Objective: To describe the chiropractic care of an adolescent girl with chronic migraine headaches (HAs) without aura.
Clinical Features: A 16-year-old female presented with a chief complaint of migraine HA since kindergarten. Magnetic resonance imaging, computer axial tomography scans of the cranium and a dental consultation were unremarkable. The frequency of HA attacks occurred 1-2 times per week, lasting approximately 2-3 hours per episode.
Intervention and Outcome: The patient was cared for with the Advanced Orthogonal Procedure characterized as instrument assisted SMT to address atlas subluxation. The patient attended a total of 16 visits in a period of one year and received 5 corrections to the atlas. Ongoing care resulted in independence from the use of medications and abatement of HA attacks to 2-4 per month of mild intensity.
Conclusion: The care of an adolescent with chronic migraines with Advanced Orthogonal Technique was presented. This case report provides supporting evidence that patients with migraine HAs may benefit from this type of chiropractic care.
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