The Effect of Methylprednisolone Acetate Injection at Cervical Trigger Points in both Chronic and Drug Resistant Headache

Introduction & Objective: Most adults have surely once experienced a headache. A high percentage of these headaches are the referred pain from cervical structures, such as neck muscles, known as cervicogenic headaches. This study aimed to assess the efficacy of injection of methylprednisolone acetate at the Gallbladder-20 acupuncture points in muscle originated chronic and drug resistant headaches. Materials & Methods: In this randomized clinical trial study conducted at Shiraz University of Medical Sciences in 2009-2010, 25 patients with both chronic and drug resistant cervicogenic headaches, who had cervical muscle tender points, underwent methylprednisolone acetate injection. To evaluate the severity of these patients' headache, VAS (Visual Analogue Scale) was used. The collected data was analyzed using the SPSS software and Wilcoxon test. Results: The Mean headache intensity on the visual scale of these people before the injection was 3 .2 ± 76.7. This value was 2.60±2.9, 3 days after injection. The values at 1 and 3 months post procedure were 3.52±3.3, and 3.48±3.5, respectively. In other words, a statistically significant loss of pain score (P