Effectiveness of endonasal cranial balloon release technique in relieving symptoms of migraine and improving the quality of work in a sedentary worker - A single case study

Anjali Agarwal, Suraj Kumar, Gowrishankar Potturi

Department of Physiotherapy, Faculty of Paramedical Sciences, Uttar Pradesh University of Medical Sciences, Saifai, Etawah, UP, India

ABSTRACT

Migraine is a neurological condition affecting women more than man is often a cause to decrease the quality of work and productivity in workers. This study introduces a novel technique Endonasal Cranial balloon release, which has potential benefits in the treatment of migraine and its symptoms. This is a single case report of 37-year-old female who presented with a 2-year history of migraine with no other comorbidities and having difficulty in participating actively in the work-place. After explaining the entire procedure and written consent, the patient was treated with Endonasal Cranial balloon release for four sessions, each session a day continuously. The pain was assessed by the Visual Analog Scale (VAS). The impact of migraine was assessed by Headache Impact Test (HIT). The impact of migraine on work productivity was assessed by the Work Productivity and Activity Impairment (WPAI) questionnaire. All the outcome measures were measured pre-treatment, Post-treatment after completion of all four sessions, and after one-month follow-up. The patient pain has reduced tremendously, with improved work productivity and participation. This study concludes that the Endonasal Cranial Balloon Release technique would reduce the pain and discomfort due to migraines without remissions. It rehabilitates the worker with improved productivity. We also suggest several randomized clinical trials should be conducted to identify the potential benefits of this therapy.

Keywords:

Migraine, Endonasal Cranial Balloon Release, Headache.