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Migraine Headache, Harrington Rods, Rehabilitation
Objective: To describe a course of spinal manipulation and myofascial release for the management of daily migraines in a young adult female with surgical spinal fusion.
Clinical Features: A 20-year-old female sought care for the management of daily migraines that had been present for 7 years. Harrington rods had previously been surgically implanted when she was 13-years-old to correct cervicothoracic scoliosis from C7-T12. Cervical range of motion was decreased at the start of treatment. O’Donoghue's test was positive during resisted range of motion bilaterally, indicating musculature involvement.
Intervention and Outcome: Treatments involved with this episode of care included cervical spinal manipulative therapy using diversified technique and passive myofascial release, to help normalize ranges of motion of the cervical spine. An immediate increase in all cervical range of motion was observed. The patient was treated at a frequency of 1 session per week for a total of 6 weeks and home-based cervical spine stretches were recommended to be performed between 3-to-5 times per day.
Conclusion: After the second treatment session, migraine occurrence had diminished from once daily to once per week over the first 2 weeks of treatment, and at the time of reevaluation she reported experiencing no migraines for 3 weeks. This case demonstrates a favorable reduction in migraine frequency following a 6-week episode of chiropractic care in a person with a Harrington rod.
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