A Multimodal Conservative Approach to Treating Migraine: A Physical Therapist's Perspective

Area of Science:

• Neurology
• Physical Therapy
• Rehabilitation Medicine

Background:

• Migraine is a prevalent neurological condition with diverse management strategies.
• Physical therapists possess skills to assess and treat physical limitations associated with migraine.

Purpose of the Study:

• To review the efficacy and relevance of conservative, non-pharmacological physical therapy techniques for migraine management.
• To outline the physical therapist's role and clinical reasoning in treating migraine symptoms.

Main Methods:

• Review of current literature on physical therapy interventions for migraine.
• Analysis of examination techniques, including red flag screening and biopsychosocial assessments.
• Case study illustrating a multimodal physical therapy approach.

Main Results:

• Thorough examination identifies biopsychosocial limitations and common deficits like reduced cervical mobility and endurance.
• Effective non-pharmacological interventions include exercise, manual therapy, biofeedback, vestibular therapy, and mindfulness-based exercises.
• A multimodal, individualized approach combining movement and mindfulness is recommended.

Conclusions:

• Physical therapy offers a viable, evidence-based non-pharmacological option for migraine management.
• Individualized treatment plans incorporating various therapeutic modalities improve patient control over symptoms and adaptation.
• A comprehensive examination is crucial for tailoring effective rehabilitation strategies.