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Complementary and Alternative Approaches to Chronic Daily Headache: Part II—Manipulation-Based Therapies and Other CAM Therapies

  • Brielle Paolini
  • Laura Granetzke
  • Rebecca Erwin Wells
Chapter

Abstract

The manipulation-based complementary and alternative medicine (CAM) therapies assessed for headache include acupuncture, acupressure, dry needling, chiropractic manipulation (spinal manipulative and mobilization therapy), massage, craniosacral therapy, and reflexology. Several other complementary therapies discussed include aromatherapy, hydrotherapy, daith piercing, and hyperbaric oxygen administration. The strongest evidence for acupuncture is for chronic migraine, and cost analyses suggest it may have overall cost benefit, but methodologic concerns of the research limit interpretation and generalizability of results. There is some evidence for spinal manipulative therapy for chronic cervicogenic headache or chronic tension-type headache, but most chiropractic studies also have major methodologic limitations. The potential for major adverse events, such as cervical dissection or stroke, limits more widespread recommendation for use. The limited data supporting the use of massage, craniosacral therapy, reflexology, aromatherapy, hydrotherapy, daith piercing, and hyperbaric oxygen treatment for chronic headache conditions precludes any recommendations.

Keywords

Manipulation-based therapies Acupuncture Acupressure Dry needling Chiropractic manipulation Spinal manipulation Mobilization therapy Massage Craniosacral therapy Reflexology Aromatherapy Hydrotherapy Daith piercing Hyperbaric oxygen 

Notes

Acknowledgments

Dr. Wells is supported by the National Center for Complementary and Integrative Health of the National Institutes of Health under Award Number K23AT008406. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. We gratefully acknowledge the editorial assistance of Karen Klein, MA, in the Wake Forest Clinical and Translational Science Institute, funded by the National Center for Advancing Translational Sciences (NCATS), National Institutes of Health, through Grant Award Number UL1TR001420. We also thank Mark McKone, Librarian at Carpenter Library, Wake Forest School of Medicine, for his help with the use of Zotero. We are appreciative of the help from Nakiea Choate from the Department of Neurology at Wake Forest Baptist for her administrative support.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Brielle Paolini
    • 1
  • Laura Granetzke
    • 2
  • Rebecca Erwin Wells
    • 2
  1. 1.Wake Forest School of MedicineWinston-SalemUSA
  2. 2.NeurologyWake Forest School of MedicineWinston-SalemUSA

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