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WHAT TRIGGERS THE SPASM: POSTURE OR PROLONGED USE OF MUSCLES
If you hold your head and neck rigid or in an awkward position for a long period of time, muscle pain may develop. This is common in persons who become tense while driving their automobiles in bad weather or heavy traffic. Bedtime television watchers may provoke this discomfort by slouching in bed with the head propped forward by a pillow as they peer at the television set located at the foot of the bed. Looking down while reading may also lead to muscle contraction pain. This chin-on-chest posture is apt to be particularly uncomfortable for anyone who has a preexisting arthritis in the neck. Prolonged extension of the neck upward and backward, as when painting a ceiling, can, of course, also be painful.
One of our patients noted that she suffered headaches only on the evenings that she played cards with friends. The headache would usually begin late in the evening, after she had spent many hours looking down at the cards she held in her hands. Concentrating on the cards and enduring the smoke in the room cannot be entirely overlooked as contributing factors, but it eventually became clear that the woman’s chin-on-chest posture was to a large extent responsible for producing the discomfort. She was given a cervical collar to wear during her card parties. This device is worn around the neck and assists in supporting the head and limits the forward movement of the head and neck. To the patient’s delight, and to ours as well, her headaches lessened, and the pain did not interfere with her enjoyment of the game.
The chin-on-chest posture often produces discomfort in those of you whose work or other activities require this position for long periods. Typing, reading, propping a telephone receiver between the shoulder and head while talking, and similar activities can cause headaches in some people.
Facial mannerisms, such as prolonged frowning, squinting, jaw clenching, gum chewing, teeth gnashing, even holding a smile or other movements of the face requiring specific muscle activity, may also provoke muscle pain that is felt as a headache. If you have arthritis of the jaw joint, imbalances, or other abnomalities of your jaw, the muscles around your jaw and temple area may painfully contract when the jaw is used, particularly during prolonged or intense chewing activity. This is often felt as a headache in the ear area or temple region.
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