Headache

A randomized trial of trigger point dry needling versus sham needling for chronic tension-type headache

Medicine (Baltimore). 2019 Feb;98(8):e14520. doi: 10.1097/MD.0000000000014520. Gildir S, Tüzün EH, Eroğlu G, Eker L. Abstract BACKGROUND: In this randomized, double-blind, parallel-group trial, we aimed to explore the effectiveness of trigger point dry needling in patients with chronic tension-type headache in reducing headache frequency, intensity and duration, and improvement of health-related quality of life. METHODS: The […]

Non-pharmacological Management of Persistent Headaches Associated with Neck Pain: A Clinical Practice Guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration.

Eur J Pain. 2019 Feb 1. doi: 10.1002/ejp.1374. [Epub ahead of print] Côté P1,2,3, Yu H2,4, Shearer HM2,5, Randhawa K2,5, Wong JJ2,4,5, Mior S3,5, Ameis A3, Carroll LJ6, Nordin M7, Varatharajan S2,5, Sutton D2,5, Southerst D8, Jacobs C2,9, Stupar M2, Taylor-Vaisey A2, Gross DP10,11, Brison RJ12,13, Paulden M, Ammendolia Abstract OBJECTIVES: To develop an evidence-based […]

Magnesium and health outcomes: an umbrella review of systematic reviews and meta-analyses of observational and intervention studies

European Journal of Nutrition pp 1–10 Original Contribution First Online: 25 January 2019 Nicola Veronese Abstract Purpose To map and grade all health outcomes associated with magnesium (Mg) intake and supplementation using an umbrella review. Methods Umbrella review of systematic reviews with meta-analyses of observational studies and randomized controlled trials (RCTs) using placebo/no intervention as […]

Efficacy of CoQ10 as supplementation for migraine: A meta-analysis

Acta Neurologica Scandinavica — Zeng Z, et al. | November 19, 2018 In this first-in-kind study, researchers investigated the clinical utility of coenzyme Q10 (CoQ10), a nutritional agent, as a supplemental agent in migraine. Researchers searched Web of Science, PubMed, and Cochrane Library databases for potential articles evaluating the effects of CoQ10 on migraine. Two […]

Neck pain: is it part of a migraine attack or a trigger before a migraine attack?

Acta Neurologica Belgica pp 1–5 | Gökhan Özer Necla Benlier Original Article First Online: 03 November 2018 Abstract Background A migraine is a primary headache disorder characterized by recurrent headaches that are moderate to severe. Neck pain may actually be the most common migraine symptom despite the fact that it is rarely listed among usual symptoms such as […]

Dose-response and efficacy of spinal manipulation for care of cervicogenic headache: a dual-center randomized controlled trial

The Spine Journal Volume 18, Issue 10, October 2018, Pages 1741-1754 Mitchel Haas DC, MA Abstract Background Context The optimal number of visits for the care of cervicogenic headache (CGH) with spinal manipulative therapy (SMT) is unknown. Purpose The present study aimed to identify the dose-response relationship between visits for SMT and chronic CGH outcomes […]

Associations between adherence to dietary approaches to stop hypertension (DASH) diet and migraine headache severity and duration among women

Nutr Neurosci. 2018 Jul 31:1-8. doi: 10.1080/1028415X.2018.1503848. [Epub ahead of print] Mirzababaei A1, Khorsha F1, Togha M2,3, Yekaninejad MS4, Okhovat AA5, Mirzaei K1. Author information Abstract Purpose/introduction: Migraine is a common disorder, with attacks causing neurological dysfunction and pain. Many foods are involved in reducing the severity of migraine attacks. This study aimed to assess […]

Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review [Internet]

Chronic low back pain: At short term, massage, yoga, and psychological therapies (primarily Cognitive Behavioral Therapy) (strength of evidence [SOE]: moderate) and exercise, acupuncture, spinal manipulation, and multidisciplinary rehabilitation (SOE: low) were associated with slight improvements in function compared with usual care or inactive controls. Except for spinal manipulation, these interventions also improved pain. Effects […]

Many Migraine Sufferers Skip Effective Behavioral Treatment

JUNE 08, 2018 Reuters Health News Even when a headache specialist refers migraine patients for proven behavioral treatments like biofeedback, relaxation training, or cognitive behavioral therapy, barely half of them go, suggests a small US study. Of 69 migraine sufferers treated at a large academic headache practice and referred for behavioral therapy, just 57% got […]

Long-term relief from tension-type headache and major depression following chiropractic treatment – Full Text

J Family Med Prim Care. 2018 May-Jun;7(3):629-631. doi: 10.4103/jfmpc.jfmpc_68_18. Chu ECP, Ng M1 Abstract We report the case of a 44-year-old school teacher who experienced long-term relief from tension-type headache (TTH) and major depression following chiropractic treatment. It is well recognized that psychiatric comorbidity and suicide risk are commonly found in patients with painful physical […]

TMS Device May Offer Nondrug Option for Migraine Prevention

Damian McNamara April 12, 2018 A US Food and Drug Administration (FDA)–approved device that delivers single-pulse transcranial magnetic stimulation (sTMS) to the brains of people with frequent migraines reduced the number of headache days by almost one third, new research shows. Results of the multicenter, prospective, open-label study showed 3 months of daily treatment with […]

Complete Detoxification Is the Most Effective Treatment of Medication-Overuse Headache

March 27, 2018 Cephalalgia: An International Journal of Headache TAKE-HOME MESSAGE Medication-overuse headache is a common problem encountered in practice. With the dilemma of chronic opioid use becoming a focus of national attention, effective methods of treating medication-overuse headache are important to discuss. The authors of this study argue that there is there is lack […]

Migraine with aura – but not without – increases risk of stroke

SEPTEMBER 28, 2017 Karolinska Institutet Only people with migraine with aura have a higher risk of stroke, shows a twin study with 12-year follow-up, from Karolinska Institutet published in the journal Brain. The study also found that the risk is lower than previously demonstrated and possibly related to familial factors. Between 11 and 13 per […]

Chronic migraine cases are amplified by TMJ disorder

Date: September 24, 2017 Source: Fundação de Amparo à Pesquisa do Estado de São Paulo Summary: A new study shows patients with chronic migraine are three times as likely to suffer from severe temporomandibular disorder. Though not a primary cause, the disorder is thought to accentuate and perpetuate sensitivity to pain; therefore, researchers recommend in […]

Dietary Supplement With Ketones May Mitigate Migraine Attacks

Daniel M. Keller, PhD September 21, 2017 VANCOUVER, Canada — Preliminary evidence indicates that a daily dietary supplement providing ketones can reduce the frequency of migraine headaches with no adverse effects. Increasing evidence suggests an energy deficit disorder exists in migraine, the researchers note. By supplying ketones as an alternative fuel to glucose, several deleterious […]

The Association Between Headaches and Temporomandibular Disorders is Confounded by Bruxism and Somatic Symptoms

Clin J Pain. 2017 Sep;33(9):835-843. doi: 10.1097/AJP.0000000000000470. van der Meer HA1, Speksnijder CM, Engelbert RHH, Lobbezoo F, Nijhuis-van der Sanden MWG, Visscher CM. Abstract OBJECTIVES: The objective of this observational study was to establish the possible presence of confounders on the association between temporomandibular disorders (TMD) and headaches in a patient population from a TMD and Orofacial Pain Clinic. MATERIALS AND […]

Chiropractic spinal manipulative therapy for cervicogenic headache: a single-blinded, placebo, randomized controlled trial – Full Text

Aleksander Chaibi BMC Research Notes 2017 10:310 Abstract Objective Cervicogenic headache is a disabling headache where pharmacological management have limited effect. Thus, non-pharmacological management is warranted. Our objective was therefore to investigate the efficacy of chiropractic spinal manipulative therapy versus placebo (sham manipulation) and control (continued usual but non-manual management) for cervicogenic headache in a […]

Musculoskeletal disorders of the upper cervical spine in women with episodic or chronic migraine

European Journal of Physical and Rehabilitation Medicine Ferracini GN, et al. This study was set up with the aim to examine differences in musculoskeletal impairments of the neck including active global and upper cervical spine mobility, the presence of symptomatic upper cervical spine joints, cervicocephalic kinesthesia and head/neck posture between women with episodic migraine, chronic […]

Acupuncture for Migraine: a Feasible Option?

April 07, 2017 By Leah Lawrence Patients with migraine without aura experienced a long-term reduction in migraine recurrence after undergoing acupuncture compared with patients undergoing a sham procedure. “True acupuncture manifested persisting superiority and clinically relevant benefits for at least 24 weeks in migraine prophylaxis, including reducing the number of migraine frequency and days with […]

Non-Prescription Treatments for Menstrual Migraine

By Heidi Moawad, MD Non-Prescription Treatments for Menstrual Migraine  Given that this patient population is quite large, many patients who experience menstrual migraines are otherwise healthy and express a strong interest in attempting to prevent or manage their migraine headaches without the use of prescription strength medications. Some non-pharmacological therapies that have shown promise in […]