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WHAT TRIGGERS THE SPASM: EMOTION
The following are only some of the events that can trigger muscle contraction headaches. Many of these headaches happen without any recognizable provoking factor.
Emotion?Prolonged worry, fear, depression, or internalized anger are all capable of causing the muscle contraction headache. A number of years ago, Dr. John R. Graham of Boston, a noted headache expert, compared the action of neck, scalp, and head muscles during emotionally disturbing events in humans and certain instinctive and automatic reflexes in animals threatened with danger. The neck and head muscles in the turtle, for example, automatically retract and pull the head under the protective cover of the shell. The ape also retracts its head into the well of the surrounding shoulders as the beast assumes the fighting posture. The similarity between this automatic response of lower animals and the automatic contraction of head and neck muscles in the human under stress raises the very interesting possibility that the automatic contraction of human neck and head muscles during emotional distress or danger represents a remnant of an automatic protective response in lower animals. In other words, the muscles of the head and neck contract in the presence of pain of the mind, just as the muscles of the arm respond to pain of a
broken bone. Perhaps the body is trying to pull the head under a shell that does not exist, and in a skeleton composed of bones that cannot retract, as is the case with the lower animals. When we tell some of our patients that if they were turtles their head would be under the shell all or most of the time, they laugh approvingly, acknowledging their distress and the imagined relief at having some place to hide.
We know that stress, frustration, and depression are common elements in the personality of those who suffer from muscle contraction headaches, even though the presence of these strong feelings may not be recognized on a conscious level. You might ask yourself if your expression is always very serious, or if you have a frown on your face even when relaxing. Do you often clench your fists or jaw, perspire without apparent cause, gnash your teeth, or frequently seem worried or preoccupied with one problem or another? Do you have a hard time relaxing? Do you continually find fault with people and events around you? Do you have a problem relating to your mother or father, husband, wife, or partner? Do you feel anger for these people on the one hand and love on the other? Are you able to express these feelings openly or even accept them without guilt?
Your muscle contraction headaches may have no relationship to emotional stress. It is likely, however, that many sufferers from muscle contraction headaches do indeed trigger these headaches through a variety of emotional factors.
Some headache researchers believe that many muscle contraction headaches may occur in the morning hours because during sleep very emotionally distressful events come to the surface of our conscience. Jaw clenching, poor neck posture, and arthritis may also be important factors in provoking morning muscle contraction headaches. While sleep should be relaxing and restful, for many people with muscle contraction headaches sleeping is the most physically and emotionally distressful time of their day, because it is during this time that the mind expresses itself without restraint, and the body reacts appropriately.
Dr. Seymour Diamond of Chicago, a well-known headache authority, has coined the term “depression headache” to describe the morning headache affecting patients with continuing depression.
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