Index to Chiropractic Literature
Index to Chiropractic Literature
My ICL     Sign In
Monday, July 22, 2024
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature

For best results switch to Advanced Search.
Article Detail
Return to Search Results
ID 26513
  Title Remission of primary headache associated with sexual activity in a woman after chiropractic spinal manipulation: A case study [case report]
Journal J Chiropr Med. 2020 Mar;19(1):96-100
Peer Review Yes
Publication Type Case Report

Objective: Primary headache associated with sexual activity (PHASA) is rare but recognized by the International Classification of Headache Disorders. Although triptans and indomethacin have been suggested as a pharmacological treatment option for acute treatment, indomethacin can be administered preemptively, and β-blockers has been proposed as a treatment option for prophylactic management, pharmacologic efficacy remains uncertain. Manual therapy for PHASA has not been studied and thus has no scientifically proven effect. The purpose of this case study is to present a successful case of chiropractic care for a patient with PHASA.

Clinical Features: This case study presents a case where a 19-year-old white European female student presented to a primary care chiropractic clinic complaining of mainly left-sided intense headache, which had acute onset right before or during orgasm. The patient had never suffered headaches before this, and the intense headache never occurred outside sexual activity nor during intercourse if she did not reach orgasm. The diagnosis of PHASA was later confirmed by a hospital neurologist with extensive experience in headache diagnostics.

Intervention and Outcomes: After 7 manual therapy sessions consisting of spinal manipulative therapy at the lumbosacral area conducted by an experienced chiropractor, the patient reported remission of her PHASA, which remained as such at a 12-month follow-up.

Conclusion: This case study generates the observational hypothesis that a patient with PHASA may respond to chiropractic spinal manipulative therapy. The underlying mechanisms for this symptom amelioration are, however, unclear.

Author keywords: Headache Disorders, Primary; Headache; Migraine; Sexual Activity; Orgasm; Chiropractic; Manual Therapies; Manipulation Therapy

Author affiliations: OS, AC: Atlasklinikken, Oslo, Norway; AC: Head and Neck Research Group, Research Centre, Akershus University Hospital, Oslo, Norway; AC: Institute of Clinical Medicine, Campus Akershus University Hospital, University of Oslo, Oslo, Norway

This abstract is reproduced with the permission of the publisher; click on the above link for free full text. PubMed Record | PDF


   Text (Citation) Tagged (Export) Excel
Email To
HTML Text     Excel

To use this feature you must register a personal account in My ICL. Registration is free! In My ICL you can save your ICL searches in My Searches, and you can save search results in My Collections. Be sure to use the Held Citations feature to collect citations from an entire search session. Read more search tips.

Sign Into Existing My ICL Account    |    Register A New My ICL Account
Search Tips
  • Enclose phrases in "quotation marks".  Examples: "low back pain", "evidence-based"
  • Retrieve all forms of a word with an "asterisk*", also called a wildcard or truncation.  Example: "chiropract*" retrieves chiropractic, chiropractor, chiropractors
  • Register an account in My ICL to save search histories (My Searches) and collections of records (My Collections)
Advanced Search Tips