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Spotlight on Migraine®

Migraine and Neck Pain: A Symptom or a Cause?

Apr 15, 2025
Dr. Richard Lipton, a prominent neurologist and head of the Montefiore Headache Center, discusses the surprising connection between neck pain and migraines. He reveals that up to 60% of migraine sufferers also experience neck pain and explores whether it acts as a symptom or trigger for migraines. Delving into innovative treatments, he shares proactive strategies for managing attacks during the prodrome phase and highlights the significance of early intervention. With insights from recent studies, he emphasizes neck pain as a crucial warning sign for migraine sufferers.
20:15

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • Neck pain often serves as a precursor for migraine attacks, indicating that about 60% of migraine sufferers also experience neck pain during the prodromal phase.
  • There are multiple treatment options for managing neck pain related to migraines, including new devices and medications aimed at early intervention and preventive strategies.

Deep dives

Neck Pain as a Dual Indicator

Neck pain can be both a symptom and a contributor to migraine attacks. Approximately 60% of individuals experiencing migraines report neck pain during the prodromal phase, which serves as an early warning sign for impending headache onset. The convergence of pain pathways from the neck and back of the head in the brainstem allows neck pain to manifest as part of the migraine experience. Conversely, existing issues in the cervical spine can activate pain pathways that may exacerbate the frequency and severity of migraines.

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