Bachler Chiropractic (512) 573-6462
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Headaches and Migraines

An initial chiropractic evaluation will begin with the taking of a history. The mode of onset, frequency, quality, location, duration and severity of the headaches are all considerations to help make an accurate diagnosis, along with associated symptoms like visual disturbances, nausea, light and sound. The chiropractic evaluation will focus primarily on the musculoskeletal system. Posture and muscular asymmetries may be contributing factors. Particular attention will be paid to the muscles and joints of the neck. The neck muscles will be examined for tension or spasm. Reduced global or segmental motion in the neck, if found, will probably be a primary focus of the chiropractor's treatment.

Chiropractic Manipulation

Spinal manipulation, the primary treatment modality of most chiropractors, has been studied in the context of migraines. A large study involving 127 participants was reported in the February 2000 issue of the "Journal of Manipulative and Physiological Therapeutics." In this study, the subjects who received two months of chiropractic treatment experienced significant improvements in migraine frequency, duration, disability and medication use compared to the control group. Twenty-two percent of the participants reported more than 90 percent reduction of migraines.
  1.     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 headache." Journal of Manipulative Physiol Thera. 1998 Oct;21(8):511-9


Certain foods, alcohol, caffeine, fatigue, sleep changes, eye strain, light conditions, exposure to certain odors or use of certain medications may individually or collectively act as triggers to a migraine episode. Working with a chiropractor can help in identifying likely triggers and developing strategies for their avoidance.


The chiropractor generally takes a holistic approach to health problems. Lifestyle considerations are a big part of that approach, and in the case of migraines, lifestyle factors appear to play a prominent role. The American Headache Society makes specific lifestyle recommendations for those suffering with migraines. These include getting adequate sleep, eating and exercising regularly, staying hydrated, limiting consumption of caffeine and alcohol, and reducing stress. A chiropractor can assist his patients in implementing these and other helpful strategies.
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