Spinal manipulations for the treatment of migraine: A systematic review of randomized clinical trials

Posadzki, Paul; Ernst, Edzard

doi:10.1177/0333102411405226

Cited by 38 publications

(21 citation statements)

References 27 publications

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“…127 Also concurring with the present analysis, the meta-analysis by Deare et al 126 concluded that acupuncture was not an effective therapy for pain or function in individuals with Fibromyalgia. In their systematic review, Posadzki and Ernst 128 found little data supporting the use of spinal manipulation for headaches. Supporting our conclusions is a recent comprehensive meta-analysis of trials studying glucosamine for osteoarthritis, 132 which found considerable variability in results across trials and concluded that neither glucosamine sulfate or HCl provide pain relief.…”

Section: Safetymentioning

confidence: 99%

Evidence-Based Evaluation of Complementary Health Approaches for Pain Management in the United States

Nahin

Boineau

Khalsa

et al. 2016

Mayo Clinic Proceedings

233

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While most pain is acute, resolving within a few days or weeks, millions of Americans suffer from persistent or recurring pain that may become chronic and debilitating. Medications may provide only partial relief from this chronic pain and can be associated with unwanted side effects. As a result, many individuals turn to complementary health approaches as part of their pain management strategy. This article examines the clinical trial evidence for the efficacy and safety of several specific approaches – acupuncture, manipulation, massage therapy, relaxation techniques including meditation, selected natural product supplements (chondroitin, glucosamine, methylsulfonylmethane, S-adenoysl methionine), tai chi, and yoga – as used to manage chronic pain and related disability associated with back pain, fibromyalgia, osteoarthritis, neck pain, and severe headaches or migraines.

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Section: Safetymentioning

confidence: 99%

Evidence-Based Evaluation of Complementary Health Approaches for Pain Management in the United States

Nahin

Boineau

Khalsa

et al. 2016

Mayo Clinic Proceedings

233

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“…8 In fact, several systematic reviews have investigated the effectiveness of spinal manipulation in the management of tension type, migraine, and cervicogenic headache. The results of the reviews are inconsistent, since the effectiveness of joint manipulation in tension type headache remains inconclusive; 9 current evidence does not support the use of manipulation for migraine, 10 whereas some positive results have been found for cervicogenic headache. 11 In fact, a review of systematic reviews concluded that the findings reported about effectiveness of spinal manipulation for the management of headaches differed considerably.…”

Section: Scientific Evidence For Manual Therapy In Tension Type and Cmentioning

confidence: 99%

Clinical reasoning for manual therapy management of tension type and cervicogenic headache

Fernández‐de‐las‐Peñas

Courtney

2013

Journal of Manual & Manipulative Therapy

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In recent years, there has been an increasing knowledge in the pathogenesis and better management of chronic headaches. Current scientific evidence supports the role of manual therapies in the management of tension type and cervicogenic headache, but the results are still conflicting. These inconsistent results can be related to the fact that maybe not all manual therapies are appropriate for all types of headaches; or maybe not all patients with headache will benefit from manual therapies. There are preliminary data suggesting that patients with a lower degree of sensitization will benefit to a greater extent from manual therapies, although more studies are needed. In fact, there is evidence demonstrating the presence of peripheral and central sensitization in chronic headaches, particularly in tension type. Clinical management of patients with headache needs to extend beyond local tissue-based pathology, to incorporate strategies directed at normalizing central nervous system sensitivity. In such a scenario, this paper exposes some examples of manual therapies for tension type and cervicogenic headache, based on a nociceptive pain rationale, for modulating central nervous system hypersensitivity: trigger point therapy, joint mobilization, joint manipulation, exercise, and cognitive pain approaches.

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“…More high quality research is needed however to assess the efficacy of MT as a treatment for common recurrent headaches. Recent systematic reviews of randomized clinical trials of MT for the prevention of migraine report a number of significant methodological short-comings and the need for more high quality research before any firm conclusions can be made [35, 36]. Recent reviews of MT trials for tension-type headache and cervicogenic headache are cautious in reporting positive outcomes and the strong need for further robust research [37–41].…”

Section: Introductionmentioning

confidence: 99%

A critical review of manual therapy use for headache disorders: prevalence, profiles, motivations, communication and self-reported effectiveness

2017

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BackgroundDespite the expansion of conventional medical treatments for headache, many sufferers of common recurrent headache disorders seek help outside of medical settings. The aim of this paper is to evaluate research studies on the prevalence of patient use of manual therapies for the treatment of headache and the key factors associated with this patient population.MethodsThis critical review of the peer-reviewed literature identified 35 papers reporting findings from new empirical research regarding the prevalence, profiles, motivations, communication and self-reported effectiveness of manual therapy use amongst those with headache disorders.ResultsWhile available data was limited and studies had considerable methodological limitations, the use of manual therapy appears to be the most common non-medical treatment utilized for the management of common recurrent headaches. The most common reason for choosing this type of treatment was seeking pain relief. While a high percentage of these patients likely continue with concurrent medical care, around half may not be disclosing the use of this treatment to their medical doctor.ConclusionsThere is a need for more rigorous public health and health services research in order to assess the role, safety, utilization and financial costs associated with manual therapy treatment for headache. Primary healthcare providers should be mindful of the use of this highly popular approach to headache management in order to help facilitate safe, effective and coordinated care.

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Spinal manipulations for the treatment of migraine: A systematic review of randomized clinical trials

Abstract: Current evidence does not support the use of spinal manipulations for the treatment for migraine headaches.

Cited by 38 publications

References 27 publications

Evidence-Based Evaluation of Complementary Health Approaches for Pain Management in the United States

Evidence-Based Evaluation of Complementary Health Approaches for Pain Management in the United States

Clinical reasoning for manual therapy management of tension type and cervicogenic headache

A critical review of manual therapy use for headache disorders: prevalence, profiles, motivations, communication and self-reported effectiveness

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