We have helped a lot of people in our office with
headaches. This review of articles
suggests that chiropractic care can help with migraines and headaches. Below, is the abstract and a link to the full
article.
Evidence-Based Guidelines for the
Chiropractic Treatment of Adults With Headache
J Manipulative Physiol Ther. 2011 Jun;34(5):274-89.
Abstract
Objective
The
purpose of this manuscript is to provide evidence-informed practice
recommendations for the chiropractic treatment of headache in adults.
Methods
Systematic
literature searches of controlled clinical trials published through August 2009
relevant to chiropractic practice were conducted using the databases MEDLINE;
EMBASE; Allied and Complementary Medicine; the Cumulative Index to Nursing and
Allied Health Literature; Manual, Alternative, and Natural Therapy Index
System; Alt HealthWatch; Index to Chiropractic Literature; and the Cochrane
Library. The number, quality, and consistency of findings were considered to
assign an overall strength of evidence (strong, moderate, limited, or
conflicting) and to formulate practice recommendations.
Results
Twenty-one articles met inclusion criteria and were used to
develop recommendations. Evidence did not exceed a moderate level. For
migraine, spinal manipulation and multimodal multidisciplinary interventions
including massage are recommended for management of patients with episodic or
chronic migraine. For
tension-type headache, spinal manipulation cannot be recommended for the
management of episodic tension-type headache. A recommendation cannot be made
for or against the use of spinal manipulation for patients with chronic
tension-type headache. Low-load craniocervical mobilization may be beneficial
for longer term management of patients with episodic or chronic tension-type
headaches. For cervicogenic headache, spinal manipulation is recommended. Joint
mobilization or deep neck flexor exercises may improve symptoms. There is no
consistently additive benefit of combining joint mobilization and deep neck
flexor exercises for patients with cervicogenic headache. Adverse events were
not addressed in most clinical trials; and if they were, there were none or
they were minor.
Conclusions
Evidence suggests that chiropracticcare, including spinal manipulation, improves migraine and cervicogenicheadaches. The type, frequency, dosage, and duration of treatment(s)
should be based on guideline recommendations, clinical experience, and
findings. Evidence for the use of spinal manipulation as an isolated
intervention for patients with tension-type headache remains equivocal.
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Alexandria, VA 22304
703-750-1177
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