Principles of Effective Headache Management

Nelson CTopics in Clinical Chiropractic 1998 Mar; 5(1): 55-61

Purpose: An increasing amount of scientific literature is developing around conservative interventions, including manipulation, for the care of patients with headaches. This literature allows several supportable conclusions to be reached regarding current best practices in the evaluation and treatment of headaches.

Methodology: Qualitative review of the literature with synthesis by the author for clinical implementation.

Summary: Variation exists in headache management techniques, reflecting a continuing lack of understanding. Several relevant management principles are supportable, however, including: (1) The cervical spine is involved in the etiology of most chronic headaches and (2) manipulation is an effective prophylactic therapy for cervicogenic, migraine, and tension-type headaches. Manipulation is best applied in a “therapeutic trial” fashion.

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