The experience of neck pain in people with migraine: A qualitative study.

BACKGROUND: Neck pain is a common symptom in individuals with migraine, often leading to a more severe clinical presentation. However, despite the established relationship, uncertainties remain regarding its impact on patients. OBJECTIVE: To explore the relevance of neck pain in patients with migraine by describing their perceptions, beliefs, and coping strategies. METHODS: This qualitative, descriptive, and exploratory study followed the COREQ and SRQR criteria. Twenty-seven individuals with an average age of 35.4 years, diagnosed with migraine according to the third edition of the International Classification of Headache Disorders, and self-reporting neck pain were interviewed using a semi-structured questionnaire. Thematic analysis was used to identify, organize, and describe the data. The entire process of coding, categorization, and theme development was conducted using Excel. RESULTS: Three main themes were identified: pain characteristics, pain triggers, and coping strategies. Patients described their pain with varying characteristics and associated emotions. Although the pain caused discomfort, it did not interfere with daily activities. Opinions differed regarding the cause of neck pain and the strategies for managing it. CONCLUSION: Neck pain is prevalent and a relevant symptom for patients with migraine. They expressed differing opinions and uncertainties about its real cause and appropriate management. These findings underscore the importance of assessing the craniocervical system in clinical practice, providing appropriate guidance and treatment, and encouraging informed decision-making.