"B.S., a 29-year-old avid mountain climber, presented with chronic migraines occurring approximately 15 times per month. Episodes were severe enough to require regular sumatriptan use and significantly disrupted both athletic performance and daily life. He also reported persistent shoulder tension that worsened with climbing and prolonged desk work. Within the first few weeks of care, migraine frequency began decreasing and shoulder tension improved. By the completion of treatment, migraines reduced to 0 episodes per month, and he no longer required migraine medication. Shoulder discomfort was minimal, and he returned to full climbing activity without limitation. He now reports feeling clear-headed, physically strong, and confident in both work and outdoor performance."