The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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  • Recent Comments

    Treating cervicogenic headache with spinal manipulation

    Cervicogenic headaches originate in the upper spine, neck, and upper shoulders. It can a byproduct of whiplash, neck injury, or muscle trauma.

    Prof, Ernst and a colleague reviewed the evidence.

    First, the details.

    • 9 studies met the inclusion criteria.
    • Methodological quality was mostly poor.

    And, the results.

    • The results from 8 studies suggested that spinal manipulation is more effective than physical therapy, gentle massage, drug therapy, or no intervention.
    • 3 studies showed no differences in pain, duration, and frequency of headaches compared to placebo, manipulation, physical therapy, massage, or wait list controls.
    • Adequate control for placebo effect was achieved in 1 study only, which showed no benefit of spinal manipulations beyond a placebo effect.
    • Most studies failed to provide details of adverse effects.

    The bottom line?

    There are few rigorous studies testing the effectiveness of spinal manipulations for treating cervicogenic headaches.

    The authors concluded, “The results are mixed and the only trial accounting for placebo effects fails to be positive. Therefore, the therapeutic value of this approach remains uncertain.”

    7/3/11 21:41 JR

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