The neck and head pain is increased with tension and stress and often occurs daily. Characteristically, the person with this type of headache has trigger points in various muscles of the face and neck, most notably in the trapezius muscle, sternocleidomastoid, and levator scapulae muscles. There is a high association of TMJ syndrome with this type of headache. Often times massage therapy or physical therapy is helpful for this condition but does not cure it, whereas ligament treatments (Prolotherapy) is often curative.

Cluster Headache
Cluster headache, un-like the other types of headaches which occur more often in women, occur primarily in males at a ratio of about five to one.(6)

In its classic form, the headache comes in clusters, one or two per year, each lasting for about two to three months. The headache begins abruptly and builds up to a climax in 10 to 15 minutes. The pain is usually excruciating and is felt to be the most severe headache a person can get. The pain is frequently tremendous behind the eyes where it feels like the eyeball is being pushed out of its socket. The pain is generally not throbbing, like a migraine. Cluster headache pain is simply excruciating. The pain usually lasts 45 minutes to one hour. The attacks may come the same time every day for a number of weeks.

Besides the severe pain, there are other symptoms attributable to overactivity of the parasympathetic nervous system: ipsilateral lacrimation (eye tearing in both eyes), conjunctival injection (red eye), and nasal stuffiness. Sometimes there is facial flushing and/or pallor with facial and scalp tenderness. A decrease in the heart rate may also be noted.

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