A trigger point is a hyperirritable spot in the tissue surrounding a muscle that many people commonly refer to as a “knot.” In this study, researchers examined the head, neck, and shoulder regions of 143 women with either episodic or chronic migraines and found they each had an average of three or four trigger points in those anatomical areas. The research team suspects that these trigger points may either trigger the onset of a migraine headache and/or contribute to head pain once a migraine attack has begun. The Clinical Journal of Pain, May 2016