Efficacy of Cervical Physical Therapy on Pain Sensitivity in Migraine: A Systematic Review and Meta-Analysis (pubmed.ncbi.nlm.nih.gov)

• Moderate evidence that cervical physical therapy reduces pain sensitivity in migraine.
• High heterogeneity across studies warrants cautious interpretation.
• Need for high-quality RCTs with standardized protocols.

"This systematic review and meta-analysis evaluated the efficacy of cervical physical therapy (including manual therapy, exercise, and mobilization) on pain sensitivity in patients with migraine compared to no treatment, sham, or usual medical care. The analysis of multiple RCTs found moderate evidence that cervical physical therapy reduces pressure pain thresholds and headache intensity. However, high heterogeneity was noted. Further high-quality trials are needed."