This new article clearly shows Manipulative Therapy works to prevent Migraine.  There was a significant decline in migraines with manipulative therapy.  I have found that NUCCA and A/O Atlas Orthoganol Chiropractic to be the most effective manipulative therapy in my patients.  The key is that the occlusion is a set point for posture and spine health.  The best lasting results for manipulative therapy is when the jaw is physiologically positioned correctly after manipulation.


Physiologic Diagnostic orthotics are always indicated when utilizing manipulative therapy to treat migraines unless the bite has been shown to be physiologically ideal.  Otherwise every swallow, two thousand times a day tends to want to undo the spinal corrections leading to long term instability.

Stability is always the goal, Stability in a healthy physiologically appropriate posture.

Complement Ther Med. 2015 Apr;23(2):149-56. doi: 10.1016/j.ctim.2015.01.011. Epub 2015 Jan 21.

Clinical effectiveness of osteopathic treatment in chronic migraine: 3-Armed randomized controlled trial.



To assess the effectiveness of OMT on chronic migraineurs using HIT-6 questionnaire, drug consumption, days of migraine, pain intensity and functional disability.


3-Armed randomized controlled trial setting: all patients admitted in the Department of Neurology of Ancona’s United Hospitals, Italy, with a diagnosis of migraine and without chronic illness, were considered eligible for the study.


Patients were randomly divided into three groups: (1) OMT+medication therapy, (2) sham+medication therapy and (3) medication therapy only. Patients received 8 treatments in a study period of 6 months.


Changing from baseline HIT-6 score.


105 subjects were included. At the end of the study, ANOVA showed that OMT significantly reduced HIT-6 score (mean change scores OMT-conventional care: -8.74; 95% confidence interval (CI) -12.96 to -4.52; p<0.001 and OMT-sham: -6.62; 95% CI -10.85 to -2.41; p<0.001), drug consumption (OMT-sham: RR=0.22, 95% CI 0.11-0.40; OMT-control: RR=0.20, 95% CI 0.10-0.36), days of migraine (OMT-conventional care: M=-21.06; 95% CI -23.19 to -18.92; p<0.001 and OMT-sham: -17.43; 95% CI -19.57 to -15.29; p<0.001), pain intensity (OMT-sham: RR=0.42, 95% CI 0.24-0.69; OMT-control: RR=0.31, 95% CI 0.19-0.49) and functional disability (p<0.001).


These findings suggest that OMT may be considered a valid procedure for the management of migraineurs. The present trial was registered on (identifier: NCT01851148).

Copyright © 2015 Elsevier Ltd. All rights reserved.


Disability; Drug; HIT-6; Headache; Osteopathic manipulative treatment; Pain; Sham therapy