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Chiropractic Alone Is Just As Effective For Migraine Headaches Compared To A Combined Approach |
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A study done at
Northwestern Chiropractic College in 1998 of 218 patients with the
diagnosis of migraine headache were measured via a headache index
score derived from a daily headache pain diary during the last 4
weeks of treatment and during the 4 week follow-up period. The
reduction in headache index scores during treatment compared with
baseline was 49% for amitriptyline, 40% for spinal manipulation and
41% for the combined group. During the post-treatment follow-up
period the reduction from baseline was 24% for amitriptyline, 42% for
spinal manipulation and 25% for the combined group.
Conclusion: There
was no advantage to combining amitriptyline and spinal manipulation
for the treatment of migraine headache. Spinal manipulation seemed
to be as effective as a well established and efficacious
(amitriptyline), treatment option for patients with frequent migraine
headaches.
Nelson CF,
Bronfort G, Evans R, Boline P, Goldsmith C, Anderson AV. The
efficacy of spinal manipulation, amitriptyline and the combination of
both therapies for the prophylaxis of migraine headaches. J
Manipulative Physiol Ther; 1998 Oct;21(8): 511-9
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