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Alternative medicine
By Mayo Clinic staffNontraditional therapies may be helpful if you have chronic headache pain:
- Acupuncture. In this treatment, a practitioner inserts many thin, disposable needles into several areas of your skin. The penetration is so shallow and the needles are so thin that acupuncture generally causes little or no pain or discomfort. A number of clinical trials have found that acupuncture may be helpful for migraine pain, but evidence from these trials isn't strong enough for experts to routinely recommend this treatment.
- Biofeedback. Biofeedback appears to be effective in relieving migraine pain. This relaxation technique uses special equipment to teach you how to monitor and control certain physical responses, such as muscle tension. This technique can be combined with preventive medications.
- Herbs, vitamins and minerals. There is some evidence that the herbs feverfew and butterbur may prevent migraines or reduce their severity. A high dose of riboflavin (vitamin B-2) also may prevent migraines by correcting tiny deficiencies in the brain cells. For others, coenzyme Q10 supplements may be helpful. Ask your doctor if these treatments are right for you. Don't use herbal supplements if you're pregnant.
- Cervical manipulation. There are no scientifically valid studies that prove that chiropractic or other spine-manipulation treatments are effective in the treatment of migraine. Of greater concern is that in rare cases, cervical manipulation has caused damage to the arteries that pass through the cervical spine to the brain. This damage has resulted in stroke and even death.
References
- Bajwa ZH, et al. Pathophysiology, clinical manifestations, and diagnosis of migraine in adults. http://www.uptodate.com/home/index.html. Accessed Jan. 9, 2009.
- Headache: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/headache/detail_headache.htm?css=print. Accessed Jan. 11, 2009.
- Pelak VS. Approach to the patient with visual hallucinations. http://www.uptodate.com/home/index.html. Accessed Jan. 9, 2009.
- Ramzan M, et al. Headache, migraine, and stroke. http://www.uptodate.com/home/index.html. Accessed Jan. 9, 2009.
- Bajwa ZH, et al. Acute treatment of migraine in adults. http://www.uptodate.com/home/index.html. Accessed Jan. 9, 2009.
- Migraine - What are the treatments? American Academy of Neurology. http://www.thebrainmatters.org/index.cfm?key=1.9.6 1/. Accessed Jan. 12, 2009.
- Bajwa ZH, et al. Preventive treatment of migraine in adults. http://www.uptodate.com/home/index.html. Accessed Jan. 9, 2009.
- Swanson JW (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 15, 2009.
- Tinel D, et al. Vertebrobasilar ischemia after cervical spine manipulation: A case report. Annales de readaptation et de medecine physique 208;51:403.
- Haldeman S, et al. Stroke, cerebral artery dissection, and cervical spine manipulation therapy. Journal of Neurology. 2002;249:1098.
