Spinal Manipulation and Headaches

 

Cervicogenic headache (CGH) refers to headaches caused by dysfunction in the neck, and expects estimate that 18% of chronic headache patients have cervicogenic headaches.  Spinal manipulative therapy (SMT) is a form of treatment most commonly provided by doctors of chiropractic, and several studies have demonstrated that SMT is highly effective for patients suffering musculoskeletal disorders of the neck, including those with cervicogenic headaches.  However, there remains little consensus on the appropriate number of SMT treatments to achieve maximum benefits for CGH.

In a 2018 study, a team of researchers conducted a large-scale study involving 256 chronic CGH patients to determine how many treatments are needed to achieve optimum results using SMT for CGH.  The investigators randomly assigned participants to one of four dose levels (0,6, 12, or 18 visits) of SMT for six weeks.  The type of SMT consisted of a manual high-velocity, low-amplitude (HVLA) thrust manipulation in the cervical and upper thoracic regions.  The location of the spinal adjustment was determined by a brief, standard spinal palpatory examination from the occiput to T3 to assess for pain and restricted motion.  For older patients and/or those in acute pain, the manual therapy was modified to a low-velocity, low-amplitude mobilization.  To control for visit consistency and provider attention, patients continued to receive a light massage treatment once a patient’s assigned number of visits was satisfied, until the six-week treatment period ended.

 

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After the conclusion of the treatment phase of the study, the participants used a headache diary to keep track of their headaches for the next year.  The results showed that the patients who received the most SMT treatments had fewer headaches over the following twelve months.  More specifically, the researchers calculated that six additional SMT visits resulted in about twelve fewer days with headaches over the next year.

If you suffer from headaches, consider consulting with a doctor of chiropractic to determine if cervical dysfunction is a potential cause or contributing factor and whether you are a candidate for spinal manipulative therapy.

 

November 1, 2019 by CHIROTRUST

About Dr. Timothy Durnin

Dr. Durnin is the owner of Lansing Chiropractic Clinic and Wellness Medical, S.C. He is a second generation Chiropractic Physician with over 27 years of clinical experience. Presently serving as co-admitting staff at Olympia Fields Osteopathic Hospital, (Now St. James Olympia Fields), for several years and writing many newspaper articles on wide ranges of neuromusculoskeletal pathologies and treatments, he is now in private practice serving the needs of south Chicago. He has been featured in many local newspapers for his extensive knowledge in neuromusculoskeletal disorders. He is a member: Phi Theta Kappa honorary fraternity, American Chiropractic Association, American Association of Spine Physicians, Illinois Chiropractic Society, Who's Who in America, Presidential Cabinet Member of the National Univerisity of Health Sciences and Board Certified in AMA Impairment Ratings, Medical Director Life extension Laser and a member of the Lansing Chamber of Commerce. Dr. Durnin is also a member of over 40 Qualified Credentialed Health Plans.
This entry was posted in Back pain, Chiropractic, Chiropractic Video, Headaches and tagged , , , , , . Bookmark the permalink.

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