Objectives: People who suffer from headache frequently present with multiple headache forms and the precise diagnosis of the dominant headache form can be challenging.
This case report describes a headache symptom modification approach in the diagnosis and management of a patient presenting with combined features of chronic migraine and cervicogenic headache (CGH).
Discussion: This case report illustrates the use of a manual therapy symptom modification approach in the management of headache.
Improvement in headache symptoms and disability suggests that the musculoskeletal impairments and headache symptoms were more a feature of CGH rather than migraine. The mechanisms underlying these changes in symptoms and impairments are discussed.