People with chronic migraine have a higher comorbidity of fibromyalgia compared to people who get chronic tension headaches according to new research published in the journal Headache: “Fibromyalgia Among Patients With Chronic Migraine and Chronic Tension-Type Headache: A Multicenter Prospective Cross-Sectional Study”
Chronic headaches are common in fibromyalgia and migraines were often misdiagnosed due to that very fact. People with fibromyalgia who have chronic headaches tend to have frequent headaches, it tends to reduce physical performance and they report greater sleep disturbances.
The study included 136 patients with chronic migraine CH and 35 with chronic tension type headache CTTH. The people with FM were assessed with the new criteria to diagnose FM.
- With chronic migraine the FM frequency was 66.9%
- With chronic tension type headache it was 25.7%.
- They also assessed Quality of life of patients with the Fibromyalgia Impact Questionnaire. Those with chronic migraine had lower scores in QoL compared to CTTH subjects.
- In patients with both CM and Fibromyalgia more anxiety, depression and insomnia was noted compared to the CM alone. It was not seen with CTTH.
“Our findings indicate that [fibromyalgia] is prevalent among patients with chronic headache, especially in patients with CM,” the researchers wrote.
“Comorbidity of [fibromyalgia] is associated with increased risk of anxiety, depression, and insomnia, suggesting that thorough evaluation for fibromyalgia may be helpful in providing a more comprehensive approach to the management of chronic headache,” they added. Study