PMID: 19935987Nov 26, 2009Paper

Efficacy of biofeedback in the treatment of migraine and tension type headaches

Pain Physician
William J MullallyRichard Goldstein

Abstract

Biofeedback is an established non-pharmacologic technique commonly used in the treatment of migraine and tension type headaches. Multiple published studies have suggested that biofeedback is effective in reducing the frequency and severity of headaches, often allowing patients to decrease their dependence on medication. Studies have also suggested that biofeedback may effect a decrease in medical utilization. Assess the efficacy of biofeedback in reducing the frequency and severity of migraine and tension type headaches. Randomized, prospective, single blind, single center controlled trial. Sixty-four patients with migraine with or without aura and/or tension type headaches, by ICHD-1 criteria, age 18 to 55, who had suffered from headaches for more than one year, were entered into the study. Patients were randomly assigned to receive biofeedback in addition to the basic relaxation instruction or relaxation techniques alone. All patients received instruction in pain theory. Biofeedback training consisted of 10 50-minute sessions utilizing standard EMG feedback from the frontalis and trapezius muscles and temperature from the third finger of the dominant hand. Visual and auditory feedback was provided. Thirty-three patients were ...Continue Reading

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