Research Summary: Stress Reduction for Migraine Management

Guidelines for migraine management include non-pharmacological preventive treatments like mindfulness-based stress reduction (MBSR+) and stress management for headache (SMH). The journal PAIN® recently published "Enhanced mindfulness-based stress reduction in episodic migraine: a randomized clinical trial with magnetic resonance imaging outcomes." This study evaluated the efficacy of enhanced MBSR+ compared to SMH on clinical and imaging outcomes in episodic migraine. The primary clinical outcome was a reduction in headache frequency from baseline to 20 weeks. MRI showed alteration in structure and function of brain areas and networks involved in cognitive efficiency. Background Migraine is a severe neurological disorder caused by acute...

Sensory Hypersensitivity Symptoms in Migraine with vs Without Aura

Migraine with aura is associated with more severe photophobia than migraine without aura. A cross-sectional observational study published in Headache® investigated whether migraine with aura (MwA) is associated with greater hypersensitivity symptoms of photophobia, phonophobia, and cutaneous allodynia (pain elicited by normally non-painful stimuli) compared to migraine without aura (MwoA). Talia A. Pearl, a medical student at the Washington University School of Medicine in St. Louis and an author on the paper, explained the study hypothesis was that “migraine with aura would be associated with greater symptoms of photophobia.” She noted that prior studies have demonstrated “migraine with aura is...

Research Summary: Digital Cognitive Behavioral Therapy for Insomnia, Chronic Migraine 

Insomnia commonly co-occurs with chronic migraine (CM). Cognitive behavioral therapy for insomnia (CBT-I) is a first line therapy for insomnia we recommend over pharmacological options. A study published in the journal Headache® evaluated digital cognitive behavioral therapy for insomnia (dCBT-I) for women with chronic migraine and insomnia. Study Results Out of 42 patients enrolled, 35 completed six sessions of digital cognitive behavioral therapy for insomnia (dCBT-I) within the 12-week period. There was no control or placebo group included. Of these who completed all 6 sessions of dCBT-I, 94.3% reported being satisfied or very satisfied with the digital treatment. We assessed...

Migraine with Aura

Approximately one-fourth of those with migraine experience aura, a sensory experience that occurs before or during an attack. It’s important to identify this type of migraine because those who have migraine with aura can potentially turn chronic, have a higher risk of stroke, and should have a different treatment plan. Our experts share how to identify and manage aura.

Download our Guide to Identifying Migraine with Aura

Migraine in Seniors

Many patients experience a reduction in migraine attacks in their later years, but this is not true for all patients. Managing migraine in elderly patients means factoring comorbidities, like high blood pressure and stroke risk, into a treatment plan. Our experts explain more age-related considerations that physicians should recognize in patients 65 years and older.

The American Headache Society is always adding new, expert-curated resources to our library. Please check back soon for more information on this topic.

Vestibular Migraine

The association between vestibular symptoms and migraine attacks has been long-recognized with 30-50% of those with migraine experiencing a sense of spinning, feeling off-balanced or dizziness. Leaders in headache medicine explain the relationship between vertigo and migraine as they cover vestibular migraine.

Pediatric Migraine

Approximately 10% of children experience migraine, but it often goes undiagnosed and untreated as symptoms present differently in children compared to adults. Leaders in headache medicine explain the signs, symptoms, treatment options, accommodations during school and avoiding chronic attacks for pediatric patients.

Comparing the Effectiveness of Acupuncture Treatment Versus Standard Medications Used for Prevention of Migraine

A new review gathers evidence for acupuncture’s effectiveness but also shows the need for a more standardized protocol Acupuncture is becoming a more widely available therapy for the prevention and treatment of migraine.  But its effectiveness is still in question in comparison to pharmacological treatments. This is despite few treatments having Class A and B evidence for migraine prevention. A new systematic review published in Headache® analyzes data from existing randomized trials that compare the effectiveness of acupuncture treatment with conventional migraine preventative medications. Data shows a correlation but also demonstrates a need for protocol standardization The authors found, out...

Diagnosing Migraine

With over 39 million people living with migraine and other severe headache disorders in the U.S., primary care physicians are often the first point of contact for patients. Practitioners will learn more about the burden of disease and epidemiology of headache disorders, as well as learn to identify common subtypes of migraine and other headache disorders.

Download our Guide to Diagnosing Migraine

Diagnosing Migraine – clone

With over 39 million people living with migraine and other severe headache disorders in the U.S., primary care physicians are often the first point of contact for patients. Practitioners will learn more about the burden of disease and epidemiology of headache disorders, as well as learn to identify common subtypes of migraine and other headache disorders.