Chiropractic Spinal Manipulation for Headache

Inclusion Criteria

• •At least 2 episodes per month of cervicogenic or tension-type headache for at least 3 months. Diagnoses will be determined by case history and physical examination according to the International Headache Society criteria (3rd Edition)
• •Having received chiropractic treatment in the previous 12 months
• •Diagnosis or frequent symptoms of migraine headaches (symptoms present at least once a month) without an overlapping presentation of cervicogenic or tension-type headache.
• •Patients with pathologies affecting the nervous system (MS, tumors, past history of stroke...)
• •Contraindications to manual therapy, particularly spinal manipulative therapy (cancer, uncontrolled high blood-pressure, severe cardiovascular conditions)
• •Past history of cervical spine surgery
• •Pregnancy
• •Having being diagnosed with a psychiatric conditions, with the exception of depression and anxiety