Combination of acupuncture and spinal manipulative therapy: management of a 32-year-old patient with chronic tension-type headache and migraine

doi:10.1016/j.jcm.2012.02.003

PMC full text:

J Chiropr Med. 2012 Sep; 11(3): 192–201.

doi: 10.1016/j.jcm.2012.02.003

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Table 3

Dates and treatment rendered

Treatment #1, Day #1	Acupuncture for headaches, GB channel obstruction/LV qi stagnation	History, examination Acupuncture only	After visit summary: Patient reports she had complete relief from headache for 2 h after acupuncture. Headache returned in the evening.
Treatment #2, Day #5	Acupuncture for blood deficiency	Acupuncture only	After visit summary: Patient reports headache located over right eye and temple, subsided completely until the next day.
Treatment #3, Day #7	Acupuncture for headaches, GB channel obstruction/LV qi stagnation	Acupuncture and SMT	After visit summary: Patient reports 90% reduction in frequency and intensity of headaches over 6-dperiod.
Treatment #4, Day #13	Acupuncture for blood deficiency	Acupuncture and SMT	After visit summary: Patient reports pain in right upper cervical spine region and occipital headache. No more headache over right eye and temple.
Treatment #5, Day #15	Acupuncture for headaches, GB channel obstruction/LV qi stagnation	Acupuncture and SMT	After visit summary: No more headache or neck pain. At this point, patient reports no more headaches.
Treatment #6, Day #20	Acupuncture for blood deficiency	Acupuncture and SMT	After visit summary: No headache or neck pain reported.
Treatment #7, Day #28	Acupuncture for blood deficiency	Acupuncture and SMT	After visit summary: No headache reported.
Treatment #8, Day 55	Acupuncture for blood deficiency	Acupuncture and SMT	After visit summary: No headache reported.
Treatment #9, Day 98	Acupuncture for blood deficiency	Acupuncture and SMT	After visit summary: No headache reported.

SMT, Spinal manipulative therapy.