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Complementary and Integrative Health Treatments for Migraine

Patel, Palak S. MD; Minen, Mia T. MD, MPH

Section Editor(s): B. Digre, Kathleen MD; I. Friedman, Deborah MD, MPH

doi: 10.1097/WNO.0000000000000841
Disease of the Year: Migraine

Background: Migraine is a chronic disabling neurologic condition that can be treated with a combination of both pharmacologic and complementary and integrative health options.

Evidence Acquisition: With the growing interest in the US population in the use of nonpharmacologic treatments, we reviewed the evidence for supplements and behavioral interventions used for migraine prevention.

Results: Supplements reviewed included vitamins, minerals, and certain herbal preparations. Behavioral interventions reviewed included cognitive behavioral therapy, biofeedback, relaxation, the third-wave therapies, acupuncture, hypnosis, and aerobic exercise.

Conclusions: This article should provide an appreciation for the wide range of nonpharmacologic therapies that might be offered to patients in place of or in addition to migraine-preventive medications.

Departments of Neurology (PSP, MTM) and Population Health (MTM), NYU Langone Health, New York, New York.

Address correspondence to Mia T. Minen, MD, MPH, Department of Neurology, NYU Langone Health, 222 East, 41st Street, 9th Floor, New York, NY 10017; E-mail:

M. T. Minen has funding from NCCIH K 23 AT009706-01.

The author reports no conflicts of interest.

© 2019 by North American Neuro-Ophthalmology Society