Association of massage and surface heat treatment on tension-type headache

INTERVENTION: E02.190.599 E02.190.599.750.750 H02.010.625 The research project will last for three months with the participation of 30 female subjects. The first month (control effect) volunteers will be evaluated and will respond to pain diary, marking the headache episodes. In the second month will receive the treatment that will have 50 minutes duration and will be held twice a week for four weeks, and will consist of two intervention groups: Desensitization skin (superficial heat and massage therapy) and inactivation of myofascial trigger points (deep pressure and cross‐massage) and muscle stretching. In the third month, they will be accompanied (follow‐up) to evaluate the late effects of treatment. They will continue filling the pain diary for 30 days. At the end they will be reevaluated and close their participation in research. CONDITION: Tension‐Type Headache, Headache. ; R51 PRIMARY OUTCOME: Pain reduced after quatro weeks of treatment, verify by visual analogic scale, Mcguill pain questionnaire and pain diary, with statistic analysis of data before and after treatment period. SECONDARY OUTCOME: Improvement of quality of life, sleep and self‐medication after 4 weeks of treatment, verify by SF‐36, Pittsburgh sleep questionnaire and pain diary with statistic analysis of data before and after treatment period. INCLUSION CRITERIA: subjects with muscular origin of headaches (tension‐type headache); existence of myofascial trigger points.