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WHAT TRIGGERS THE SPASM: DISEASE OF THE NECK OR PAIN ELSEWHERE IN THE BODY
Pain from abnormalities of the neck, eyes, teeth, jaw, or anywhere else in the body may incite muscle contraction of the head, neck, or face muscles.
Muscle contraction headaches frequently accompany cervical arthritis (arthritis of the neck). Arthritis is an inflammation of the joints, and this process may affect almost any joint in the body. There are many types of arthritis, but the two most common are called osteoarthritis (osteo-means bone) and rheumatoid arthritis. Rheumatoid arthritis is the most serious but fortunately the least common of the two. It is a disorder that may begin at any age and cause
deformities of bone, frequently leading to crippling disabilities. Rheumatoid arthritis affects both young and old.
Osteoarthritis, also called degenerative arthritis, is by far the most common form of arthritis. This disorder eventually appears, to some extent, in almost everyone. It can affect nearly all joints of the body and is probably the result of years of physical stress on the joints. It can happen at any age but is most common after middle age. Most men and women over the age of forty-five show some evidence of osteoarthritis, but it can develop without apparent cause in younger people. Osteoarthritis causes pain on any movement of the involved joints, and it occasionally produces disability. When osteoarthritis affects the neck, the likelihood of developing muscle contraction headaches is increased. In part, this may be due to an automatic response of the muscles to “splint” the damaged bones against harmful movement, or the muscle contraction may be a response to the pain.
The arthritis can be severe or located in a critical spot. When this happens, portions of the degenerating bone can press on nerves and cause pain as well as neurological impairment. This process is referred to as a “pinched nerve” because the nerve becomes compressed, irritated, and subsequently inflamed. When the nerve is compressed, either by arthritis or by a vertebral disc (the “cushion” separating the vertebrae), pain, tingling, numbness, and weakness may develop. When the compression involves the nerves going to the arms or legs, the pains are often referred down the entire arm or leg. When the upper cervical nerves are involved, the pain from those nerves and the muscle contraction that is triggered by the pain may be referred up the back of the head.
Abnormalities of the neck, other than arthritis, can also trigger muscle contraction headaches. Injuries of the neck, such as whiplash, tumors of the spine, or congenital (present at birth)
deformities of the vertebrae or skull may result in pain and associated muscle contraction, which causes even more pain.
It seems that when any disease of the neck is present, muscle contraction headaches may be more easily triggered by emotional events than if the abnormality in the neck did not exist. In other words, abnormal conditions of the structures around the head and neck make it more likely for muscles of that region to painfully contract as a result of emotional factors, or any other triggering influences for that matter.
As we have already suggested, it is not uncommon for people with migraine to occasionally experience muscle contraction headaches at the same time they are suffering from a severe
migraine attack. Perhaps this is due to an unconscious attempt to hold the painful, throbbing head and neck immobile, since movement during the migraine attack is often nauseating and quite painful. Another explanation, however, is that pain from the migraine serves as a triggering stimulus for automatic muscle contraction.
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