Migraine

The Efficacy of Spinal Manipulation, Amitriptyline and the Combination of Both Therapies for the Prophylaxis of Migraine Headache

By Frank M. Painter|January 21, 2014|Chiropractic Care, Evidence-based Medicine, Headache, Migraine|

The Efficacy of Spinal Manipulation, Amitriptyline and the Combination of Both Therapies for the Prophylaxis of Migraine Headache

SOURCE: J Manipulative Physiol Ther 1998 (Oct); 21 (8): 511–519

Nelson CF, Bronfort G, Evans R, Boline P,
Goldsmith C, Anderson AV

Center for Clinical Studies,
Northwestern College of Chiropractic,
Bloomington, MN 55431, USA.

BACKGROUND: Migraine headache affects approximately 11 million adults in the United States. Spinal manipulation is a common alternative therapy for headaches, but its efficacy compared with standard medical therapies is unknown.

OBJECTIVE: To measure the relative efficacy of amitriptyline, spinal manipulation and the combination of both therapies for the prophylaxis of migraine headache.

DESIGN: A prospective, randomized, parallel-group comparison. After a 4-wk baseline period, patients were randomly assigned to 8 wk of treatment, after which there was a 4-wk follow-up period.

SETTING: Chiropractic college outpatient clinic.

PARTICIPANTS: A total of 218 patients with the diagnosis of migraine headache.

INTERVENTIONS: An 8-wk course of therapy with spinal manipulation, amitriptyline or a combination of the two treatments.

MAIN OUTCOME MEASURES: A headache index score derived from a daily headache pain diary during the last 4 wk of treatment and during the 4-wk follow-up period.

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Combination of Acupuncture and Spinal Manipulative Therapy: Management of a 32-year-old Patient With Chronic Tension-type Headache and Migraine

The Chiro.Org Blog

J Chiropr Med. 2012 (Sep); 11 (3): 192–201

Bahia A. Ohlsen

Chiropractic, Acupuncture and Yoga Center,
Buffalo Grove, IL.

OBJECTIVE: The purpose of this case study is to describe the treatment using acupuncture and spinal manipulation for a patient with a chronic tension-type headache and episodic migraines.

CLINICAL FEATURES: A 32-year-old woman presented with headaches of 5 months’ duration. She had a history of episodic migraine that began in her teens and had been controlled with medication. She had stopped taking the prescription medications because of gastrointestinal symptoms. A neurologist diagnosed her with mixed headaches, some migrainous and some tension type. Her headaches were chronic, were daily, and fit the International Classification of Headache Disorders criteria of a chronic tension-type headache superimposed with migraine.

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