Gustafson Sandra L
Professional Bowenwork Practitioner in private practice in Santa Rosa, CA.
Int J Ther Massage Bodywork. 2016 Mar 4;9(1):19-28. eCollection 2016 Mar.
Migraine is a complex neurological disorder characterized by episodic, neurogenic, cerebrovascular inflammation and hypersensitization of brain tissues and the central nervous system, causing severe pain and debility. Research literature points mostly to pharmaceutical prophylactic and symptomatic treatments, nonpharmaceutical, complementary and alternative medicine (CAM) approaches, acupuncture, massage and bodywork studies, and none has been published on Bowenwork for migraine intervention. This prospective case report describes one migraineur's response to Bowenwork (a soft-tissue bodywork technique) with cessation of migraine, neck pain, and analgesic consumption, and improved well-being and activity function.
The client received 14 Bowenwork sessions over a four-month period using the self-reporting Measure Yourself Medical Outcome Profile version 2 (MYMOP2) to evaluate clinically meaningful changes. Baseline MYMOP2 data were recorded prior to the first and subsequent Bowenwork sessions to track changes in migraine and neck pain occurrences, other symptoms, medication use, functional ability and sense of well-being. Specific Bowenwork procedures were applied in each session to address various symptoms. The client did not receive other migraine treatment during this study.
A 66-year-old Caucasian female with a history of debilitating migraine since childhood, and severe neck pain and jaw injuries resulting from two motor vehicle accidents (MVAs) sustained as an adult. She had previously sought medical, pharmaceutical and CAM treatments for migraine, neck pain, and right-sided thoracic outlet syndrome (TOS) symptoms, with no satisfactory relief.
The client progressively reported decreased migraine and neck pain until acquiring a respiratory infection with prolonged coughing spells causing symptoms to recur (session 11). Prior to session 12, she experienced an allergic reaction to ingesting an unknown food allergen, requiring three days of prednisone and Benadryl treatment, exacerbating neck pain, but not migraine. At session 14, her MYMOP2 data showed no migraine, neck pain or medication use, improved activity function, and sense of well-being. Symptoms in her right arm and thumb persisted to a lesser extent.
Bowenwork progressively offered migraine and neck pain relief for one chronic migraineur, with multiple somatic symptoms. Extenuating factors (jaw tension, TOS, respiratory infection, and allergic reaction) added complexity in monitoring progress and selecting appropriate Bowenwork procedures. Further research on Bowenwork's efficacy for migraine treatment on larger populations is needed.
偏头痛是一种复杂的神经系统疾病，其特征为发作性、神经源性、脑血管炎症以及脑组织和中枢神经系统的超敏反应，会导致严重疼痛和身体虚弱。研究文献大多指向药物预防性和对症治疗、非药物、补充和替代医学（CAM）方法、针灸、按摩和身体护理研究，尚未有关于用波温术干预偏头痛的报道。本前瞻性病例报告描述了一名偏头痛患者对波温术（一种软组织身体护理技术）的反应，包括偏头痛、颈部疼痛停止，止痛药服用减少，以及幸福感和活动功能改善。
患者在四个月内接受了14次波温术治疗，使用自我报告的《自我评估医疗结果概况》第2版（MYMOP2）来评估具有临床意义的变化。在第一次及后续波温术治疗前记录MYMOP2基线数据以追踪偏头痛和颈部疼痛发作、其他症状、药物使用、功能能力和幸福感的变化。每次治疗应用特定的波温术程序来解决各种症状。在本研究期间，患者未接受其他偏头痛治疗。
一名66岁的白种女性，自幼患有使人衰弱的偏头痛，成年后因两次机动车事故（MVA）导致严重颈部疼痛和颌部损伤。她此前曾寻求医学、药物和CAM治疗偏头痛、颈部疼痛以及右侧胸廓出口综合征（TOS）症状，但均未获得满意缓解。
患者逐渐报告偏头痛和颈部疼痛减轻，直至因呼吸道感染伴有长时间咳嗽发作导致症状复发（第11次治疗）。在第12次治疗前，她因摄入未知食物过敏原发生过敏反应，需要服用三天泼尼松和苯海拉明进行治疗，这加剧了颈部疼痛，但未引发偏头痛。在第14次治疗时，她的MYMOP2数据显示无偏头痛、颈部疼痛或药物使用，活动功能和幸福感改善。她右臂和拇指的症状仍有较轻程度持续存在。
波温术逐渐为一名患有多种躯体症状的慢性偏头痛患者缓解了偏头痛和颈部疼痛。一些影响因素（颌部紧张、TOS、呼吸道感染和过敏反应）给监测进展和选择合适的波温术程序增加了复杂性。需要对波温术治疗偏头痛在更大人群中的疗效进行进一步研究。
