Headache Treatment Guideline


  • Decrease pain
  • Decrease high tone
  • Decrease trigger points


  • Effleurage
  • Stroking
  • Kneading
  • Petrissage
  • Joint play
  • Trigger point work
  • End treatment with PROM and long-axis traction

Trigger point Comminucation

” I noticed you jumped when I passed over that area. That indicates a jump sign of a trigger point. As I strum my fingers horizontally over this muscle, I can feel a nodule within a taut band. When I press on it, does it give you a familiar sensation or refer any where? So, I’m going to compress this area, let me know how this pressure is on a scale of 1-10. I’m going to hold it at this pressure until it goes away. Good. Now I’m just going to come out of this area slowly and stretch the muscle.”


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