Highest level of evidence supporting spinal maniipulation for migraine
- RRS Education
Migraine headaches are relatively common and often associated with high amounts of disability. Pharmacological treatments represent the first-line treatment for many migraine sufferers; however, approximately 40% of patients with episodic migraine symptoms have unmet treatment needs. One-third of this group report dissatisfaction with current treatment and half report headache-associated disability! As such, alternative treatments to the traditional pharmacological approach are warranted.
Spinal manipulation represents a potential non-pharmaceutical treatment option for migraine sufferers. Up to 15.4% of migraine patients have used chiropractic care in a 12-month period, and approximately 12% of patients presenting to chiropractic offices list headache as their chief complaint. Given this prevalence, there is a need for evidence-based data regarding the efficacy of spinal manipulative therapy (SMT) in treating migraine headaches.
Three systematic reviews have been previously completed regarding the use of SMT in treating migraine headaches, although all 3 included the same 3 randomized, controlled trials (references in the Review) and a meta-analysis of pooled data has yet to be completed. Also, since their publication, additional trials have been completed. Therefore, the purpose of this study was to perform an up-to-date systematic review and meta-analysis of all randomized, controlled trials investigating the use of SMT in the treatment of migraine headache…LOG IN OR SUBSCRIBE TO ACCESS THE FULL REVIEW!
THIS WEEK'S RESEARCH REVIEW: “Impact of Spinal Manipulation on Migraine Pain & Disability – Systematic Review & Meta-Analysis”
This paper was published in Headache (2019) and this Review is posted in Recent Reviews, Headache - Migraine and the 2019 Archive.