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The Journal of Headache and Pain

, Volume 12, Issue 2, pp 127–133

First Online: 05 February 2011Received: 04 November 2010Accepted: 14 January 2011


Migraine occurs in about 15% of the general population. Migraine is usually managed by medication, but some patients do not tolerate migraine medication due to side effects or prefer to avoid medication for other reasons. Non-pharmacological management is an alternative treatment option. We systematically reviewed randomized clinical trials RCTs on manual therapies for migraine. The RCTs suggest that massage therapy, physiotherapy, relaxation and chiropractic spinal manipulative therapy might be equally effective as propranolol and topiramate in the prophylactic management of migraine. However, the evaluated RCTs had many methodological shortcomings. Therefore, any firm conclusion will require future, well-conducted RCTs on manual therapies for migraine.

KeywordsManual therapies Massage Physiotherapy Chiropractic Migraine Treatment  Download fulltext PDF

Autor: Aleksander Chaibi - Peter J. Tuchin - Michael Bjørn Russell


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