Can Physical Therapy Examination Help Improve Migraines?

Identifying neck impairments in people experiencing migraines may help lead to better outcomes. Physical therapy testing includes assessment of neck range of motion and posture to help diagnose mechanical neck pain in those experiencing migraines. 

Migraines affect nearly 11% of people worldwide and is the third leading cause of disability in people under the age of 50. Neck pain is often associated with the onset of migraines. Non-pharmacological treatment is a promising treatment for migraines. Certain tests can help therapists identify muscle related impairments that can assist with determining treatment options. 

This article reviewed the literature to identify what clinical tests are useful in determining the presence of muscle-related impairments in individuals experiencing migraines. While many tests were considered, only those that were easily performed and accessible to therapists without expensive equipment. 

The review found that measurements including neck range of motion, flexion-rotation test and forward head posture were safe, effective and useful in determining muscle related impairments that may lead to experiencing migraines. 

Conclusion: Therapists can perform safe examination techniques to determine the involvement of the musculoskeletal system and migraine experience. This may help determine which non-pharmacological treatment options are best for migraines.