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If you are experiencing headaches it is important to know there are many types, over 150!

HEADACHES

How can Manual Therapy help?

In the most recent Global Burden of Disease study (2022), the estimated global prevalence of headaches is 52%. In Australia, we are not far off. Over 46% suffer from headaches or migraines, that's over 11.9 million people!

Headaches can be one-sided, both-sided, like a band. The pain can radiate from the base of your skull toward the top of your head and sometimes over your eyes. The headache may last a short while or last hours to days. The pain can be continuous or fluctuating, you may have neck pain and stiffness as well. 

150 is a big number and while a Chiropractor cannot help with all types of headaches, they can assess them to determine the likely type of headache you have, then treat or refer you accordingly

Headaches aren't simple but getting you back to normal as soon as possible is our number one goal. We are well placed to help and will likely recommend one or more of the following:

  • Joint manipulation or mobilisation to gently restore movement to your neck and/or thoracic spine

  • Various modalities to ease your muscle tightness, pain and swelling

  • Myofascial release and Active Release Techniques to address your long-standing tightness

  • Therapeutic stretching or PNF (Proprioceptive neuromuscular facilitation)

  • Exercise prescription to retrain movement, endurance o and control

Chiropractic care is a low risk, drug-free and effective form of treatment for headaches and migraines. Get in touch if you are experiencing headaches or migraines, we're here to help.

 

Recommendations in research:

  • A Delphi study showed active mobilisation exercises, upper cervical spine mobilisations, passive and active mobilisation with movement, work-related ergonomic training, can be used to treat cervicogenic headaches. And, life-style advice, manual trigger point techniques, and work-related ergonomic training are effective in the treatment of migraine and tension-type headaches (1)

  • A systematic review of studies involving mobilisations and manipulation are effective in the treatment of cervicogenic headaches (2)​

  •  A systematic review found evidence that  suggests that chiropractic care, including spinal manipulation, improves migraine and cervicogenic headaches (3)

  • A systematic review indicated that cervical manipulation and mobilization with cervico-scapular strengthening was most effective for decreasing pain outcomes in cervicogenic headache population (4)​

REFERENCES

  1. De Pauw R, et al. Consensus among musculoskeletal experts for the management of patients with headache by physiotherapists? A delphi study. Musculoskeletal Science and Practice. 2021 Apr 1;52:102325

  2. Page, P. et al. Cervicogenic headaches: an evidence-led approach to clinical management. Int J Sports Phys Ther. 2011;6(3):254-266

  3. Bryans, R., et al. Evidence-based guidelines for the chiropractic treatment of adults with headache. J Manipulative Physiol Ther. 2011. Jun;34(5):274-89

  4. Racicki, S. et al. (2013). Conservative physical therapy management for the treatment of cervicogenic headache: a systematic review. Journal of Manual & Manipulative Therapy, Volume 21, Number 2, 2013 , pp. 113-124(12)

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