Nonpharmacologic treatment of migraine

Peter S. Sándor, J. Áfra

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Nonpharmacologic treatment of migraine is often used by patients and can provide interesting options for physicians. Knowledge about the evidence and its absence is important. Avoidance of trigger factors can help, if individualized. Behavioral approaches, such as relaxation techniques, biofeedback, and cognitive-behavioral therapy, require far more specialist time or technical devices, but are supported by some evidence, which is mostly old. The same is true for hypnosis. A new approach in migraine prevention is aerobic exercise, which is associated with positive side effects. Whether it will take a strong role, similar to the treatment of depression, remains to be seen. There is no convincing evidence for the efficacy of spinal manipulation. Hyperbaric oxygen may be an effective, but rarely practical prophylactic measure. The evidence pertaining to the efficacy of acupuncture is controversial because of methodologic difficulties, but an ongoing large German study may provide valuable evidence in the near future. Nutritional supplements acting on mitochondrial metabolism, such as magnesium, riboflavin, and coenzyme Q10, were shown to be effective in small, randomized, controlled trials. More studies on the different therapeutic interventions are needed, using modern diagnostic standards and state-of-the-art trial methodology.

Original languageEnglish
Pages (from-to)202-205
Number of pages4
JournalCurrent Pain and Headache Reports
Volume9
Issue number3
Publication statusPublished - Jun 2005

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Migraine Disorders
coenzyme Q10
Spinal Manipulation
Relaxation Therapy
Hypnosis
Riboflavin
Cognitive Therapy
Acupuncture
Magnesium
Therapeutics
Randomized Controlled Trials
Exercise
Depression
Oxygen
Physicians
Equipment and Supplies

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Nonpharmacologic treatment of migraine. / Sándor, Peter S.; Áfra, J.

In: Current Pain and Headache Reports, Vol. 9, No. 3, 06.2005, p. 202-205.

Research output: Contribution to journalArticle

Sándor, Peter S. ; Áfra, J. / Nonpharmacologic treatment of migraine. In: Current Pain and Headache Reports. 2005 ; Vol. 9, No. 3. pp. 202-205.
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