A literature search and meta-analysis was conducted for articles, published between 2000 and 2015 that incorporated hands-on therapy as part of a regular management for headaches. Articles pertaining to both ‘headache’ as well as ‘migraines' were included.
Of the articles reviewed, the authors found that massage therapy was utilized in up to 26% of the studies, physiotherapy input in up to 50% of the studies, and osteopathy was used in 1% of the studies.
Moreover, it was noted that General Practitioners (GPs) played a significant role in the type of treatment that the patients underwent for therapy, with the highest proportion of GP referrals being up to 60% for migraines for chiropractic care.
This study highlights that, while the modes of manual therapy differed, it was highly prevalent throughout Europe, Australia and North America. Even in cases where a neurologist and medical specialist were involved, additional MT ran concurrently in up to 79% of the cases in Europe.