Are alternative or nonmedication treatments effective for episodic migraine prevention

Are alternative or nonmedication treatments effective for episodic migraine prevention

Relaxation training, thermal biofeedback combined with relaxation training, electromyographic biofeedback, and cognitive behavioral therapy have grade A evidence for prevention of migraine.

Acupuncture may be helpful.

The evidence is inconclusive for spinal manipulation. 

Regular aerobic exercise may be helpful.

Weight loss may help to reduce the frequency of migraines in overweight patients.

Treatment of insomnia and obstructive sleep apnea may also be helpful.

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