Abstract: Objective To observe the management effect of pressure pain point and painful tubercle in occiput-neck part on tension-type headache (TTH). Methods 380 TTH patients were treated by palpating the central and both sides part from the external occipital protuberance to the spinous processes of neck; recording the total number and position of pressure pain points and painful tubercles; kneading, hitting and pressing all recorded pressure pain points and painful tubercles.Results After 1-6 times treatment, 283 were cured and 58 were effected. The efficiency ratio is 89.7%. Conclusion Muscle obstacle in occiput-neck part plays an important role in TTH. Massage therapy has a significant effect on pressure pain points and painful tubercle.

Key words: pressure pain point, painful tubercle, occiput-neck muscle, massage therapy