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Background: Muscle impairment has been related to the development of cervicogenic headaches (CGH). It has been demonstrated that trigger points of the sternocleidomastoid muscle (SCM) can produce CGH. Dry needling can reduce muscle dysfunction and therefore the purpose was to demonstrate the effect of dry needling the sternocleidomastoid muscle (SCM) in subjects with CGH. Case Report: The subjects in this case series were referred by a neurologist for physical therapy and diagnosed with cervicogenic headaches. Subject one was a 52 y/o male, subject 2 was a 22 y/o male and subject 3 was a 39 t/o female. All three subjects presented with signs of neck involvement and unilaterally of the head pain. All subjects received dry needling of trigger points in the SCM using Seirin J, no 2 needles 0.12 mm thick and 15mm long in combination with soft tissue techniques to the cervical region, joint manipulation and the use of augmented exercise. Baseline measures were taken and repeated at 3 and 6 weeks. Conclusion: This case series describes the benefits of dry needling in combination with manual therapy and exercise in three subjects over the course of 10 treatments. After treatment intervention all three subjects reported that the dry needling intervention was beneficial. Active range of motion and passive range of motion improved as did the self-perceived disability on the Headache disability index and Neck Disability Index. Dry needling was tolerated well by the subjects, they reported it contributed to improvements in pain and function, without significant adverse effects.

annals of case reports

Effectiveness of Dry Needling to the Sternocleidomastoid Muscle, Manual Therapy, and Exercise to Reduce Pain and Improve Function in Subjects with Chronic Cervicogenic Headaches: A Retrospective Case Series