Cervical musculoskeletal comorbidities in migraine patients

This manuscript provides clinical recommendations for assessing and managing cervical musculoskeletal (MSK) comorbidities in patients with migraine. It explores the reciprocal influences between migraine and the cervical MSK system and proposes a theoretical model to explain the high prevalence of these comorbidities, emphasizing the need for proper assessment and targeted management. The text provides a detailed explanation of tests commonly used in clinical and research settings to identify cervical MSK involvement. Furthermore, it reports reference cut-off values to help clinicians profile patients based on the presence and relevance of these comorbidities. The role of neck pain in guiding the execution and interpretation of cervical MSK assessment is discussed in detail. These findings require careful clinical reasoning and an individualized understanding of their roles in each patient’s presentation. Finally, the manuscript presents therapeutic guidelines for the effective management of cervical MSK comorbidities in the migraine population.