Patients with IHS criteria of chronic tension headache , considering inclusion and exclusion criteria, enrolled to this study. They will be randomized to intervention or control group by block randomization method, then treat by standard drug( nortriptyline 10 mg daily) or trigger point massage. They report severity, frequency, duration of headaches and number of analgesic drugs in diary during week 1 and week 4. Then data based on dairy will be analysis.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
80
Massage the trigger points in 8 different points for 1 min in circle direction and 3 times a day.
Headache severity change
By Visual Analogue Scale score,from 0 that indicate no pain to 10 that indicate severe pain
Time frame: Mean Visual Analogue Scale sore change in week 4 from the baseline
Headache frequency change
Number of attacks in week
Time frame: Change in number of attacks in week 4 from the base line
Headache duration change
Time duration ( in minutes)of attacks in week
Time frame: Change in Time duration in week 4 from the baseline
Number of analgesic change
Number of analgesic drugs used during a week
Time frame: Change in Number of analgesic drugs used in week 4 from the baseline
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