Non-Pharmacological Treatment for Chronic Migraine

被引:4
|
作者
Han, Xun [1 ]
Yu, Shengyuan [1 ]
机构
[1] Chinese Peoples Liberat Army Gen Hosp, Dept Neurosurg, Med Ctr 1, 28 Fuxing Rd, Beijing 100853, Peoples R China
关键词
Chronic migraine; Non-pharmacological treatment; Neuromodulation; TRANSCRANIAL MAGNETIC STIMULATION; VAGUS NERVE-STIMULATION; HIGH-RATE RTMS; PRIMARY MOTOR; PREVENTION; HEADACHE; TRIAL; ACUPUNCTURE; MEDICATIONS; INJECTION;
D O I
10.1007/s11916-023-01162-x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose of ReviewChronic migraine (CM) affects a large proportion of the population and is a significant source of disability and lost productivity. Numerous non-pharmacological approaches have been attempted during the past decades. This review discusses the most recent and evidence-based advances in acute and preventive non-pharmacological therapeutic approaches for CM, offering alternatives to drug treatment.Recent FindingsA growing number of non-pharmacological treatment options, including non-invasive or invasive neuromodulation, acupuncture, psychotherapy, and physiotherapy, have shown promising efficacy in CM. There is strong evidence for the effectiveness of non-invasive neuromodulation such as transcranial magnetic stimulation, transcranial direct current stimulation, and transcutaneous electrical nerve stimulation (TENS) in CM, but less evidence for approaches such as invasive neuromodulation, physical therapy, or dietary approaches. Acupuncture for migraine remains controversial, with the main point of contention still being the placebo effect.SummaryNon-pharmacological approaches can be offered as a reliable alternative for patients with CM, and more research is being done to evaluate the efficacy of non-invasive neuromodulation with different parameters and the combination of different treatments in CM.
引用
收藏
页码:663 / 672
页数:10
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