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Massage vs. joint adjustment: which eases neck headaches best?

NCT ID NCT06690411

Symptom relief Sponsor: Istanbul Medipol University Hospital Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Jul 31, 2026 · Updated 1 time

Summary

This study tested two gentle manual therapies—myofascial release (a massage-like technique) and Mulligan SNAG (a joint repositioning method)—in 40 adults with cervicogenic headache, a headache stemming from neck problems. Participants received one of the therapies three times a week for four weeks. Researchers measured changes in headache impact, hand grip strength, pain, and daily function to see which approach works better.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
manual therapy (myofascial release and Mulligan SNAG techniques)
What this could lead to
If successful, this could point toward effective non-drug options for managing cervicogenic headache pain and disability.
What could go wrong
This is a small, completed trial with only 40 participants, so results may not apply to everyone. Manual therapy effects can vary and may not last long-term.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

40 people

The number who actually took part.

Started

Nov 2024

Finished

Feb 2026

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

25 to 60 years

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Having been diagnosed with cervicogenic headache according to the International Classification of Headache Disorder-III diagnostic criteria * Having been diagnosed with cervicogenic headache for more than 3 months * Having a headache accompanying neck pain * Having restricted neck joint movement according to the Flexion-Rotation Test * Having pain between 3 and 8 according to the Visual Analog Scale * Being between 25-60 years of age * Agreeing to participate in the study voluntarily Exclusion Criteria: * Previous cervical surgery * Previous cervical trauma * Having received diagnosis-related physiotherapy in the last 6 months * Diagnosis of tumor or cancer * Having other types of headache * Serious cardiovascular, cerebrovascular, hematological, metabolic, neurological or mental disease * Being pregnant or breastfeeding * Having red flags for manual therapy * Dizziness with headache, visual disturbance * Congenital cervical disorder * Rheumatoid arthritis, cervical spondylolisthesis, cervical instability, infection

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Conditions

The condition(s) this trial relates to.

Headache Post-Traumatic Headache

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Cervicogenic headache Cervicogenic headaches

Contacts and locations

Locations

  • Sefakoy Medipol University Hospital

    Istanbul, Istanbul, 34295, Turkey (Türkiye)

More trials for these conditions

Other studies related to the condition(s) this trial covers.