Multi-Segmental Spinal Manual Therapy in Women With Episodic Migraine

Inclusion Criteria: * Female patients aged 18-30 years, * Diagnosis of episodic migraine established by a specialist neurologist, * Headache frequency of \<15 days per month, * Pain intensity score of ≥40 mm on the Visual Analog Scale (VAS), * Absence of any diagnosed psychiatric disorders, * Literacy (ability to read and write), * Ability to communicate effectively without language or cognitive barriers, * Voluntary participation confirmed by signed written informed consent. Exclusion Criteria: * History of communication disorders or neuromusculoskeletal diseases that impede assessment procedures, * Headache frequency exceeding 15 days per month, * Diagnosis of other primary or secondary headache types (e.g., cervicogenic headache, tension-type headache), * Pregnancy, * Diagnosis of fibromyalgia syndrome or myofascial pain syndrome, * Diagnosis of systemic rheumatic diseases (e.g., rheumatoid arthritis, systemic lupus erythematosus), * Diagnosis or presence of symptoms related to spinal disc disorders (e.g., disc herniation, disc prolapse), * History of whiplash or similar cervical/head trauma, * Diagnosis or presence of symptoms associated with temporomandibular joint dysfunction (TMD), * Having received physical therapy within the last 3 months, * Having undergone anesthetic nerve block procedures within the last 6 months, * Receiving any prophylactic or interventional migraine therapy other than acute analgesics, * Self-reported history or presence of malignancy.