Therapist Notes – Headache Beside Crown with Eye pain

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

Effective relief starts with an understanding of 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 changing the format of the posts to include more extensive self-care, illustrations, therapist notes, anatomy, and protocols. We’d love your feedback. We are adding posts and converting the old posts as quickly as time permits.


Weekly Featured Post

Can’t Reach the Pain
Under the Shoulder Blade

This pain and tension under the shoulder blade may be the most common pain pattern that I see. It isn’t always the primary complaint as people have gotten used to the constant ache.

It is usually combined with this pattern in the upper neck, which creates upper neck tension to go with the shoulder blade pain.

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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