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Therapist Notes – Headache Beside Crown with Eye pain

Therapist Notes include:
Anatomy review,
Syndromes and Conditions,
Assessment notes,
Treatment Preparation,
NMT protocols and more…

Start by Understanding the Anatomy.
About the coloring of the illustrations…

This is a flat muscle behind the ear that raises the eyebrows. You can read more about it in this post on the anatomy of occipitalis.


The occiptalis portion of the epicranius is most directly governed by the sutures around asterion. It has significant variances in surface area and thickness.

This can be tricky to pinpoint if you’re not experienced at trigger point assessment. When this headache is a satellite off of the neck muscle, semispinalis, it looks a lot like the headache of splenius capitis. Without the proper client interview, it can also be easily confused for the headache of sub-occipitals.

This headache in the eye is also created by a restricted palatine bone, which is best relieved through craniostructural technique.

As with most muscles, these trigger points are activated by problems in local joints. A little sutural separation around asterion often releases this muscle without any other treatment.

This is the NMT protocol for Occipitalis. It is usually done in a prone position but I prefer the supine treatment.



This site is undergoing changes. Starting in early 2020, we began improving the format. We are also adding more extensive self-care, illustrations, therapist notes, anatomy, and protocols. We appreciate your input and feedback. You will see us adding posts and updating older posts as time permits.


Weekly Featured Post

This post is about the watershed moment that changed the direction of my bodywork. People would say that it is about treating at the source. I’d say that it is about understanding the governors and accessories in a pattern. This gives the therapist and client choices on how to plan on treating for relief or treating to create a body that is self-correcting.

Tony Preston has a practice in Atlanta, Georgia where he sees clients. He has written and taught about anatomy, trigger points, and cranial therapies since the mid-90s.

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*This site is undergoing major changes. We are reformatting and expanding the posts to make it easier to read. The result will also be more accessible and will include more patterns with better self-care. In the meanwhile, there may be inconsistency in formatting, content presentation, and readability. Until we get older posts updated, please excuse our mess.

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