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Table 2 Headache management characteristics by chiropractors (often/almost every headache patient compared to never/rarely)

From: The management of common recurrent headaches by chiropractors: a descriptive analysis of a nationally representative survey

Treatment approach

Migraine (often/almost all) (n = 387)

Tension headache (often/almost all) (n = 382)

Cervicogenic headache (often/almost all) (n = 382)

Joint-based manipulative therapies

 Spinal manipulation

318(82.2%)

337(87.5%)

349(90.6%)

 Non-thrust spinal mobilisations

264(88.4%)

252(65.5%)

252(65.5%)

 Instrument adjusting

279(72.1%)

270(70.1%)

273(70.9%)

 Drop-piece methods

133(34.4%)

148(38.4%)

153(39.7%)

Soft-tissue based and exercise therapies

 Soft tissue to neck/shoulders

331(85.3%)

339(88.1%)

340(88.3%)

 Electro-physical therapies

30(7.8%)

30(7.8%)

30(7.8%)

 Soft-tissue/exercise to temporomandibular

252(65.1%)

249(64.7%)

233(60.5%)

 Exercises – neck/shoulders

311(81.6%)

337(87.5%)

353(91.7%)

Patient advice and education

 Advice on headache triggers

364(94.1%)

350(90.9%)

338(87.8%)

 Advice on diet and fitness

331(85.6%)

336(87.3%)

327(84.9%)

 Stress management

346(89.4%)

347(90.1%)

337(87.5%)

  1. Survey key: Spinal manipulation (manual adjusting/manipulation (including Diversified, Gonstead); Drop piece methods (drop-piece/Thompson or similar); Soft tissue – neck/shoulders (massage, myofascial, stretching or trigger points to neck/shoulders); Electro-physical therapies (including TENS, ultrasound)