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PHYSICAL METHODS TO TREAT MIGRAINE: COUNTER-IRRITATION AND MANIPULATION
Counter-irritation
Similar in effect to acupuncture are various techniques which employ counter-irritation of the painful area. Some techniques use vibration and the patient stimulates the painful area for a few minutes each day. The efficacy of these techniques has yet to be assessed, particularly as they carry a potent placebo effect.
Manipulation
Manipulation of the spine, which may help backache, has been tried on patients with migraine, on the premise that the pain which arises at the back of the neck is brought about by malfunction of the cervical spine. No controlled trials have been done and the theoretical basis for this treatment is not scientifically proven.
Osteopathy is also based on spinal manipulation. Osteopaths ascribe a whole host of disorders to bad posture, e.g. disorders of digestion. Osteopaths are not recognized as medical practitioners in the U.K. by the General Medical Council, although in the United States their position is more accepted. Many medical schools there have recognized departments of osteopathy, and the course of studies is similar in length and content to that required for a medical degree.
Although many of the claims for efficacy of manipulation are exaggerated, it has a place in treatment of certain conditions of the neck producing headache, by relieving muscle tension. Care must be taken because there are two vertebral arteries which run through the spine in the neck to supply the base of the brain; manipulation can lead to the blockage of these vessels causing a stroke.
Although many migraine patients claim to have had relief by osteopathic treatment, there is no clear-cut proof that this method has any higher percentage success rate than would be expected from the placebo response.
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