When traditional migraine treatments aren’t effective enough on their own, combining them with alternative options, such as physical therapy, may help. According to research, physical therapy can help reduce the impact and disability of migraine disease and improve strength, endurance, and mobility. In addition to medications and medical devices for migraine, patients may benefit from adding this treatment to their migraine treatment toolbox. In fact, some studies show that physical therapy with medication was superior in reducing migraine frequency, pain intensity and pain perception over medications alone. Physical therapy can play several roles in migraine management:
1. The neck and other musculoskeletal dysfunctions
Many people with migraine also experience neck pain, either as a symptom, trigger, or comorbid condition to migraine, as well as temporomandibular disorders. Addressing musculoskeletal dysfunctions, especially in the craniocervical region, can help reduce pain and sensitivity. Â This therapy may include a mix of manual treatment of trigger points, heat/cold therapy, stretching, and other exercises that work to strengthen the neck and muscles. This can be extremely helpful for people who keep their head in the same position for long periods of time at work.
2. Vestibular dysfunction
People with migraine also often struggle with vestibular symptoms, such as dizziness, spatial orientation disturbances, as well as instability and unsteadiness. Vestibular physical therapy typically consists of exercises involving hand and eye movements performed while doing activities such as walking in a line, sitting-to-standing, and throwing a ball at a target. This type of therapy can help improve balance, reduce fall risk, and enhance mobility.
3. Exercise Intolerance
The benefits of exercise for migraine management have been well-documented. However, for many, exercise can trigger more pain and migraine attacks rather than reducing them. Exercise intolerance can prevent patients from staying active and cause further risks to their overall health. A physical therapist can help patients build customized exercise plans, as well as guiding them on how to gradually enhance their muscular and cardiovascular strength and endurance.
4. Relaxation
Many with people with migraine experience a lot of stress and muscle tension, especially in the neck, shoulders and upper back. Certain physical therapy exercises focus on helping patients manage their physical response to stress. These exercises can include deep breathing and muscle relaxation techniques, to name just two.
How do I find the right physical therapist?
Talk with your migraine doctor about physical therapy, and ask for a referral if needed. Check with your health insurance plan to see if physical therapy is covered, and if so, what type and how many sessions. Talk with the facilities and therapists you are considering. Ask if they specialize in migraine or vestibular therapy, and what type of treatment plan they would recommend. If possible, choose the therapist you feel most comfortable with. Remember, not all physical therapists are the same, so it is important to take the time needed to research your options!
Once you choose a physical therapist, discuss with them what your treatment goals are. Your treatment goals may be different than those the therapist suggests, and it is really important to partner with them so that you are both working towards the same goals. It is equally important to let them know if you have any concerns regarding certain treatments. You should feel comfortable with during your sessions, so don’t be afraid to speak up if you are not.
In short, physical therapy can be a powerful tool to help patients manage their pain and symptoms, as well as helping reduce some of the attack triggers. This is especially when combined with other treatments! Talk to your healthcare provider to find out if physical therapy may be right for you, and let us know what your experience is like!
Let Us Know!
Have you ever tried physical therapy for migraine management? Was it effective for you? If not, is this something you are willing to try?
The above information is educational and should not be considered medical advice. Please consult with your healthcare professional before making any changes to your migraine treatment plan.