Inclusion Criteria:  Age: 18-50 Gender: Male and Female ICD 10 code of migraine with or without aura (G43.0, G43.1, G43.70, G43.71) No change in prophylactic medication for both control and intervention group No physical therapy for headaches, neck pain or for trapezius muscle during 12 weeks for both control and intervention group  Exclusion Criteria:  Previous Surgery to neck or cranium, history of previous stroke More than two daily prophylactic pharmacologic agents used for the indication of Migraine headache Active cancer Receiving BOTOX® for migraines or treatment within the last 4 months If patient has contraindications for OMT for the intervention group such as clinical signs of fractures in cervical spine, ligament instability, or severe vertebral artery stenosis If patient is poor candidate for OMT in intervention group such as the patient is unable to follow commands. Seizure disorder or recent head trauma Pregnant or become pregnant during the treatment period