{"id":5526,"date":"2026-09-30T09:54:57","date_gmt":"2026-09-30T09:54:57","guid":{"rendered":"https:\/\/aliantis.es\/?p=5526"},"modified":"2026-10-01T08:11:16","modified_gmt":"2026-10-01T08:11:16","slug":"back-pain-do-i-really-need-an-mri-scan","status":"publish","type":"post","link":"https:\/\/aliantis.es\/en\/2026\/09\/30\/back-pain-do-i-really-need-an-mri-scan\/","title":{"rendered":"Migraine and osteopathy: an integrative approach (without miracle claims)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"5526\" class=\"elementor elementor-5526 elementor-5524\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca98701 e-flex e-con-boxed e-con e-parent\" data-id=\"ca98701\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9de4dd2 elementor-widget__width-inherit elementor-widget elementor-widget-heading\" data-id=\"9de4dd2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Migraine and osteopathy: an integrative approach (without miracle claims)<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-14fa1d3 elementor-widget elementor-widget-text-editor\" data-id=\"14fa1d3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>When a headache is much more than \u201cjust a headache\u201d<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bed9b52 e-con-full e-flex e-con e-child\" data-id=\"bed9b52\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-6873e20 e-con-full e-flex e-con e-child\" data-id=\"6873e20\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-51cfd79 e-con-full e-flex e-con e-child\" data-id=\"51cfd79\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e56832d e-con-full e-flex e-con e-child\" data-id=\"e56832d\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e3c4d5b elementor-widget elementor-widget-text-editor\" data-id=\"e3c4d5b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Article written by <a href=\"https:\/\/aliantis.es\/en\/blandine-chambonnier-osteopath-sitges\/\">Blandine Chambonnier<\/a>, osteopath at Aliantis.<\/p><p>Blandine works with adults, pregnant women and children using an individualised approach based primarily on gentle manual techniques adapted to each patient. In this article, she shares how she approaches migraine in clinical practice, always as a complement to medical care when necessary. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ce2c335 elementor-widget elementor-widget-text-editor\" data-id=\"ce2c335\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>If you have made it this far, you probably know the feeling well: throbbing pain, sensitivity to light or sound, nausea, and the need to stop everything and find somewhere dark and quiet.<\/p><p>Migraine is not simply a more intense headache. It is a common neurological disorder that can be highly disabling and can affect work, family life, sport and quality of life. Despite this, migraine remains underdiagnosed and undertreated in many people.  <\/p><p>My aim with this article is to give you a clear, honest and evidence-based overview of what migraine really is, its main triggers, how it is managed today, and the role that gentle osteopathic care may have within an integrative approach.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f35d19e e-con-full e-flex e-con e-child\" data-id=\"f35d19e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ef0cd24 elementor-widget elementor-widget-text-editor\" data-id=\"ef0cd24\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">\ud83d\udca1 <span class=\"s2\"><b>Did you know?<\/b><\/span><\/p><p> <\/p><p>It is estimated that more than one billion people worldwide live with migraine. It is one of the most common neurological disorders and one of the leading causes of disability in young adults. It also affects women approximately three times more often than men.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-45f008e elementor-widget elementor-widget-image\" data-id=\"45f008e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/migranas-osteopatia-1024x576.webp\" class=\"attachment-large size-large wp-image-5533\" alt=\"\" srcset=\"https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/migranas-osteopatia-1024x576.webp 1024w, https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/migranas-osteopatia-300x169.webp 300w, https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/migranas-osteopatia-768x432.webp 768w, https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/migranas-osteopatia-1536x864.webp 1536w, https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/migranas-osteopatia.webp 1672w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-34e7e91 elementor-widget elementor-widget-heading\" data-id=\"34e7e91\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">When should you seek prompt medical attention?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-502589d elementor-widget elementor-widget-text-editor\" data-id=\"502589d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Most headaches are not serious, but <a href=\"https:\/\/aliantis.es\/en\/2026\/03\/26\/pain-that-requires-immediate-medical-attention\/\">some symptoms require prompt medical assessment<\/a>, either in an emergency department or through an urgent medical consultation.<\/p><p>Seek medical attention if you experience:<\/p><ul><li>A sudden, explosive headache (\u201cthe worst headache of your life\u201d).<\/li><li>A headache accompanied by neurological symptoms such as weakness, difficulty speaking, loss of vision, confusion or seizures.<\/li><li>An unusual aura, for example one lasting more than an hour or accompanied by weakness, or a first episode of aura without headache.<\/li><li>A headache accompanied by fever, neck stiffness, rapid worsening or feeling severely unwell.<\/li><li>A new headache following a head injury, particularly within the following three months.<\/li><li>A headache that progressively worsens over several weeks or clearly changes from your usual pattern.<\/li><li>A headache triggered by coughing, physical exertion or sexual activity, or one that clearly worsens in certain positions.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-784984a elementor-widget elementor-widget-heading\" data-id=\"784984a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What happens during a migraine attack?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c2d2050 elementor-widget elementor-widget-text-editor\" data-id=\"c2d2050\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>We now know that migraine is a complex neurological disorder involving several mechanisms within the nervous system.<\/p><p> <\/p><p>These include activation of the trigeminovascular system \u2014 a network involved in transmitting pain signals from the head and face \u2014 and the release of molecules such as CGRP (calcitonin gene-related peptide), which plays an important role in the development of a migraine attack.<\/p><p> <\/p><p>These mechanisms help explain why, during a migraine, the body can become particularly sensitive to light, sound, smells and even movement.<\/p><p> <\/p><p>They also help explain why current migraine management does not rely on a single intervention, but on a combination of several approaches: treating attacks when they occur, preventive treatment when migraines are frequent, and education to better understand the condition and learn how to manage it.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b4c130b elementor-widget elementor-widget-heading\" data-id=\"b4c130b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What can trigger a migraine?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4aac772 elementor-widget elementor-widget-text-editor\" data-id=\"4aac772\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Many people identify situations or factors that seem to make a migraine attack more likely. Some of the most common include: <\/p><ul><li>insufficient or irregular <a href=\"https:\/\/aliantis.es\/en\/2026\/04\/21\/sleep-disorders-in-women\/\">sleep<\/a>;<\/li><li>skipping meals or inadequate hydration;<\/li><li>prolonged stress;<\/li><li><a href=\"https:\/\/aliantis.es\/en\/2026\/04\/21\/nutrition-and-female-hormones-understanding-their-relationship-at-every-stage-of-life\/\">hormonal changes<\/a>;<\/li><li>excessive <a href=\"https:\/\/aliantis.es\/en\/2026\/08\/11\/relative-rest-why-moving-can-help-you-recover-better\/\">screen time<\/a> or visual fatigue;<\/li><li>associated neck discomfort or jaw tension.<\/li><\/ul><p> <\/p><p>However, it is important to understand that a trigger is not necessarily the cause of migraine.<\/p><p> <\/p><p>Sometimes, what we interpret as a trigger is actually part of the premonitory phase of the migraine attack.<\/p><p> <\/p><p>For example, someone may experience fatigue, changes in appetite, neck tension or difficulty concentrating several hours before the pain begins. These symptoms have not necessarily caused the migraine: they may instead be a sign that the migraine process has already started. <\/p><p> <\/p><p>For this reason, rather than trying to completely avoid every possible trigger, it is usually more helpful to understand your own migraine pattern and develop management strategies adapted to your individual situation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3443f2f e-con-full e-flex e-con e-child\" data-id=\"3443f2f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-55c9a18 elementor-widget elementor-widget-text-editor\" data-id=\"55c9a18\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">\ud83c\udfc3 <span class=\"s2\"><b>In practice<\/b><\/span><br\/><\/p><p> <\/p><p>Many people come to the clinic convinced that there is one specific trigger behind their migraines. However, several factors often interact at the same time. Lack of sleep, stress building up over several days, or spending long hours in front of a computer may all coincide around the time of an attack.  <\/p><p>Understanding these patterns can help you manage migraine with less uncertainty, without turning the search for triggers into an additional source of worry.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-83ae57d elementor-widget elementor-widget-heading\" data-id=\"83ae57d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What can osteopathy offer?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-19c2074 elementor-widget elementor-widget-text-editor\" data-id=\"19c2074\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"https:\/\/aliantis.es\/en\/general-osteopathy-in-sitges\/\">Osteopathy<\/a> does not cure migraine. It is more accurate to consider it a complementary approach, with clear and realistic goals. <\/p><p>In people with migraine, manual treatment may aim to:<\/p><ul><li>reduce associated musculoskeletal discomfort in the neck, base of the skull or jaw;<\/li><li>improve mobility and comfort in everyday life;<\/li><li>promote relaxation and rest;<\/li><li>support the introduction of healthy habits and preventive strategies;<\/li><li>form part of a multidisciplinary approach, coordinated with medical care when necessary.<\/li><\/ul><p>Everyone is different. Some people mainly experience an improvement in their associated neck or jaw discomfort, while others particularly value the feeling of relaxation or improved tolerance to movement. <\/p><p> <\/p><p>For this reason, the goals of each consultation are always adapted to the individual situation and needs of each patient.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d99f7e elementor-widget elementor-widget-heading\" data-id=\"4d99f7e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">What about cervical manipulation?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-17e3c10 elementor-widget elementor-widget-text-editor\" data-id=\"17e3c10\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">In my practice, I do not perform high-velocity cervical manipulations (HVLA or thrust techniques).<\/p><p> <\/p><p class=\"p1\">The available evidence does not demonstrate that spinal manipulation is an effective treatment for migraine. A systematic review published in 2024 found very low-certainty evidence and a higher frequency of adverse events in the studies that evaluated these techniques. <\/p><p> <\/p><p class=\"p1\">For this reason, I prefer a gentle manual approach, adapted to each individual and integrated into a broader care plan.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bf40ae1 elementor-widget elementor-widget-heading\" data-id=\"bf40ae1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What does my approach focus on during a consultation?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6e56125 elementor-widget elementor-widget-heading\" data-id=\"6e56125\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Base of the skull and suboccipital region<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d100e92 elementor-widget elementor-widget-text-editor\" data-id=\"d100e92\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Many people with migraine also experience associated neck discomfort.<\/p><p> <\/p><p>The aim of treatment is to reduce tension, hypersensitivity and stiffness in this area, helping the neck to better tolerate everyday activities.<\/p><p> <\/p><p>This does not mean that migraine \u201ccomes from the neck\u201d. Migraine is a neurological disorder. However, cervical symptoms can coexist with migraine and contribute to discomfort in some people, so it makes sense to assess and treat them when they are present.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1badc80 elementor-widget elementor-widget-heading\" data-id=\"1badc80\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Temporomandibular joint (TMJ) and masticatory muscles<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-662dfcc elementor-widget elementor-widget-text-editor\" data-id=\"662dfcc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"https:\/\/aliantis.es\/en\/2026\/04\/21\/bruxism-when-the-jaw-does-not-let-go\/\">Bruxism<\/a>, jaw tension, pain when chewing or clicking in the jaw may be present in some people with migraine.<\/p><p> <\/p><p>When this occurs, treatment may include gentle work on the mobility and tissues of the jaw region, together with education about habits, the resting position of the jaw and simple strategies to reduce strain.<\/p><p> <\/p><p>When necessary, this approach can be complemented by coordination with a dentist or other healthcare professionals.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-45a7708 elementor-widget elementor-widget-heading\" data-id=\"45a7708\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Breathing, diaphragm and relaxation<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-154141f elementor-widget elementor-widget-text-editor\" data-id=\"154141f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>During periods of stress or persistent pain, increased muscle tension and changes in breathing patterns are common.<\/p><p> <\/p><p>In these cases, part of the treatment may focus on promoting more comfortable breathing and improving mobility of the rib cage, using gentle manual techniques and simple breathing exercises.<\/p><p> <\/p><p>The aim is not to directly \u201cregulate\u201d or \u201creset\u201d the nervous system, but to create conditions that support relaxation, comfort and recovery.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a49c3be elementor-widget elementor-widget-heading\" data-id=\"a49c3be\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Cranial techniques, when appropriate<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5863458 elementor-widget elementor-widget-text-editor\" data-id=\"5863458\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>When I use cranial techniques, I do so with a very gentle approach focused on the patient\u2019s comfort.<\/p><p> <\/p><p>These techniques are not intended to \u201crealign bones\u201d or alter the movement of the cranial bones, but rather to provide low-intensity manual treatment that some people find pleasant and relaxing.<\/p><p> <\/p><p>These techniques form part of a much broader approach that includes education, <a href=\"https:\/\/aliantis.es\/en\/2026\/04\/20\/changing-your-lifestyle-habits\/\">lifestyle habits<\/a>, movement and, when appropriate, medical follow-up.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-72d2c4c e-con-full e-flex e-con e-child\" data-id=\"72d2c4c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a7e0ce8 elementor-widget elementor-widget-text-editor\" data-id=\"a7e0ce8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">\ud83d\udca1 <b>Common myth<\/b><\/p><p> <\/p><p><b>\u201cIf I have migraine, I must have a blocked vertebra in my neck.\u201d<\/b><\/p><p> <\/p><p>We now know that migraine is not caused by a displaced vertebra or a bone being \u201cout of place\u201d. Although some people experience neck or jaw discomfort, these findings alone do not explain why a migraine occurs. <\/p><p>Manual treatment may help improve comfort in these areas when associated symptoms are present, but it is not intended to correct a supposed \u201cmechanical cause\u201d of migraine.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-46b19e9 elementor-widget elementor-widget-heading\" data-id=\"46b19e9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What can help you manage migraine more effectively?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6dbffad elementor-widget elementor-widget-text-editor\" data-id=\"6dbffad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tMigraine usually benefits from a comprehensive approach tailored to each person\u2019s needs. There is no single solution that works for everyone. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39e84ea elementor-widget elementor-widget-heading\" data-id=\"39e84ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Keep a migraine diary<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f855a15 elementor-widget elementor-widget-text-editor\" data-id=\"f855a15\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Keeping track of the frequency and duration of attacks, associated symptoms, possible triggers and any medication used can be very helpful.<\/p><p>Rather than searching for a single cause, a diary can help identify patterns and assess whether management strategies are working over time.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eeca76b elementor-widget elementor-widget-heading\" data-id=\"eeca76b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Maintain regular habits<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2e667d5 elementor-widget elementor-widget-text-editor\" data-id=\"2e667d5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tTrying to maintain relatively regular sleep and meal schedules, as well as adequate hydration, can form part of migraine management.\n\nRegular, appropriately adapted physical activity can also be incorporated into an overall prevention strategy.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c230cf0 elementor-widget elementor-widget-heading\" data-id=\"c230cf0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Treat attacks early<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-caaff94 elementor-widget elementor-widget-text-editor\" data-id=\"caaff94\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>When a migraine attack begins, it is often helpful to start the treatment recommended by your doctor early in the attack rather than waiting until the pain becomes very intense.<\/p><p> <\/p><p>Each patient has an individual treatment plan, so it is important to follow the recommendations of the healthcare professional overseeing your medical care.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ecceb4 elementor-widget elementor-widget-heading\" data-id=\"7ecceb4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Avoid medication overuse<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c99db54 elementor-widget elementor-widget-text-editor\" data-id=\"c99db54\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Using certain medications to treat migraine attacks too frequently can contribute to the development of medication-overuse headache.<\/p><p>If you find that you need medication increasingly often, it is worth discussing this with your doctor to assess the situation and, if necessary, consider other treatment options.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1551f0a elementor-widget elementor-widget-heading\" data-id=\"1551f0a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">When attacks are frequent<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1abfbe0 elementor-widget elementor-widget-text-editor\" data-id=\"1abfbe0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>When migraines are frequent, severe or significantly interfere with daily life, preventive treatments are available that can help reduce their frequency and impact.<\/p><p>Your doctor can assess whether this type of treatment is appropriate in your individual case.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-932f7aa e-con-full e-flex e-con e-child\" data-id=\"932f7aa\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d04f7f3 elementor-widget elementor-widget-text-editor\" data-id=\"d04f7f3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">\ud83c\udfc3 <span class=\"s2\"><b>In practice<\/b><\/span><br\/><\/p><p> <\/p><p>Many people come to the clinic feeling that they have already tried \u201ceverything\u201d. However, migraine management rarely depends on a single intervention. <\/p><p>Better understanding your attacks, maintaining some regularity in sleep and meals, recognising early symptoms, addressing neck or jaw discomfort when present, and having appropriate medical treatment can all form part of the same strategy.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2d8f93f elementor-widget elementor-widget-heading\" data-id=\"2d8f93f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Who may particularly benefit from a gentle osteopathic approach?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-338208c elementor-widget elementor-widget-text-editor\" data-id=\"338208c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>This type of complementary care may be particularly relevant when, in addition to a diagnosis or suspected diagnosis of migraine, there is:<\/p><ul><li>recurrent neck tension or discomfort at the base of the skull;<\/li><li>bruxism or symptoms related to the temporomandibular joint;<\/li><li>long hours spent in front of screens or prolonged postures;<\/li><li>persistent stress or difficulty relaxing;<\/li><li>a need to integrate manual treatment into a broader approach that includes education, movement and medical follow-up.<\/li><\/ul><p> <\/p><p>The aim is not to replace other treatments, but to provide care adapted to each person\u2019s individual needs.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3fd7603 elementor-widget elementor-widget-heading\" data-id=\"3fd7603\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What happens during a first consultation?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9995dc1 elementor-widget elementor-widget-text-editor\" data-id=\"9995dc1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The aim of the first visit is to understand your migraines and how they affect your daily life.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-48af12a elementor-widget elementor-widget-heading\" data-id=\"48af12a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">1. Detailed medical history<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a6d6c65 elementor-widget elementor-widget-text-editor\" data-id=\"a6d6c65\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>We will start by discussing the frequency and duration of your attacks, associated symptoms, whether or not you experience aura, possible triggers, the medication you use and how you respond to it, as well as the impact migraine has on your daily life.<\/p><p>This first stage also helps identify any signs that may require medical assessment before starting or continuing treatment.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-03501c1 elementor-widget elementor-widget-heading\" data-id=\"03501c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">2. Assessment<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d86b03c elementor-widget elementor-widget-text-editor\" data-id=\"d86b03c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>When appropriate, we will assess the mobility and sensitivity of the neck, the base of the skull, the jaw and other musculoskeletal factors that may be related to your symptoms.<\/p><p>The assessment is always adapted to each individual and to how you are feeling on the day of your appointment.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ac3a15 elementor-widget elementor-widget-heading\" data-id=\"4ac3a15\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">3. Realistic and measurable goals<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3cd8959 elementor-widget elementor-widget-text-editor\" data-id=\"3cd8959\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Based on your medical history and assessment, we will define realistic and measurable goals together.<\/p><p>For example: reducing associated neck or jaw discomfort, improving mobility, increasing tolerance to certain activities, or learning strategies to help manage symptoms between attacks.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-241e21f elementor-widget elementor-widget-heading\" data-id=\"241e21f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">4. Treatment<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1ad3b62 elementor-widget elementor-widget-text-editor\" data-id=\"1ad3b62\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Treatment is adapted to the findings of the assessment and to each person\u2019s individual sensitivity.<\/p><p> <\/p><p>In my practice, I mainly use gentle manual techniques on areas I consider relevant, such as the cervical and suboccipital regions, the jaw, associated muscles or the rib cage.<\/p><p>Throughout the session, the intensity and techniques used are adjusted to your comfort and your response to treatment.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3569547 elementor-widget elementor-widget-heading\" data-id=\"3569547\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">5. After the session<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-747ff8b elementor-widget elementor-widget-text-editor\" data-id=\"747ff8b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Treatment does not necessarily end when the hands-on part of the session is over.<\/p><p> <\/p><p>Depending on your individual situation, we may suggest a few simple recommendations for the following days: mobility exercises, strategies to reduce neck or jaw strain, adapted physical activity, breathing exercises, or changes in habits that are relevant to your situation.<\/p><p> <\/p><p>It may also be helpful to continue keeping a migraine diary to monitor how your attacks evolve and distinguish changes in the migraine itself from changes in associated neck or jaw symptoms.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6715dc1 elementor-widget elementor-widget-heading\" data-id=\"6715dc1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">6. Follow-up and reassessment<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c37c0df elementor-widget elementor-widget-text-editor\" data-id=\"c37c0df\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>During subsequent consultations, we will reassess the goals established at the beginning.<\/p><p>The aim is not to continue treatment indefinitely, but to determine whether the approach is producing meaningful improvements. If it is not, we will reconsider the treatment plan and, when necessary, recommend assessment by another healthcare professional. <\/p><p> <\/p><p>The goal is for manual treatment to be one tool within a broader plan and for you to gradually develop more strategies to manage your symptoms independently.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5c2dd3 elementor-widget elementor-widget-heading\" data-id=\"f5c2dd3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Final thoughts<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d1e45b elementor-widget elementor-widget-text-editor\" data-id=\"4d1e45b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Migraine is not something you simply have to \u201cput up with\u201d. Although it is not always possible to eliminate attacks completely, there are now many tools available to better understand the condition and reduce its impact on quality of life. <\/p><p> <\/p><p>At <a href=\"https:\/\/aliantis.es\/en\/\">Aliantis<\/a>, we see osteopathy as one part of an integrative, cautious and individualised approach. When neck discomfort, jaw tension or other associated musculoskeletal symptoms are present, gentle manual treatment can aim to improve comfort and complement medical care when necessary. <\/p><p> <\/p><p>If migraine is part of your everyday life and you would like to explore whether this approach may be appropriate for you, we would be happy to listen and support you.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5786716 elementor-widget elementor-widget-text-editor\" data-id=\"5786716\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\"> Migraine may be part of your story, but it does not have to define your everyday life.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-949997b elementor-widget elementor-widget-heading\" data-id=\"949997b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">FAQ about migraine<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7a3ad599 elementor-widget elementor-widget-n-accordion\" data-id=\"7a3ad599\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2050\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2050\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Can osteopathy cure migraine? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2050\" class=\"elementor-element elementor-element-375245f9 e-con-full e-flex e-con e-child\" data-id=\"375245f9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2df04e2e elementor-widget elementor-widget-text-editor\" data-id=\"2df04e2e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tNo. Migraine is a complex neurological disorder, and osteopathy cannot be considered a curative treatment. \n\nHowever, some people with migraine also experience neck pain, jaw tension, bruxism or other musculoskeletal symptoms. In these cases, a gentle manual approach can aim to improve these symptoms and form part of a broader management strategy. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2051\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2051\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> How many osteopathy sessions are needed? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2051\" class=\"elementor-element elementor-element-4355928c e-con-full e-flex e-con e-child\" data-id=\"4355928c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5346870b elementor-widget elementor-widget-text-editor\" data-id=\"5346870b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tThere is no single number of sessions that is appropriate for everyone.\n\nIt will depend on the associated symptoms, the goals established during the first consultation and how you progress. Treatment should be reassessed regularly and, if we do not see meaningful improvements, it is important to reconsider the approach rather than continuing sessions systematically. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2052\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2052\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Is it better to come during a migraine attack or between attacks? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2052\" class=\"elementor-element elementor-element-1be963e3 e-con-full e-flex e-con e-child\" data-id=\"1be963e3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-273631f9 elementor-widget elementor-widget-text-editor\" data-id=\"273631f9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tIt depends on the intensity of the attack and how you are feeling.\n\nDuring a severe migraine attack, many people are highly sensitive to light, noise, movement or touch and prefer to rest in a quiet environment.\n\nBetween attacks, it is usually easier to assess any associated neck or jaw discomfort and develop strategies for everyday life.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2053\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2053\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Is migraine always related to the neck? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2053\" class=\"elementor-element elementor-element-e695ca7 e-con-full e-flex e-con e-child\" data-id=\"e695ca7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-804d56a elementor-widget elementor-widget-text-editor\" data-id=\"804d56a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tNo. Migraine is not caused by a \u201cblocked\u201d vertebra, poor posture or a neck muscle contracture. \n\nHowever, neck pain and stiffness are common in people with migraine and may occur before, during or after an attack.\n\nWhen associated neck symptoms are present, it can be useful to assess and treat them as part of the overall picture, without necessarily considering them the cause of the migraine.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2054\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2054\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> What is the difference between migraine and tension-type headache? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2054\" class=\"elementor-element elementor-element-55aef3c e-con-full e-flex e-con e-child\" data-id=\"55aef3c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fccda56 elementor-widget elementor-widget-text-editor\" data-id=\"fccda56\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>They are two different types of primary headache.<\/p><p> <\/p><p>Migraine typically causes episodes of moderate to severe pain and may be accompanied by nausea, sensitivity to light and sound, and worsening with physical activity. Some people also experience aura. <\/p><p> <\/p><p>Tension-type headache usually causes a more pressing or tightening pain, generally of mild to moderate intensity, and typically does not present with the same associated features.<\/p><p> <\/p><p>Symptoms can overlap, and the same person may experience more than one type of headache. If there is any uncertainty about the diagnosis, a medical assessment is recommended.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2055\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"6\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2055\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Can I exercise if I have migraine? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2055\" class=\"elementor-element elementor-element-eed5d00 e-con-full e-flex e-con e-child\" data-id=\"eed5d00\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-37fa455 elementor-widget elementor-widget-text-editor\" data-id=\"37fa455\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tIn general, regular and appropriately adapted physical activity can form part of a comprehensive approach to migraine management.\n\nDuring an attack, however, movement and exercise may worsen symptoms for some people. Activity should therefore be adapted to the situation and to individual tolerance. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2056\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"7\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2056\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> When should I be concerned if my migraines change? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2056\" class=\"elementor-element elementor-element-2a2d8ad e-con-full e-flex e-con e-child\" data-id=\"2a2d8ad\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-59c7919 elementor-widget elementor-widget-text-editor\" data-id=\"59c7919\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tIf you have a known diagnosis of migraine but the pattern changes significantly \u2014 for example, you develop new neurological symptoms, the pain becomes very different, progressively worsens, or you develop a sudden and extremely severe headache \u2014 it is important to seek medical assessment.\n\nYou should also seek medical advice if attacks become increasingly frequent or significantly interfere with your daily life.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2057\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"8\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2057\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> When should I see a neurologist? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2057\" class=\"elementor-element elementor-element-caa888d e-con-full e-flex e-con e-child\" data-id=\"caa888d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-29971cf elementor-widget elementor-widget-text-editor\" data-id=\"29971cf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tNot everyone with migraine needs to be followed by a neurologist. Many people can be appropriately diagnosed and treated in primary care. \n\nSpecialist assessment may be recommended when there is uncertainty about the diagnosis, atypical symptoms, very frequent or disabling migraines, or when standard treatments do not provide adequate control.\n\nIt is also important to seek medical advice if you use medication for migraine attacks very frequently, as excessive use of some treatments can contribute to medication-overuse headache.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0c754f3 e-con-full e-flex e-con e-child\" data-id=\"0c754f3\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1fec814 elementor-widget elementor-widget-text-editor\" data-id=\"1fec814\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><em>This blog article does not aim to generate new knowledge; it is based on the reading of scientific publications, blog articles and other texts.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7cc1488 e-con-full e-flex e-con e-child\" data-id=\"7cc1488\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-db3466c elementor-widget elementor-widget-text-editor\" data-id=\"db3466c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Sources:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8f26d21 elementor-widget elementor-widget-text-editor\" data-id=\"8f26d21\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Eigenbrodt AK, Ashina H, Khan S, et al. Diagnosis and management of migraine in ten steps. Nature Reviews Neurology. 2021;17:501\u2013514. doi:10.1038\/s41582-021-00509-5.    <\/p><p>Steiner TJ, Jensen R, Katsarava Z, et al. Aids to management of headache disorders in primary care (2nd edition). The Journal of Headache and Pain. 2019;20:57. doi:10.1186\/s10194-018-0899-2.    <\/p><p>Posadzki P, Klimek AT, Ernst E. Spinal manipulations for migraine: an updated systematic review and meta-analysis of randomized clinical trials. Systematic Reviews. 2024;13:296. doi:10.1186\/s13643-024-02719-6.   <\/p><p>Sico JJ, Antonovich NM, Ballard-Hernandez J, et al. 2023 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline for the Management of Headache. Annals of Internal Medicine.   2024.<\/p><p>Qaseem A, Tice JA, Etxeandia-Ikobaltzeta I, et al. Pharmacologic Treatments of Acute Episodic Migraine Headache in Outpatient Settings: A Clinical Guideline From the American College of Physicians. Annals of Internal Medicine.   2025. doi:10.7326\/ANNALS-24-03095.<\/p><p>Puledda F, Sacco S, Diener HC, et al. International Headache Society Global Practice Recommendations for Preventive Pharmacological Treatment of Migraine. Cephalalgia. 2024;44(9). doi:10.1177\/03331024241269735.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Can osteopathy help with migraine? Discover what we know about its causes, triggers and treatment, and what the scientific evidence tells us. <\/p>\n","protected":false},"author":1,"featured_media":4998,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45,49],"tags":[],"class_list":["post-5526","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-osteopathy","category-pain"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Migraine and osteopathy: what can help | Aliantis<\/title>\n<meta name=\"description\" content=\"Can osteopathy help with migraine? 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