Due to the pain phase or headache phase as one of migraine symptoms which is almost 90% migraine patients have nausea and stated that this feature (nausea) mostly common associated with migraine disorder, however, from recent study surprisingly founded that neck pain most strong feature than nausea.

Based on current prospective study that included 113 patients with migraines, who had a frequency of attacks from episodic to chronic migraine and who were followed up for at least 1 month and until 6 migraine episodes by Anne H. Calhoun, MD., with the Carolina Headache Institute in Chapel Hill, North Carolina, noted, “Regardless of the intensity of headache pain at time of treatment, neck pain was a more frequent accompaniement of migraine than was nausea (P < .0001). Prevalence of neck pain correlated with chronicity of headache as attacks moved from episodic to chronic daily headache.”

She said, ” The finding that neck pain was more commonly associated with migraine than was nausea would seem to be a big surprise, given the absence of its mention in textbooks and in The Internationa Headache Classification II (ICHD-2) criteria.”

The author also added that actually many clinicians notice the presence of neck pain with a tension-type headache, but never reported.

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