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Chiropractic Management of a Migraine With Aura in a 28-Year-Old Female Using a Multimodal Approach: A Case Report

A. McRoberts

Journal Chiropractic Medicine, 2025

Abstract

Objective

The purpose of this report was to describe a chiropractic multimodal treatment approach for a patient with a migraine headache.

Clinical Features

A 28-year-old woman with a 14-year history of migraines presented with symptoms of visual disturbances with head and neck pain.

Intervention and Outcome

A multimodal approach of chiropractic care, including chiropractic manipulative therapy and soft tissue therapy for suboccipital, levator scapula, and trapezius muscles, was used. Treatment included 2 visits that were spaced 2 days apart. Based on patient-reported symptoms, the clinician observed clinical improvement and no additional migraine symptoms. Seven months after the initiation of chiropractic care, the patient reported no migraine episodes.

Conclusion

A nonpharmacologic chiropractic approach employing multiple therapies resulted in observable clinical progress for a patient who reported migraine with aura symptoms.

How strong is the evidence?

Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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