Complementary and integrative medicine in the management of headache

  title={Complementary and integrative medicine in the management of headache},
  author={Denise M. Millstine and Christina Ying Ying Chen and Brent A. Bauer},
  journal={British Medical Journal},
Headaches, including primary headaches such as migraine and tension-type headache, are a common clinical problem. Complementary and integrative medicine (CIM), formerly known as complementary and alternative medicine (CAM), uses evidence informed modalities to assist in the health and healing of patients. CIM commonly includes the use of nutrition, movement practices, manual therapy, traditional Chinese medicine, and mind-body strategies. This review summarizes the literature on the use of CIM… 

Complementary and Integrative Medicine for Episodic Migraine: an Update of Evidence from the Last 3 Years

Many complementary and integrative treatment options may be helpful for patients with migraines, and understanding potential efficacy, benefits, and risks can help providers discuss these modalities with their patients.

Pain Management Using Acupuncture Method in Migraine Headache Patients; A Single Blinded Randomized Clinical Trial

Although the pain score was lower in the intervention group than the control group during first hour after the acupuncture, there was no significant change in pain score thereafter, and comparison of the two groups showed no differences between acupuncture and placebo acupuncture on decreasing the mean pain score.

A Systematic Review and Meta-analysis of the Therapeutic Effect of Acupuncture on Migraine

Compared with medication, acupuncture showed higher effectiveness with less adverse reactions and improved intracranial blood circulation, which is better than that by medication, but the heterogeneity makes the result unreliable.

Self-administered phyto-acupressure for tension-type headache

The phyto-acupressure therapy used in this study seems to go beyond the treatment of pain and have an analgesic effect measured by reduction in analgesic use, PAP also has a prophylactic action in reducing headache frequency.

Mind-Body Therapies

This chapter aims to define commonly used mind-body therapies, to discuss the evidence that supports their use in headache treatment, and to explore how to counsel patients regarding the best way to incorporate these therapies into a comprehensive treatment plan.

Mindfulness in migraine: A narrative review

Initial evidence suggests there may be improvements in overall headache-related disability and psychological well-being and mindfulness may be an important tool as part of a comprehensive treatment approach to help patients ‘mindfully’ engage in valued life activities.

Evaluation of headache in patients with cancer

An initial approach to the evaluation, including suggestions for imaging, features to look for in a targeted examination, and when to request a consultation, and an overview of headache etiologies are outlined, with a particular emphasis on the most common types: migraine and tension.

The prevalence of complementary and alternative medicine use among Turkish patients with primary headache

It is suggested that Turkish patients with primary headache, especially those with long disease duration, use CAM modalities, and larger population-based studies are required to clarify the safety and efficacy of these methods.

Complementary and Integrative Health in Chronic Pain and Palliative Care

This chapter presents evidence regarding selected complementary health modalities in the settings of chronic pain and palliative care and describes the existing evidence for some modalities, where sufficient data is available.



Diet and nutraceutical interventions for headache management: A review of the evidence

  • S. Orr
  • Medicine, Psychology
    Cephalalgia : an international journal of headache
  • 2016
Most of the studies assessed the efficacy of these interventions for migraine, though some explored their role in tension-type headache and cluster headache, and the quality of the evidence in this area is generally poor.

Use of Complementary and Alternative Medicine in Patients Suffering from Primary Headache Disorders

It is confirmed that CAM is widely used among primary headache patients, mostly in combination with standard care, and of higher age, showed a longer duration of disease, a higher percentage of chronification, less intensity of headache, and were more satisfied with conventional prophylaxis.

Evidence-based guidelines for the chiropractic treatment of adults with headache.

Recent Approaches and Development of Acupuncture on Chronic Daily Headache

Although acupuncture has been shown to have potential effects on CDH, it requires much deeper researches on the optimized usage and underlying mechanisms.

Manual therapies for migraine: a systematic review

The RCTs suggest that massage therapy, physiotherapy, relaxation and chiropractic spinal manipulative therapy might be equally effective as propranolol and topiramate in the prophylactic management of migraine.

Acupuncture for the prevention of tension-type headache.

Whether acupuncture is more effective than no prophylactic treatment/routine care only, as effective as other interventions in reducing headache frequency in adults with episodic or chronic tension-type headache and the quality of the acupuncture intervention is investigated is investigated.

Manual therapies for primary chronic headaches: a systematic review of randomized controlled trials

The RCTs suggest that massage and physiotherapy are effective treatment options in the management of chronic tension-type headache and showed that physiotherapy reduced headache frequency and intensity statistical significant better than usual care by the general practitioner.

Effect of Yoga on migraine: A comprehensive study using clinical profile and cardiac autonomic functions

Yoga therapy can be effectively incorporated as an adjuvant therapy in migraine patients by assessing clinical outcome and autonomic functions tests and enhancing the vagal tone and decreased the sympathetic drive, hence improving the cardiac autonomic balance.

Biofeedback Treatment for Headache Disorders: A Comprehensive Efficacy Review

Biofeedback was more effective than waiting list and headache monitoring conditions in all cases, while electromyographic feedback for tension-type headache showed additional significant effects over placebo and relaxation therapies.

Chiropractic spinal manipulative therapy for migraine: a study protocol of a single-blinded placebo-controlled randomised clinical trial

The efficacy of chiropractic spinal manipulative therapy (CSMT) for migraineurs in a single-blinded placebo-controlled randomised clinical trial (RCT) is assessed.