Fig. 01 · Upper trapezius, TrP13/4 posterior · left
FeltTempleStartsTrP1
Trigger pointSuperior free border, midway between the acromion and the cervical spineEssential zoneUp the side of the neck, behind and over the ear, to the templeSpilloverAngle of the jaw, back of the head, behind the eyeAfter Travell & Simons, Vol. 1. Often taken for tension-type headache.
When trigger points in the upper trapezius refer pain to the temple and behind the eye, they’re often misdiagnosed as tension-type headache. A clinical primer.
StrongSeveral well-designed randomized trials or systematic reviews agree.
ModerateConsistent observational results, or a small number of trials.
WeakExpert consensus, case series, or mechanism without controlled trials.
06When to seek care
Most muscle pain isn’t a sign of anything serious.
It usually eases within a few weeks with gentle movement, warmth, and time. A few signs, though, mean it’s worth being checked rather than self-treating.
See a clinician if
Within days
01The pain hasn’t improved after a few weeks, or keeps getting worse
02It wakes you at night, or rest and changing position don’t ease it
03You have numbness, tingling, or weakness that spreads or won’t settle
04It began after a significant fall or accident
05You also have fever, unexplained weight loss, or feel generally unwell
06You have a history of cancer
Seek urgent care now if
Today
01You lose control of your bladder or bowels, or feel numb around the groin or inner thighs
02A limb becomes suddenly weak or numb
03You have chest pain, or pain spreading to the arm, jaw, or back with breathlessness or sweating
04You have a sudden, severe headache unlike any before
This is general guidance, not a diagnosis. If you’re unsure, contact a health professional or your local emergency number.