![]() ![]() The patient was diagnosed with mixed headaches. ![]() She saw a neurologist who performed a brain magnetic resonance imaging, the result of which was negative. There was no precipitating incident leading up to the headaches other than she stated that she was “stressed” because of working full-time while in graduate school. The purpose of this case report is to describe treatment of chronic TTHs (CTTHs) with superimposed migraine using acupuncture and chiropractic spinal manipulative therapy.Ī 32–year-old woman, 5'4” in height, 63.6 kg, presented in April 2010 with daily headaches that began in 2002. However, at present, there have been no reported cases of management of migraine headaches with a combination of these 2 management strategies. Chiropractic care has also demonstrated evidence to manage adults with headaches. Acupuncture has also been suggested to be an effective first-line complementary alternative medicine modality to treat migraines. Īcupuncture has been found to be clinically beneficial for patients with chronic headaches, particularly migraines and tension-type headaches (TTHs). Migraines are common primary headaches, affecting 30% of women and 17% of men aged 21 to 34 years.1 These headaches can evolve and become chronic, exacting considerable personal and social economic cost2 they are the most likely headache to lead to analgesic drug overuse. KEYWORDS: Acupuncture, Acupuncture analgesia, Headache disorders, Migraine headaches, Tension-type headaches The patient had no recurrences of headaches in her 1–year follow-up.ĬONCLUSION: The combination of acupuncture with chiropractic spinal manipulative therapy was a reasonable alternative in treating this patient's chronic tension-type headaches superimposed with migraine. INTERVENTION AND OUTCOME: After 5 treatments over a 2–week period (the first using acupuncture only, the next 3 using acupuncture and chiropractic spinal manipulative therapy), her headaches resolved. ![]() Her headaches were chronic, were daily, and fit the International Classification of Headache Disorders criteria of a chronic tension-type headache superimposed with migraine. A neurologist diagnosed her with mixed headaches, some migrainous and some tension type. She had stopped taking the prescription medications because of gastrointestinal symptoms. She had a history of episodic migraine that began in her teens and had been controlled with medication. OBJECTIVE: The purpose of this case study is to describe the treatment using acupuncture and spinal manipulation for a patient with a chronic tension-type headache and episodic migraines.ĬLINICAL FEATURES: A 32–year-old woman presented with headaches of 5 months' duration. Send all comments or additions to: Chiropractic Medicine 2012 (Sep) 11 (3): 192–201 ~ FULL TEXTĬhiropractic, Acupuncture and Yoga Center, COMBINATION OF ACUPUNCTURE AND SPINAL MANIPULATIVE THERAPY: MANAGEMENT OF A 32-YEAR-OLD PATIENT WITH CHRONIC TENSION-TYPE HEADACHE AND MIGRAINE ![]()
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