How can Osteopathy help with Headaches & Migraines?

Osteopathic manipulative treatment (OMT), has shown promising results as a complementary approach for managing headaches and migraines. The following is a summary of the benefits and the mechanisms…

Potential Benefits of Osteopathy for Headaches and Migraines

Reduction in Pain Intensity and Frequency:

  • Clinical trials and systematic reviews indicate that OMT can reduce the intensity, frequency, and duration of headaches, including migraines and tension-type headaches (TTHs).

  • Some studies suggest that OMT may be as effective as certain medications, such as amitriptyline, in reducing headache pain.

Improved Quality of Life:

  • OMT has been associated with better functional outcomes and quality of life for headache sufferers by addressing musculoskeletal dysfunctions i.e. neck pain.

Decreased Medication Use:

  • Patients receiving OMT have reported reduced reliance on medications for headache management, which may lower the risk of medication overuse headaches.

Safety Profile:

  • OMT is generally considered safe, with mild side effects such as temporary soreness being the most commonly reported issues. Serious adverse events are rare.

Mechanisms of Action

Musculoskeletal Adjustments:

  • OMT targets musculoskeletal dysfunctions, particularly in the cervical spine, neck, and jaw regions, which are often implicated in headache pathophysiology.

  • Techniques like myofascial release improve tissue mobility and blood flow, potentially alleviating headache triggers.

Neurological Effects:

  • OMT may modulate the autonomic nervous system by increasing parasympathetic tone and reducing pro-inflammatory molecules such as calcitonin gene-related peptide (CGRP), which is linked to migraine pathogenesis.

Reduction of Central Sensitisation:

  • Chronic headaches are associated with central sensitisation and dysregulated pain pathways. OMT may help normalise these pathways by addressing peripheral triggers and improving neural function.

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