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Alternative therapies for headache

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Opinion statement

Although alternative therapies are widely used for the treatment of headache disorders, physicians often know little about the available options or about the risks and benefits of the treatments their patients may already be using. Alternative treatments or complementary medicine can provide significant benefit for the headache sufferers, be neutral, distract the headache patient from using more effective therapies, or be harmful. Physicians should take a rational, open-minded approach to the use of alternative and complementary headache treatments.

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References and Recommended Reading

  1. vonPeter S, Ting W, Scrivani S, et al.: Survey on the use of complementary and alternative medicine among patients with headache syndromes. Cephalalgia 2002, 22:395–400.

    Article  CAS  Google Scholar 

  2. Schoenen J, Lenaerts M, Bastings E: High-dose riboflavin as a prophylactic treatment of migraine: results of an open pilot study. Cephalalgia 1994, 14:328–329.

    Article  PubMed  CAS  Google Scholar 

  3. Schoenen J, Jacquy J, Lenaerts M: Effectiveness of highdose riboflavin in migraine prophylaxis: a randomized controlled trial. Neurology 1998, 50:466–470.

    PubMed  CAS  Google Scholar 

  4. Ramadan NM, Halvorson H, VandeLinde A, et al.: Low brain magnesium in migraine. Headache 1989, 29:416–419.

    Article  PubMed  CAS  Google Scholar 

  5. Schoenen J, Sianard-Gainko J, Lenaerts M: Blood magnesium levels in migraine. Cephalalgia 1991, 11:97–99.

    Article  PubMed  CAS  Google Scholar 

  6. Soriani S, Feggi L, Battistella PA, et al.: Interictal and ictal phase study with Tc 99m HMPAO brain SPECT in juvenile migraine with aura. Headache 1997, 37:31–36.

    Article  PubMed  CAS  Google Scholar 

  7. Mishima K, Takeshima T, Shimomura T, et al.: Platelet ionized magnesium, cyclic AMP, and cyclic GMP levels in migraine and tension-type headache. Headache 1997, 37:561–564.

    Article  PubMed  CAS  Google Scholar 

  8. Facchinetti F, Sances G, Borella P, et al.: Magnesium prophylaxis of menstrual migraine: effects on intracellular magnesium. Headache 1991, 31:298–301.

    Article  PubMed  CAS  Google Scholar 

  9. Peikert A, Wilimzig C, Kohne-Volland R: Prophylaxis of migraine with oral magnesium: results from a prospective, multicenter, placebo-controlled and double-blind randomized study. Cephalalgia 1996, 16:257–263.

    Article  PubMed  CAS  Google Scholar 

  10. Pfaffenrath V, Wessely P, Meyer C, et al.: Magnesium in the prophylaxis of migraine: a double-blind, placebocontrolled study. Cephalalgia 1996, 16:436–440.

    Article  PubMed  CAS  Google Scholar 

  11. Wang F, vandenEeden S, Ackerson L, et al.: Oral magnesium oxide prophylaxis of frequent childhood migraine [abstract]. Cephalalgia 2000, 20:424.

    Article  CAS  Google Scholar 

  12. Mauskop A: Alternative therapies in headache: is there a role? Med Clin North Am 2001, 85:1077–1084.

    Article  PubMed  CAS  Google Scholar 

  13. Mauskop A, Altura BT, Cracco RQ, Altura BM: Intravenous magnesium sulfate relieves acute migraine in patients with low serum ionized magnesium levels [abstract]. Neurology 1995, 45:A379.

    Google Scholar 

  14. Silberstein SD: Practice parameter: evidence-based guidelines for migraine headache (an evidence-based review). Report of the Quality Standards Subcommittee of the American Academy of Neurology for the United States Headache Consortium. Neurology 2000, 55:754–762. Evidence-based reviews and recommendations for treatment by a multidisciplinary group (neurologists, family practitioners, emergency medicine, and internal medicine).

    PubMed  CAS  Google Scholar 

  15. Rozen TD, Oshinsky ML, Gebeline CA, et al.: Openlabel trial of high-dose Coenzyme Q10 as a migraine preventive [abstract]. Cephalalgia 2001, 21:380–381.

    Article  Google Scholar 

  16. vandeKuy PH, Merkus FW, Lohman JJ, et al.: Hydrooxocobalamin, a nitric oxide scavenger, in the prophylaxis of migraine: an open, pilot study. Cephalalgia 2002, 22:513–519.

    Article  Google Scholar 

  17. Kopjas TL: The use of folic acid in vascular headache of the migraine type. Headache 1969, 8:167–170.

    Article  PubMed  CAS  Google Scholar 

  18. Bernstein AL: Vitamin B6 in clinical neurology. Ann N Y Acad Sci 1990, 585:250–260.

    Article  PubMed  CAS  Google Scholar 

  19. Sharieff GQ, Hanten K: Pseudotumor cerebri and hypercalcemia resulting from vitamin A toxicity. Ann Emerg Med 1996, 27:518–521.

    Article  PubMed  CAS  Google Scholar 

  20. Friedland S, Burde RM: Chronic headaches due to Vitamin A abuse. J Neuroophthalmol 1996, 16:72.

    PubMed  CAS  Google Scholar 

  21. Cox NH: Vitamin E for dapsone-induced headache. Br J Dermatol 2002, 146:174.

    PubMed  CAS  Google Scholar 

  22. Gatto C, Caleri D, Michelacci S, Sicuteri F: Analgesizing effect of methyl donor S-adenosylmethionine in migraine: an open clinical trial. Int J Clin Pharmacol Res 1986, 6:15–17.

    PubMed  CAS  Google Scholar 

  23. Gobel H, Schmidt G, Soyka D: Effect of peppermint and eucalyptus oil preparations on neurophysiological and experimental algesimetric headache parameters. Cephalalgia 1994, 14:228–234. An important, interesting, and useful study of an underrecommended treatment.

    Article  PubMed  CAS  Google Scholar 

  24. Pittler MH, Vogler BK, Ernst E: Feverfew for preventing migraine. Cochrane Database Syst Rev 2000, 3:CD002286.

    PubMed  Google Scholar 

  25. Pfaffenrath V, Diener HC, Fischer M, et al.: The efficacy and safety of Tanacetum parthenium (Feverfew) in migraine prophylaxis: a double-blind, multicenter, randomized, placebo-controlled, dose-response study. Cephalalgia 2002, 22:523–532.

    Article  PubMed  CAS  Google Scholar 

  26. Grossmann M, Schmidramsl H: An extract of Petasites hybridus is effective in the prophylaxis of migraine. Int J Clin Pharmacol Therapeut 2000, 38:430–435.

    CAS  Google Scholar 

  27. Mustafa T, Srivastava KC: Ginger (Zingiber officinale) in migraine headache. J Ethnopharmacol 1990, 29:267–273.

    Article  PubMed  CAS  Google Scholar 

  28. Ernst E, Pittler MH: Efficacy of ginger for nausea and vomiting: a systemic review of randomized clinical trials. Br J Anaesth 2000, 84:367–371.

    PubMed  CAS  Google Scholar 

  29. Russo E: Cannabis for migraine treatment: the once and future prescription? An historical and scientific review. Pain 1998, 76:3–8. This is a thorough, historical, scientific review of cannabis use for migraine. The author has a pro-use perspective, but manages to maintain objectivity.

    Article  PubMed  CAS  Google Scholar 

  30. Haller CA, Benowitz NL: Adverse cardiovascular and central nervous system events associated with dietary supplements containing ephedra alkaloids. N Engl J Med 2000, 343:1833–1838.

    Article  PubMed  CAS  Google Scholar 

  31. Pittler MH, Ernst E: Kava extract for treating anxiety. Cochrane Database Syst Rev 2001, 4:CD003383.

    PubMed  Google Scholar 

  32. Bilia AR, Gallon S, Vincieri FF: Kava-Kava and anxiety: growing knowledge about the efficacy and safety. Life Sci 2002, 70:2581–2597.

    Article  PubMed  CAS  Google Scholar 

  33. Hannerz J: Symptoms and diseases and smoking habits in female episodic cluster headache and migraine patients. Cephalalgia 1997, 17:499–500.

    Article  PubMed  CAS  Google Scholar 

  34. Baldrati A, Bini L, D’Alessandro R, et al.: Analysis of outcome predictors of migraine towards chronicity. Cephalalgia 1985, 5(suppl):195–199.

    PubMed  Google Scholar 

  35. Levi R, Edman GV, Ekbom K, Waldenlind E: Episodic cluster headache, II: high tobacco and alcohol consumption in males. Headache 1992, 32:184–187.

    Article  PubMed  CAS  Google Scholar 

  36. Penarrocha M, Bagan JV, Penarrocha MA, Silvestre FJ: Cluster headache and cocaine use. Oral Surg Oral Med Oral Pathol Radiol Endod 2000, 90:271–274.

    Article  CAS  Google Scholar 

  37. Costa A, Pucci E, Antonaci F, et al.: The effect of intranasal cocaine and lidocaine on nitroglycerin induced attacks in cluster headache. Cephalalgia 2000, 20:85–91.

    Article  PubMed  CAS  Google Scholar 

  38. Dhuna A, Pascual-Leone A, Belgrade M: Cocaine-related vascular headaches. Proceedings from the 42nd Annual Meeting of the American Academy of Neurology. Miami, FL; April 20 to May 9, 1990.

  39. Zanchin G, Maggioni F, Granella F, et al.: Self-administered pain-relieving maneuvers in primary headaches. Cephalalgia 2001, 21:718–726.

    Article  PubMed  CAS  Google Scholar 

  40. Jensen OK, Nielsen FF, Vosmar L: An open study comparing manual therapy with the use of cold packs in the treatment of posttraumatic headache. Cephalalgia 1990, 10:241–250.

    Article  PubMed  CAS  Google Scholar 

  41. Quinn C, Chandler C, Moraska A: Massage therapy and frequency of chronic tension headaches. Am J Public Hlth 2002, 92:1657–1661.

    Article  Google Scholar 

  42. Lundberg T: Acupuncture in headache. Cephalalgia 1999, 19(suppl):65–68.

    Google Scholar 

  43. Carlsson J, Augustinsson LE, Blomstrand C, Sullivan M: Health status in patients treated with acupuncture or physiotherapy. Headache 1990, 30:593–599.

    Article  PubMed  CAS  Google Scholar 

  44. White AR, Resch KL, Chan JC, et al.: Acupuncture for episodic tension-type headache: a multicenter randomized controlled trial. Cephalalgia 2000, 20:632–637.

    Article  PubMed  CAS  Google Scholar 

  45. Karst M, Reinhard M, Thum P, et al.: Needle acupuncture in tension-type headache: a randomized, placebocontrolled study. Cephalalgia 2001, 21:637–642.

    Article  PubMed  CAS  Google Scholar 

  46. Lemstra M, Stewart B, Olszynski WP: Effectiveness of multidisciplinary intervention in the treatment of migraine: a randomized clinical trial. Headache 2002, 42:845–854.

    Article  PubMed  Google Scholar 

  47. Boline PD, Kassak K, Bronfort G, et al.: Spinal manipulation vs amitriptyline for the treatment of chronic tension-type headache: randomized clinical trial. J Manipulative Physiol Ther 1995, 18:148–154.

    PubMed  CAS  Google Scholar 

  48. Nilsson N, Christensen HW, Hartrigsen J: The effect of spinal manipulation in the treatment of cervicogenic headache. J Manipulative Physiol Ther 1997, 20:326–330.

    PubMed  CAS  Google Scholar 

  49. Goslin RE, Gray RN, McCrory DC, et al.: Behavioral and Physical Treatments for Migraine Headache. Rockville, MD: The Agency for Health Care Policy and Research; 1999.

    Google Scholar 

  50. Tzourio C, Benslamia L, Guillon B, et al.: Migraine and the risk of cervical artery dissection: a case-control study. Neurology 2002, 59:435–437.

    PubMed  CAS  Google Scholar 

  51. Alfano AP, Taylor AG, Foresman PA, et al.: Static magnetic fields for treatment of fibromyalgia: a randomized controlled trial. J Altern Complementary Med 2001, 7:53–64.

    Article  CAS  Google Scholar 

  52. Brighina F, Piazza A, Fierro B: Can high-frequency repetitive transcranial magnetic stimulation (HF-rTMS) of the left dorsolateral prefrontal cortex (DLPFC) ameliorate chronic refractor migraine [abstract]? Cephalalgia 2002, 22:609.

    Google Scholar 

  53. Vijayan N: Headband for migraine headache relief. Headache 1993, 33:40–42.

    Article  PubMed  CAS  Google Scholar 

  54. Pryse-Phillips WE, Dodick DW, Edmeads JG, et al.: Guidelines for the nonpharmacologic management of migraine in clinical practice. Can Med Assoc J 1998, 159:47–54.

    CAS  Google Scholar 

  55. Turk DC, Nash DM: Mind Body Medicine. New York: Consumer Reports Books; 1993.

    Google Scholar 

  56. Astin JA, Harkness E, Ernst E: The efficacy of distant healing: a systematic review of randomized trials. Ann Intern Med 2000, 132:903–910.

    PubMed  CAS  Google Scholar 

  57. Anderson JA, Bastian MA, Dalton R: Migraine and hypnotherapy. Int J Exp Clin Hypn 1975, 23:48–58.

    Article  CAS  Google Scholar 

  58. Elabdi M: Therapeutic touch: registered nurses are finding positive benefits from this complementary form of healing. AARN News Ltr 1997, 53:18–19.

    CAS  Google Scholar 

  59. Keller E, Bzdek VM: Effects of therapeutic touch on tension headache pain. Nurs Res 1986, 35:101–106.

    PubMed  CAS  Google Scholar 

  60. Mauskop A, Abrams BM: The Headache Alternative. New York: Dell Trade Paperback; 1997.

    Google Scholar 

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Young, W.B., Pozo-Rosich, P. & Paolone, M.F. Alternative therapies for headache. Curr Treat Options Neurol 5, 441–453 (2003). https://doi.org/10.1007/s11940-996-0013-y

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