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2018 ; 15
(2
): 336-345
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Non-Pharmacological Approaches for Migraine
#MMPMID29616493
Puledda F
; Shields K
Neurotherapeutics
2018[Apr]; 15
(2
): 336-345
PMID29616493
show ga
Migraine is one of the most common and debilitating neurological disorders.
However, the efficacy of pharmacological therapies may have unsatisfactory
efficacy and can be poorly tolerated. There is a strong need in clinical practice
for alternative approaches for both acute and preventive treatment. Occasionally,
this need might arise in the context of low-frequency migraneurs who are not keen
to use medication or fear the potential side effects. At the opposite end of the
spectrum, clinicians might be faced with patients who have proven refractory to
numerous medications. These patients may benefit from invasive treatment
strategies. In recent years, promising strategies for migraine therapy have
emerged alongside a progressively better understanding of the complex
pathophysiology underlying this disease. This review discusses the most recent
and evidence-based advances in non-pharmacological therapeutic approaches for
migraine, offering alternatives to drug treatment for both the commonly
encountered episodic cases as well as the more complex migraine phenotypes, which
are capable of challenging even the headache specialist.
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