Most of our patients consult us for migraines and ocular migraines.

Chiropracteur migraine et femme enceinte paris

Traitement naturel des migraines

How to treat migraines and ophthalmic migraines (migraine with aura) naturally ?

Studies, case studies, and numerous testimonials have shown that chiropractic is effective in treating certain persistent headaches, including chronic migraines.

Significant improvements have been demonstrated in the frequency, duration, and intensity of headaches and migraines. Some of these studies have shown that chiropractic is as effective, if not more so, than medication for treating migraines and headaches, without the side effects of medication and with a longer-lasting effect.

The effectiveness of the care provided in our practice stems from the combination of chiropractic treatments with our specialization in chiropractic neurology, also known as functional neurology. Functional neurology allows us to further assist patients suffering from various types of headaches and migraines (ophthalmic migraines with aura, vestibular migraines, menstrual migraines, tension headaches, and occipital neuralgia). This is achieved by focusing on the neural networks that influence brain function, which are implicated in triggering migraines.

We then implement a treatment protocol for headaches and migraines that includes:

  • Spinal manipulations
  • Neuromodulation or neurostimulation of the peripheral nerves and the vagus nerve
  • Postural rehabilitation, particularly for cervical stiffness
  • If necessary, vestibular and oculomotor rehabilitation
  • If necessary, hyperbaric oxygen therapy

However, each case must be assessed individually to determine the potential effectiveness of these treatments and to what extent. Below you will find some of the studies and case studies on the effectiveness of Chiropractic for migraines and some interesting articles on the subject of migraines.

DO YOU SUFFER FROM CHRONIC MIGRAINES WITH OR WITHOUT AURA ?

Contact us to schedule an appointment or simply ask your questions !

Causes des migraines avec ou sans aura

The causes of migraines and headaches

What could be causing these migraines?

Most of the patients who consult us suffer from persistent headaches and chronic migraines, having already consulted numerous specialists with little success, or having tried medications that are no longer very effective, or simply because they would like to try something other than medication or the often-prescribed psychological approach.

In the vast majority of patients suffering from headaches and migraines, the origin of the pain lies in joint blockages, particularly in the cervical spine, which cause nerve irritation, muscle contractions, and circulatory problems. This nerve irritation prevents the nervous system from properly responding to external stimuli or internal information. Hence the triggering of migraines with various triggers (food, noise, stress, light, fatigue, menstruation, etc.). Several studies have linked cervical problems and pain to migraines and other headaches.

After a detailed examination, we will be able to explain what is happening and whether chiropractic care and appropriate rehabilitation of the vestibular, oculomotor, proprioceptive systems, as well as neurostimulation and photobiomodulation, can help you, either to greatly relieve or cure migraines.

Soulager migraine par la chiropraxie

Do you suffer from migraines, ocular migraines, menstrual migraines, or...?

Symptoms and types of migraines

Do you perhaps see black lines or bright spots before your migraine? Do you perhaps experience dizziness and fatigue that accompany your migraine? Do you only get migraines around the time of your period?
There are different types of migraines, but to summarize, we can talk about two main categories: migraines with aura (or ophthalmic migraine) and migraines without aura, or common migraines.

As with the rest of this site, the goal here is certainly not to make a diagnosis but to provide information to help you better understand your migraine. You should always make it a habit to consult your doctor or go to the emergency room if you experience headaches, especially if they are recent and very severe, accompanied by visual disturbances, speech difficulties, weakness in the limbs, and feelings of imbalance or dizziness.

Migraine without aura is the most common type of migraine: 70 to 80% of all migraines! As its name suggests, this type of migraine is not preceded by the initial symptoms, called aura, that some people experience before a migraine begins, such as changes in vision, tingling in the skin, and weakness.
Most of the time, patients experience migraines at the front of the head, on one or both sides of the temples. The pain can be throbbing, moderate to severe, and can last from 4 to 72 hours.
Other symptoms may also be present: nausea, vomiting, low blood pressure, irritability, and sensitivity to light or noise.

Migraines with aura (or ophthalmic migraines) account for between 20 and 30% of all migraines.

What are the symptoms of migraines with aura?

Auras often begin about an hour before the headache. Migraine auras can affect vision as well as other senses:

  • Scotomas (blind spots)
  • Partial or total vision loss
  • Seeing zigzag patterns
  • Seeing flashing lights
  • Seeing, hearing, or feeling things that aren’t really there (hallucinations)
  • Tingling or numbness (paresthesia)
  • Difficulty finding words or speaking (aphasia)

A vestibular migraine consists of repeated dizziness (or vertigo) in people with a history of migraines.

What are the symptoms of vestibular migraines?
Vestibular migraines do not always cause headaches. The main symptom is vertigo that comes and goes. Symptoms of a vestibular migraine include:

  • Dizziness that lasts more than a few minutes
  • Nausea and vomiting
  • Balance problems
  • Feeling nauseous or dizzy with head, eye, or body movements
  • Confusion or disorientation
  • Instability (as if the person were on a boat)
  • Hypersensitivity to noise

The involvement of the vestibular and oculomotor systems in this type of migraine is suspected, hence the work in functional neurology, which aims to retrain these systems to treat vestibular migraines.

Some migraines are linked to fluctuations in estrogen and progesterone levels. Women may experience catamenial (menstrual) migraines from two days before their period to three days after.

But anything that alters these hormone levels can trigger these hormonal migraines:

  • The birth control pill: can worsen migraines for some women and alleviate them for others.
  • Hormone replacement therapy (HRT): these medications that women take during menopause to control their hormones can also trigger migraines.
  • Menopause: Some migraines decrease in women with menopause. But while some women notice that migraines improve after menopause, they also notice that tension headaches worsen during this time.
  • Menstruation: Just before your period, the amount of estrogen and progesterone, two female hormones, in your body decreases. This drastic change can trigger throbbing headaches.
  • Pregnancy: During the first trimester, estrogen levels rise rapidly and then stabilize. For this reason, many women notice that their migraines improve or disappear after their third month of pregnancy. It’s important to be careful with migraine medications during pregnancy, as they can be harmful to the fetus.

What are the symptoms of hormonal migraines ?

In addition to the usual migraine symptoms (throbbing pain on one side of the head, nausea, vomiting, sensitivity to light and sound), other symptoms of a hormonal or menstrual migraine may include:

  • Fatigue
  • Joint pain
  • Constipation
  • Lack of coordination
  • Increased appetite
  • Cravings for chocolate, salt, or alcohol

Note: While hormonal migraines are linked to hormonal changes, our approach focuses on helping the body better adapt to these changes and avoid triggering pain or reducing its intensity. Not all women are prone to hormonal migraines!

What happens during a consultation for a migraine ?

The first consultation for headaches and migraines

The first visit is a bit longer, lasting approximately 40 minutes. In the case of vestibular migraines, it may require additional tests, adding about 20 minutes. This visit allows for a consultation, the ability to ask necessary questions, a clinical examination, and the initiation of treatment.

Treatment visits for chronic migraines and persistent headaches

As with any treatment, chronic migraines and persistent headaches require care that can be of varying lengths. During this period, visits help to correct nerve irritations, the cause of migraines and headaches, and to retrain malfunctioning systems (vestibular, oculomotor, proprioceptive, etc.).

Follow-up and maintenance visits for migraines and headaches

Once the nerve irritations that cause migraines and headaches are addressed as effectively as possible, most patients opt for regular follow-up and maintenance. Regular maintenance helps preserve the achieved sense of well-being and prevents a recurrence of the same problems due to poor posture, incorrect movements, sports activities, etc.

Studies and case studies on the treatment of migraines by chiropractic

The impact of spinal manipulation on migraine pain and disability:

A study published by a team of researchers from Harvard Medical School in the United States sought to understand the impact of spinal manipulation by chiropractors on migraines. In this systematic review (analysis of studies published to date), the researchers found that spinal manipulation by a chiropractor can be an effective therapeutic technique for reducing migraine days as well as migraine pain and intensity.
However, given the limitations of the studies included in this meta-analysis, they consider these results preliminary.
It is worth noting that, given the encouraging results, this same Harvard team undertook a study on this topic in 2020. Pending the results…
Rist PM, Hernandez A, Bernstein C, Kowalski M, Osypiuk K, Vining R, Long CR, Goertz C, Song R, Wayne PM. The Impact of Spinal Manipulation on Migraine Pain and Disability: A Systematic Review and Meta-Analysis . Headache. 2019 Apr;59(4):532-542.

Recommendations based on evidence from studies on chiropractic and headaches

Evidence suggests that chiropractic care, including spinal manipulation, is effective for treating migraines and headaches of cervical origin.

Evidence-Based Guidelines for the Chiropractic Treatment of Adults With Headache, J Manipulative Physiol Ther. 2011 (Jun); 34 (5): 274–289

Manual therapies for the treatment of migraine: A systematic review

Evidence suggests that chiropractic care, including spinal manipulation, is effective for treating migraines and headaches of cervical origin.

Evidence-Based Guidelines for the Chiropractic Treatment of Adults With Headache, J Manipulative Physiol Ther. 2011 (Jun); 34 (5): 274–289

A randomized controlled trial on chiropractic and migraine treatment

The results of this study confirm previous findings showing that chiropractic care can significantly improve migraine symptoms.

A Randomized Controlled Trial of Chiropractic Spinal Manipulative Therapy for Migraine, J Manipulative Physiol Ther 2000 (Feb); 23 (2): 91–95.

The effectiveness of chiropractic adjustments, medication, and the combination of both for the treatment of migraines

This study found chiropractic care to be more effective than the standard medication for treating migraines, with fewer side effects.

The efficacy of spinal manipulation, the medication, and the combination of both therapies for the prophylaxis of migraine headache. JMPT, October 1998: Vol. 21, No. 8, pp. 511-19.

A controlled study on the effect of manipulations on migraine relief

85 patients who received chiropractic care showed a significant improvement in the frequency, intensity, and duration of their migraines.

A controlled trial of manipulation for migraine. Aust and New Zealand Journal of Medicine 1978;8:589-593.

Migraines and headaches: things you may not know (video in french)

Your chiropractor

Denis Alemi chiropracteur Paris 16With over 30 years of experience in the United States and France, Denis Alemi is the first French chiropractor to be certified by the American College of Chiropractic Neurology.
He graduated as a Doctor of Chiropractic, with honors « Cum Laude, » from Life West College in California in 1994. He then completed a specialization in chiropractic neurology (Diplomate of the American Chiropractic Neurology Board) while practicing in San Francisco, USA. Since returning to France, he has taught at the Franco-European Institute of Chiropractic, served as Vice-President of the French Chiropractic Association, and continued his professional development in functional neurology through lectures in the United States and Europe (over 950 hours to date). He holds the titles of Fellow of the American College of Functional Neurology and Fellow of the European Academy of Chiropractic in neurology. He is a member of the French Chiropractic Association (AFC), has served on the board of directors of the Association of Physicians, Dentists, and Pharmacists (AMDPI), and is president of the Franco-European Association of Functional Neurology (AFENF).
He is the founder of the Cerebrostim method, which helps children with attention deficit hyperactivity disorder (ADHD), learning disabilities, Asperger’s syndrome, and other disorders.
He continues to teach professionals and present at conferences in the fields of chiropractic and functional neurology in France and internationally.

Q and A on headaches en migraine treatment in our office

How long does it take to get rid of my migraines?

Some patients notice a rapid improvement in symptoms, while for others it may take longer. This can depend on the number of years the problem has persisted, the patient’s age, the severity of the problem, and other factors. A more precise answer to this question can be provided after the initial examination.

What is your approach to correcting my symptoms ?

Following the examination, our approach focuses on correcting joint restrictions that cause the irritation and tension underlying the pain. We also provide ergonomic and nutritional advice, as well as general and/or specific exercises to maintain the results over time. Furthermore, for more complex problems (ocular migraines, vestibular migraines, etc.), a functional neurology approach (retraining the vestibular and oculomotor systems, etc.) can improve and consolidate the results. Finally, other approaches such as neurostimulation (including vagus nerve stimulation), photobiomodulation, and hyperbaric oxygenation may also be offered to help migraine patients.

Is stress the cause of my migraines and headaches?

Stress can indeed be a trigger for headaches. However, most of the time, it’s not the root cause. Just like noise, light, a glass of alcohol, etc., for others…
Nerve irritation and tension due to joint stiffness can weaken the body and nervous system, making it more vulnerable to stress or emotional or physical shock. This is why symptoms can appear at such times. Addressing these irritations and enabling the body to better cope with stress may be more effective than trying to eliminate the stress that surrounds us.