Headache Guidelines
This section was compiled by Frank M. Painter, D.C.
Send all comments or additions to: Frankp@chiro.org
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Conditions That Respond | Alternative Medicine Approaches to Disease |
Non-pharmacological Management of Persistent Headaches Associated
with Neck Pain: A Clinical Practice Guideline from the Ontario
Protocol for Traffic Injury Management (OPTIMa) Collaboration
European Journal of Pain 2019 (Jul); 23 (6): 1051–1070
This clinical practice guideline is based on comprehensive literature searches, and its recommendations were developed from high-quality evidence. When developing clinical recommendations, the Guideline Expert Panel considered effectiveness, safety, cost-effectiveness and consistency with societal and ethical values. Moreover, the lived experiences of patients with their care were used when developing recommendations (Lindsay et al., 2016). Our recommendations also included consideration of effect sizes; minimal clinically important differences were used to assess the magnitude of benefit of an intervention on patient outcomes. Finally, the Guideline Expert Panel disclosed any conflicts of interest and maintained editorial independence.
Guideline for the Clinical Management of Persistent
Headaches Associated with Neck Pain (PDF)
The Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration 2015~ FULL TEXT
Refer to Section 5 (page 119) for cervicogenic and chronic tension-type headache information.
Evidence-Based Guidelines for the Chiropractic Treatment
of Adults With Headache
J Manipulative Physiol Ther. 2011 (Jun); 34 (5): 274–289 ~ FULL TEXT
Evidence suggests that chiropractic care, including spinal manipulation, improves migraine and cervicogenic headaches. The type, frequency, dosage, and duration of treatment(s) should be based on guideline recommendations, clinical experience, and findings. Evidence for the use of spinal manipulation as an isolated intervention for patients with tension-type headache remains equivocal.
Practitioner guide:
Clinical Practice Guideline for the Management
of Headache Disorders in Adults (PDF)
January 2012
This material was developed by the Guidelines Development Committee (GDC) under the auspices of the Canadian Chiropractic Association and the Canadian Federation of Chiropractic Regulatory and Education Accrediting Boards, Clinical Practice Guidelines Project (The CCA·CFCREAB-CPG)
Full guideline
Evidence-Based Guidelines for the Chiropractic Treatment
of Adults With Headache
J Manipulative Physiol Ther. 2011 (Jun); 34 (5): 274–289 ~ FULL TEXT
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Since 11–24–2016
Updated 7-23-2022
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