributing to neck and shoulder pain and headaches. Injury Medical Chiropractic and Functional Medicine Clinic can repair and heal musculoskeletal injuries and refer patients to the proper specialist, in this case, an eye care professional.

Vision Problems Could Be Cause of Neck Pain and Headaches

Vision Problems

Like any muscle, the eyes can be overworked, causing unconscious tensing of the neck, upper back, and shoulder muscles, leading to muscle tension in the back of the skull. The tense muscles can cause blood flow and circulation restriction. Individuals compensate by tilting the head towards one shoulder, craning the neck, or leaning/hunching. This can help for a little while but does not relieve muscle soreness, headaches, or migraines, as well as the throbbing around the temples or the fact that it will keep happening. Individuals learn to live with the pain and push through it. This is unhealthy and can lead to serious, chronic musculoskeletal conditions that can cascade into other health problems. For individuals, the symptoms they are experiencing are common in conditions they may have been previously or currently diagnosed with, including:

Neck Strain

  • The risk of neck strain or injury comes with the overuse of the neck muscles and tendons.
  • This results in neck pain, tenderness, and a decreased range of motion.
  • With vision problems, individuals have additional stress on their neck muscles as they tilt their heads to relieve the discomfort.

Neck Muscle Spasms

  • When the muscles in the neck involuntarily tighten, it can cause sharp or sudden pain; this is referred to as a muscle spasm.
  • Individuals can experience muscle spasms for minutes, hours, or even days.
  • Constantly tilting the head to one side to realign vision can cause overuse and strain on the neck muscles, resulting in muscle spasms.

Torticollis/Wry Neck

  • With torticollis, individuals will likely have a head tilt and experience neck muscle tenderness, stiffness, and pain.

Chiropractic Treatment

Chiropractors are experts in relieving discomfort symptoms and restoring the neuromusculoskeletal system to optimal function. They help reduce inflammation and muscle spasms through heat, cold, stretches and exercises, and electrical stimulation to expedite healing. They also retrain individuals on posture training eliminating the need to tilt the head and being more aware of body positioning.

  • As primary care doctors, chiropractors can refer their patients to specialists.
  • Chiropractors work with a wide range of medical professionals, depending on the needs of their patients.
  • When neck and shoulder discomfort and headaches become chronic and do not heal or improve, they could be vision problems.
  • By treating the vision misalignment, pressure can be relieved in the neck and shoulders, reducing and eliminating spasms.

Beyond Medicine


Bryans, Roland, et al. “Evidence-based guidelines for the chiropractic treatment of adults with headache.” Journal of manipulative and physiological therapeutics vol. 34,5 (2011): 274-89. doi:10.1016/j.jmpt.2011.04.008

Gowrisankaran, Sowjanya, and James E Sheedy. “Computer vision syndrome: A review.” Work (Reading, Mass.) vol. 52,2 (2015): 303-14. doi:10.3233/WOR-152162

Kaur, Kirandeep, et al. “Digital Eye Strain- A Comprehensive Review.” Ophthalmology and therapy vol. 11,5 (2022): 1655-1680. doi:10.1007/s40123-022-00540-9

Lodin, Camilla, et al. “Eye- and neck/shoulder-discomfort during visually demanding experimental near work.” Work (Reading, Mass.) vol. 41 Suppl 1 (2012): 3388-92. doi:10.3233/WOR-2012-0613-3388

Richter, Hans O. “Neck pain brought into focus.” Work (Reading, Mass.) vol. 47,3 (2014): 413-8. doi:10.3233/WOR-131776

Zetterberg, Camilla et al. “Neck/shoulder discomfort due to visually demanding experimental near work is influenced by previous neck pain, task duration, astigmatism, internal eye discomfort, and accommodation.” PloS one vol. 12,8 e0182439. 23 Aug. 2017, doi:10.1371/journal.pone.0182439

Medication Overuse Headaches: El Paso Back Clinic

Medication Overuse Headaches: El Paso Back Clinic

Medication overuse headaches – MOH comes from frequent or excessive use of pain-relieving medications, resulting in daily or near-daily headaches for which the drugs become less and less effective. They are also known as rebound headaches, medication misuse, or drug-induced headaches. It is a common disorder, with around one out of every 100 individuals experiencing these headaches yearly. They can be disabling, causing individuals to be less productive. Injury Medical Chiropractic and Functional Medicine Clinic can assess, diagnose, and manage headaches naturally with massage, adjustments, and decompression.

Medication Overuse Headaches: EP Chiropractic Team

Medication Overuse Headaches

The same medications that relieve headache pain can trigger headaches if used too often, triggering an unhealthy cycle. Diagnosis of medication overuse headaches means an individual must experience headaches more than 15 days a month for at least three months while taking pain-relieving and/or antimigraine meds and cannot find other cause/s for their headaches. It is more common in women and individuals with headache disorders, chronic pain conditions, and individuals dealing with depression and anxiety.


Symptoms can vary depending on the type of headache being treated and the medicine used. Common symptoms include:

  • They occur every day or nearly every day.
  • They usually start when waking up.
  • They improve with the medication but then return as it wears off.
  • Headache can feel like a dull, tension-type headache or more severe, like a migraine.

Other symptoms can include:

  • Sleep problems
  • Restlessness
  • Difficulty concentrating
  • Memory problems
  • Constipation
  • Irritability
  • Neck discomfort and pain symptoms
  • Weakness
  • Nasal stuffiness and/or Runny nose
  • Light sensitivity
  • Teary eyes
  • Sound sensitivity
  • Nausea
  • Vomiting


Doctors and medical experts don’t know the exact reasons/causes why these headaches occur, and the risk varies depending on the medication. But most medicines have the potential to lead to overuse headaches, including:

Simple Pain Relievers

  • Common pain relievers like aspirin and acetaminophen like Tylenol can contribute to the condition. This is especially true if taking more than the recommended dosages.
  • Other pain relievers like ibuprofen – Advil, Motrin IB, and naproxen sodium – Aleve has shown to have a low risk of contributing to overuse headaches.

Combination Pain Relievers

  • Pain relievers that can be purchased at a store that combines caffeine, aspirin, and acetaminophen – Excedrin has been found to contribute to the condition.
  • This group also includes combination prescription medicines that contain butalbital – Butapap, and Lanorinal. Drugs that contain butalbital have a high risk of causing medication overuse headaches.

Migraine Medicines

  • Various migraine medicines have been linked with the condition. They include triptans – Imitrex, Zomig, and certain headache meds known as ergots, such as ergotamine – Ergomar. These medicines have a moderate risk of causing headaches.
  • The ergot dihydroergotamine – Migranal, Trudhesa have a lower risk of causing headaches.
  • A newer group of migraine medicines known as gepants appear not to cause headaches. Gepants include ubrogepant – Ubrelvy and rimegepant – Nurtec ODT.


  • Opium-derived meds or synthetic compounds have a high risk of causing medication overuse headaches. They include combinations of codeine and acetaminophen.

Prevention and Chiropractic

The following steps can help prevent headaches:

  • Follow the label instructions of the medications and the instructions of the doctor.
  • Limit any headache medications taken as needed to relieve head pain to no more than two to three days a week.
  • Consult with a doctor if there is a need to take medications more than two days a week.
  • Contact a doctor if headaches present more than four days a month which could require headache-preventive medication.
  • Control and avoid anything that triggers headaches, like stress, dehydration, hunger, certain foods and drinks, and unhealthy sleep.


Our team utilizes a personalized and combined treatment approach, including understanding the triggers. The team will work to understand each individual’s situation. A treatment plan can consist of the following:

  • Therapeutic massage to relax and release tight muscles and increase circulation.
  • Spinal manipulation and adjustments to realign the body, improve function and alleviate the stress on the nervous system.
  • Non-surgical spinal decompression.
  • Health Coaching
  • Nutritional recommendations
  • Posture retraining, work postures, ergonomics, targeted stretches/exercises, and relaxation techniques.

Chiropractic and Brain Health


Alstadhaug, Karl B et al. “Preventing and treating medication overuse headache.” Pain reports vol. 2,4 e612. 26 Jul. 2017, doi:10.1097/PR9.0000000000000612

Bryans, Roland, et al. “Evidence-based guidelines for the chiropractic treatment of adults with headache.” Journal of manipulative and physiological therapeutics vol. 34,5 (2011): 274-89. doi:10.1016/j.jmpt.2011.04.008

Diener, Hans-Christoph, et al. “Pathophysiology, prevention, and treatment of medication overuse headache.” The Lancet. Neurology vol. 18,9 (2019): 891-902. doi:10.1016/S1474-4422(19)30146-2

Kulkarni, Girish Baburao, et al. “Medication Overuse Headache.” Neurology India vol. 69, Supplement (2021): S76-S82. doi:10.4103/0028-3886.315981

Negro, Andrea, and Paolo Martelletti. “Gepants for the treatment of migraine.” Expert opinion on investigational drugs vol. 28,6 (2019): 555-567. doi:10.1080/13543784.2019.1618830

Scripter, Cassie. “Headache: Tension-Type Headache.” FP essentials vol. 473 (2018): 17-20.

Headache Chiropractor: Back Clinic

Headache Chiropractor: Back Clinic

Headaches are a common condition that most experience and can differ greatly regarding type, severity, location, and frequency. Headaches range from mild discomfort to constant dull or sharp pressure and severe throbbing pain. A headache chiropractor, through therapeutic massage, decompression, and adjustments, alleviates the headaches, whether tension, migraine, or cluster, releasing the tension and restoring normal function.

Headache ChiropractorHeadache Chiropractor

Ninety-five percent of headaches are primary headaches caused by overactivity, muscle tension, or problems with pain-sensitive structures in the head. These are not a symptom of an underlying disease and include tension, migraine, or cluster headaches. The other 5 percent of headaches are secondary and are caused by an underlying condition, infection, or physical issue. Headaches have various causes or triggers. These include:

  • Long hours driving
  • Stress
  • Insomnia
  • Blood sugar changes
  • Foods
  • Smells
  • Noises
  • Lights
  • Excessive exercise or physical activity

Individuals spend more hours in one fixed position or posture, like sitting in front of a computer or standing at a workstation. This can increase joint irritation and muscle tension in the upper back, neck, and scalp, causing achiness and discomfort that builds up to throbbing soreness. The headache’s location and the discomfort experienced can indicate the type of headache.

Chiropractic Care

Chiropractors are experts in the neuromusculoskeletal system. Research shows that a headache chiropractor can adjust the spine’s alignment to improve spinal function, release and relax the tense muscles, and alleviate nervous system stress helping decrease the intensity and frequency. Treatment includes:

  • Therapeutic massage
  • Chiropractic adjustments
  • Spinal decompression
  • Postural training
  • Electrical stimulation
  • Ultrasound
  • Physical rehabilitation
  • Body analysis
  • Professional nutritionist recommendations

The Injury Medical Chiropractic and Functional Medicine Team will develop a personalized treatment plan for the individual’s specific condition and needs.

Migraine Treatment


Biondi, David M. “Physical treatments for headache: a structured review.” Headache vol. 45,6 (2005): 738-46. doi:10.1111/j.1526-4610.2005.05141.x

Bronfort, G et al. “Efficacy of spinal manipulation for chronic headache: a systematic review.” Journal of manipulative and physiological therapeutics vol. 24,7 (2001): 457-66.

Bryans, Roland, et al. “Evidence-based guidelines for the chiropractic treatment of adults with headache.” Journal of manipulative and physiological therapeutics vol. 34,5 (2011): 274-89. doi:10.1016/j.jmpt.2011.04.008

Côté, Pierre, et al. “Non-pharmacological management of persistent headaches associated with neck pain: A clinical practice guideline from the Ontario Protocol for traffic injury management (OPTIMa) collaboration.” European journal of pain (London, England) vol. 23,6 (2019): 1051-1070. doi:10.1002/ejp.1374

Myofascial Trigger Pain On The Occipitofrontalis Muscle

Myofascial Trigger Pain On The Occipitofrontalis Muscle


Having headaches can affect anyone at any time, and various issues (both underlying and non-underlying) can play a part in the development. Factors like stress, allergiestraumatic events, or anxiety can trigger the causes of headaches to develop and can affect a person’s day-to-day schedule. Headaches can come in various forms and be the cause or symptom of other conditions. Many complain about headaches affecting their forehead, where the occipitofrontalis muscle resides, and explain to their doctors about a dull ache affecting them. To that point, the cause of the headache could affect them differently. Today’s article examines the occipitofrontalis muscle, how myofascial trigger pain affects this muscle, and ways to manage myofascial trigger pain associated with headaches. We refer patients to certified providers who specialize in musculoskeletal treatments to aid individuals suffering from myofascial trigger pain associated with headache symptoms affecting the occipitofrontalis muscle. We also guide our patients by referring them to our associated medical providers based on their examination when appropriate. We ensure to find that education is the solution to asking our providers insightful questions. Dr. Jimenez DC observes this information as an educational service only. Disclaimer

What Is The Occipitofrontalis Muscle?

Have you been experiencing unexplainable headaches that seem to affect your daily life? Do you feel muscle tension in your head or neck? Or do certain areas in your upper body seem tender to the touch? Many individuals suffer from headaches, and it could be due to myofascial trigger pain associated with the occipitofrontalis muscle. The occipitofrontalis muscle surprisingly plays an important part in the facial muscles. The occipitofrontalis muscle is the only muscle that can raise eyebrows, convey emotions, and provide non-verbal communication as part of its functionality to the head. The occipitofrontalis muscle has two different sections in the head that play different roles. Studies reveal that the occipital and frontal bellies have other actions but work together despite being connected to the galea aponeurotica. However, like all muscles in different body sections, various factors can affect the muscles to become tender and form multiple symptoms associated with pain.


How Does Myofascial Trigger Pain Affect The Occipitofrontalis?

When various factors begin to affect the occipitofrontalis muscle, it could potentially be at risk of developing myofascial trigger pain associated with headaches in the muscle. Studies reveal that myofascial trigger pain is a musculoskeletal disorder associated with muscle pain and tenderness that can be identified as latent or active. When the occipitofrontalis is affected by myofascial pain, it could potentially lead to tension-type headaches as a symptom. Studies reveal that headaches, especially tension headaches, are associated with trigger points in the head and neck muscles. Myofascial pain occurs when the muscles become overused and sensitive to the touch. The affected muscle then develops small nodules along the muscle fibers and can cause referred pain in a different body section. To that point, the affected muscle becomes hypersensitive due to an excess of nociceptive inputs from the peripheral nervous system, thus eliciting referred pain or muscle contraction. When this happens to the individual, they experience constant, throbbing pain in their forehead and try to find relief to diminish the pain.

Myofascial Exercises For Headaches-Video

Have you been feeling tension and pain in your neck or head? Do headaches seem to affect your daily activities? Does the slightest pressure seem to cause you pain in your muscles? Experiencing these symptoms may be a sign that you may have myofascial trigger pain associated with the head and neck that is causing headache-like pain along the occipitofrontalis muscle. The video above demonstrates various stretching exercises for headaches and migraines associated with myofascial trigger pain. Myofascial trigger pain associated with headaches can cause overlapping issues in the upper extremities of the body since myofascial trigger pain can mimic other conditions that affect the head and neck muscles. Known as referred pain, the underlying cause of pain affects a different body part than the actual location. Luckily, there are ways to manage myofascial trigger pain associated with headaches along the occipitofrontalis muscle.

How To Manage Myofascial Trigger Pain Associated With Headaches


There are many ways to manage headache symptoms associated with myofascial trigger pain along the occipitofrontalis muscle. Many people will take over-the-counter medicine to dull the pain, while others use a cold/hot pack to be placed on their forehead to relieve the tension caused by the headache. Those experiencing trigger point pain along the affected muscles that are not responding to the at-home treatments will go to a specialist that uses various techniques to manage myofascial trigger pain associated with headaches. Studies reveal that manual trigger point therapies for the head and neck may reduce the frequency, intensity, and duration of various headaches affecting the occipitofrontalis muscle. Other treatments that help manage myofascial pain associated with the occipitofrontal muscle include:

  • Chiropractic care: Spinal misalignment or spinal subluxation in the cervical spine can potentially lead to the development of myofascial trigger pain associated with muscle pain
  • Acupuncture: Dry needles are placed on the trigger points associated with the affected muscle to relieve pain
  • Hot/cold compress: Ice or heat packs are placed on the affected muscle to relieve tension.
  • Massage therapy: Deep tissue massage can relieve the inflamed area, reduce pain, and prevent trigger points from reemerging.

Utilizing these treatments can help prevent myofascial pain and manage headache symptoms associated with the muscle.



Headaches can affect anyone, and various issues can affect their development. Whether it is an underlying or non-underlying cause, multiple problems can trigger a headache to form and cause a dull ache in the affected muscle. One of the most common forms of headaches occurs in the occipitofrontalis muscle located in the forehead and near the base of the skull. The occipitofrontalis muscle is the only muscle that controls eyebrow movement, conveys emotions, and provides non-verbal communication as part of head functionality. However, like all muscles, the occipitofrontalis can become affected and potentially risk developing myofascial trigger pain. When this happens, the occipitofrontalis could develop tension-type headaches associated with myofascial trigger pain. Luckily available treatments are there to manage myofascial trigger pain associated with the occipitofrontalis muscle and alleviate headaches from the affected muscle.



Bérzin, F. “OCCIPITOFRONTALIS Muscle: Functional Analysis Revealed by Electromyography.” Electromyography and Clinical Neurophysiology, U.S. National Library of Medicine, 1989,

Chatchawan, Uraiwan, et al. “Characteristics and Distributions of Myofascial Trigger Points in Individuals with Chronic Tension-Type Headaches.” Journal of Physical Therapy Science, The Society of Physical Therapy Science, Apr. 2019,

Falsiroli Maistrello, Luca, et al. “Effectiveness of Trigger Point Manual Treatment on the Frequency, Intensity, and Duration of Attacks in Primary Headaches: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.” Frontiers in Neurology, Frontiers Media S.A., 24 Apr. 2018,

Moraska, Albert F, et al. “Responsiveness of Myofascial Trigger Points to Single and Multiple Trigger Point Release Massages: A Randomized, Placebo Controlled Trial.” American Journal of Physical Medicine & Rehabilitation, U.S. National Library of Medicine, Sept. 2017,

Pessino, Kenneth, et al. “Anatomy, Head and Neck, Frontalis Muscle – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 31 July 2021,


Myofascial Trigger Pain On The Face

Myofascial Trigger Pain On The Face


Everyone in the world has various expressions that reflect how they are feeling. From being excited, worried, sad, angry, and disgusted, facial expressions defy people who they are, what they eat, and how they look. Each of the different muscles that make up the face has other jobs to work at the various locations of the upper extremities. The muscles on the forehead and near the eyes help people see while opening, closing, and raising their eyebrows. The muscles around the nose help take in air to breathe. The muscles located in the jaw help people chew food and speak. The neck muscles help support the head and provide mobility. All these muscles have specific jobs, and when issues affect the upper body extremities, they can potentially lead to different problems. When environmental factors like stressanxiety, or depression begin to affect the body, it can also affect its facial features, causing unwanted symptoms to develop. Today’s article focuses on myofascial trigger pain on the face, the signs and symptoms associated with myofascial facial pain, and how to manage myofascial facial pain. We refer patients to certified providers who specialize in musculoskeletal and oral treatments to aid individuals suffering from myofascial trigger pain affecting their facial muscles. We also guide our patients by referring them to our associated medical providers based on their examination when appropriate. We ensure to find that education is the solution to asking our providers insightful questions. Dr. Jimenez DC observes this information as an educational service only. Disclaimer

How Does Myofascial Trigger Pain Affect The Face?

Have you been experiencing pain-like symptoms in your jaw? What about feeling constant pressure around your nose or cheeks? Do you feel tenderness in certain body areas around your face? Many of these symptoms you are experiencing could potentially involve myofascial trigger pain affecting the facial muscles. Having myofascial trigger pain in the upper extremities of the body can be challenging, as studies reveal that myofascial pain syndrome is a muscular pain disorder that is often misunderstood as it involves referred pain from small, tender trigger pain within the muscle fibers causing pain in different locations of the body than the actual source. Myofascial trigger pain often mimics other chronic conditions that cause doctors to be confused when patients mention that they have been experiencing symptoms and it’s affecting their daily lives. For myofascial trigger pain affecting the face, studies reveal that facial pain associated with myofascial trigger pain can be classified in various ways that affect the nasal, orbital, and oral cavities, the temporomandibular joint, and the sinuses from underlying pathologies. Myofascial pain correlating with the face can have many trigger points that can make a person feel miserable and affect their daily lives.


Signs & Symptoms Associated Myofascial Facial Pain

Like the rest of the body, the face has numerous nerves that branched out from the brain in the central nervous system, providing sensory-motor functions to the muscles. The trigeminal nerves help give movement to the face, and when myofascial pain affects the facial regions, studies reveal that the causes can include:

  • Idiopathic factors
  • Trigeminal neuralgia
  • Dental problems
  • TMJ disorders 
  • Cranial abnormalities
  • Infection
  • Acute muscle injury
  • Stress and anxiety

These signs are associated with myofascial facial pain due to common overlapping symptoms affecting each muscle around the face. Some of the symptoms related to myofascial facial pain include:

  • Tingling sensations 
  • Throbbing pain
  • Headaches
  • Toothaches
  • Neck pain
  • Shoulder pain
  • Feeling stuffed up
  • Muscle tenderness


Chronic Facial Pain-Video

Have you been experiencing muscle tenderness in certain parts of your face? What about feeling stuffed up around the areas of your cheeks and nose? Or have you been feeling stiffness and pain along your jaw, neck, or shoulders? If you have been experiencing these pain symptoms, it could be facial pain associated with myofascial trigger pain. The video above overviews chronic facial pain and how it affects the head and neck. Research studies reveal that pain affecting the body for more than six months is considered chronic. Just like any other chronic pain symptoms in the body, chronic facial pain causes a neuropathic response to the central nervous system, making an injury hypersensitive and potentially involving associated symptoms from other chronic disorders. Myofascial dysfunction related to facial pain may become severe to activate trigger points along the facial muscle fibers, causing prickling sensations in the face. Luckily, there are available treatments for managing myofascial facial pain.

Management Of Myofascial Facial Pain

When managing myofascial pain associated with the face, many patients will go to their primary doctor and explain that they are experiencing pain and other symptoms that make them miserable. Doctors then examine the patient to see what is ailing them through a physical examination. Some doctors often utilize manual manipulation and other tools to diagnose that myofascial pain might be the cause. As stated earlier, myofascial pain associated with the face can be a bit complex as it can mimic other chronic conditions. Once the doctor diagnoses myofascial pain related to the face, they can refer their patients to pain specialists like chiropractors, physical therapists, physiatrists, and massage therapists to alleviate myofascial pain related to the face by examining where the causes are coming from. Pain specialists incorporate various techniques to relieve myofascial pain associated with the face:

  • Stretch & spray (Stretching the muscle and spraying a coolant spray to loosen tight muscles along the neck)
  • Putting pressure on the trigger point (This helps smooth out the affected muscle and fascia)
  • Gentle stretching exercises (Help strengthen the affected muscles)
  • Hot or cold compress (Helps relax the muscles and break up the adhesion from scar tissue)

Incorporating these treatments can help manage the symptoms associated with myofascial pain and can help alleviate muscle pain, thus preventing further issues from developing over time.



The facial muscles have specific jobs with different functions that help the body function properly. These jobs help various sections of the face by expressing how we feel, what we eat and taste, breath, and other jobs that define people. When issues begin to affect the upper extremities of the body, they can cause lead to different problems that affect the facial features of the face and cause unwanted symptoms to develop. This is known as myofascial pain and is often misunderstood,s since it can mimic other chronic conditions that affect the body. Different factors and symptoms associated with myofascial pain can become difficult to diagnose. Still, various techniques can help manage the symptoms over time to prevent further injuries from occurring on the face and the body.



Fricton, J R, et al. “Myofascial Pain Syndrome of the Head and Neck: A Review of Clinical Characteristics of 164 Patients.” Oral Surgery, Oral Medicine, and Oral Pathology, U.S. National Library of Medicine, Dec. 1985,

Williams, Christopher G, et al. “Management of Chronic Facial Pain.” Craniomaxillofacial Trauma & Reconstruction, Thieme Medical Publishers, May 2009,

Yoon, Seung Zhoo, et al. “A Case of Facial Myofascial Pain Syndrome Presenting as Trigeminal Neuralgia.” Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, U.S. National Library of Medicine, 25 Dec. 2008,

Zakrzewska, J M. “Differential Diagnosis of Facial Pain and Guidelines for Management.” Define_me, July 2013,

Zakrzewska, Joanna M, and Troels S Jensen. “History of Facial Pain Diagnosis.” Cephalalgia : an International Journal of Headache, SAGE Publications, June 2017,


Sports Exercise Headaches Back Clinic Chiropractor

Sports Exercise Headaches Back Clinic Chiropractor

Sports exercise headaches are exertion headaches that involve pain during or immediately after sports, exercise, or some physical activity. They come on quickly but can last a few minutes, hours, or days. Activities associated with exercise headaches include running, weightlifting, tennis, swimming, and rowing. Chiropractic, massage, decompression, and traction therapies can realign the body and relax the muscles allowing for optimal circulation and certain strategies to help prevent future episodes. Usually, there is no underlying disease or disorder, but it is recommended to talk to a healthcare provider to make sure.

Sports, Exercise, Physical Activity Headaches Chiropractor

Sports Exercise Headaches

When individuals exert their bodies intensely, they need added blood and oxygen, particularly with activities that involve tightening/tensing the abdominal muscles or increasing chest pressure. Doctors and scientists believe an exertional headache occurs when intense physical activity causes the veins and arteries to expand to circulate more blood. The expansion and increased blood circulation generate pressure in the skull that can cause pain.

Alternate Triggers

Exercising is not the only cause; other physical activities that can trigger an exertion headache include:

  • Sneezing
  • Coughing
  • Straining to use the bathroom
  • Sexual intercourse
  • Lifting  or moving a heavy object


Symptoms of a sports exercise headache include:

  • Neck stiffness or pain
  • Pain on one or both sides of the head
  • Pulsating pain discomfort
  • Throbbing pain discomfort
  • Shoulder tightness, discomfort, and/or pain

Sometimes individuals report the headache can feel like a migraine that could include:

  • Vision problems like blind spots
  • Nausea
  • Vomiting
  • Light sensitivity

Most exercise headaches last five to 48 hours and can continue for three to six months.


An underlying disease or disorder does not cause most exertional headaches. However, individuals experiencing severe or frequent headaches should consult their doctor or a healthcare provider. Tests will be ordered to rule out possible causes that include:

If there is no underlying cause found, the medical provider can diagnose exertion headaches if there have been at least two headaches that:

  • Were caused by exercise or physical activity.
  • Started during or after the physical activity.
  • Lasted less than 48 hours.

Chiropractic Treatment

According to the American Chiropractic Association, spinal adjustments are an effective headache treatment option. This includes migraines, tension headaches, or sports exercise headaches. Using the targeted approaches, chiropractic restores the body’s natural alignment to improve function and alleviate stress on the nervous system. This allows the body to operate at optimal levels reducing muscle stress and muscle tension.

DOC Decompression Table


American Migraine Foundation. Secondary Headaches. ( Accessed 11/17/2021.

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International Headache Society. HIS Classification ICHD-3. ( Accessed 11/17/2021.

McCrory, P. “Headaches and exercise.” Sports medicine (Auckland, N.Z.) vol. 30,3 (2000): 221-9. doi:10.2165/00007256-200030030-00006

National Headache Foundation. Exertional Headaches. ( Accessed 11/17/2021.

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Trotta K, Hyde J. Exercise-induced headaches: prevention, management, and treatment. ( U.S. Pharm. 2017;42(1):33-36. Accessed 11/17/2021.