Chiropractic Care for Episodic Migraine
Migraine, a chronic intermittent headache disorder, ranks in the top five causes of years lived with disability. One promising non-pharmacologic and integrative treatment for migraine may be chiropractic care due to the co-occurrence of migraine and musculoskeletal complaints. The goal of this application is to perform a pilot study of chiropractic care for episodic migraine to help inform the design of a future, full-scale pragmatic effectiveness trial.
• Age 18-65 years
• Confirmed diagnosis of migraine with or without aura which does not meet criteria for chronic migraine according to the International Classification for -Headache Disorders (ICHD)-3 guidelines at the screening visit with the study physician
• History of migraines dating for at least one year
• Completion of at least 26 headache diary days out of 28
• Confirmed migraine frequency ≥4 to ≤13 days per month during a run-in period
• If use of medication is applicable, dose must be stable for 2 months prior to study enrollment
• If use of medication for non-migraine pain condition is applicable (with the exception of episodic tension type headache), dose must be stable for 2 months prior to study enrollment
• Willing and able to complete all study procedures and be randomized to either of the two intervention groups
• Fluency in English
• Confirmed access to and proficiency with use of a smartphone, computer, and/or tablet
• Working email address or willingness to create an email account for the study