Doctors have reported tremendous success with acupuncture treatment of migraine headaches. In contrast to drugs, acupuncture treatment seems to be very effective in preventing the attacks from ever occurring or rendering them much less severe when they do hit.

Acupuncture research in Denmark

Researchers in Denmark recently demonstrated that acupuncture offers significant benefits for migraine sufferers. The researchers monitored 85 patients with a history of migraine in a randomised, double-blind study in which acupuncture treatment (dry needling to acupoints in the neck) was compared to the drug metoprolol in the prevention of migraine attacks. All of the patients, investigators and statisticians were blinded as to treatment, and the therapist was blinded as to results.

The study took place at an outpatient pain clinic in the northern Copenhagen area and the patients who participated in the study were either referred by their general practitioners or had responded to newspaper advertisements. Certain patients were excluded from the study; those who were pregnant or had previous experience with acupuncture or beta-blocking agents, those with chronic pain syndromes, and those with known contraindications to treatment with beta blockers. The patients were then allocated to one of two groups: the first group were given a 17-week regimen with acupuncture and placebo tablets and the second group were given placebo acupuncture stimulation and 100 mg of metoprolol daily.

The results revealed that both groups exhibited significant reduction in frequency of migraine attacks and there was no difference found between the two groups of patients in the average frequency or duration of migraine attacks. However the severity of the attacks was found to be lower in the metoprolol group but this was also accompanied by a range of adverse side effects. The researchers therefore concluded that acupuncture offers " a valuable supplement to the list of migraine prophylactic tools" being equipotent to metoprolol in the influence on frequency and duration (but not severity) of attacks, and superior in terms of negative side-effects.

There is no doubt that this study provides additional weight to the argument that acupuncture should be more fully integrated into western medicine, at the very least as a complementary tool for pain control. However it should be noted that the study, like many others, attempts to define acupuncture treatment in western medical terms, with standardised treatment being administered to every patient in the treatment group without consideration to the specific needs of the individual patient or the more complex systems and meridians (flows of energy) upon which oriental medicine is based. It would be more helpful and certainly increase our understanding of the true benefits of acupuncture treatment if researchers would give thought to the oriental approach to medicine when devising research studies and allow qualified acupuncturists the opportunity to treat each indivdual according to their diagnoses. As in all other forms of holistic therapies, treatment cannot be standardised for every patient because the cause of the problem may differ in each individual case.

Hesse J; Mogelvang B; Simonsen H. Acupuncture versus metoprolol in migraine prophylaxis: a randomized trial of trigger point inactivation. Pain Clinic and Medical Department, Skodsborg Sanatorium, Denmark. Journal of International Medicine (ENGLAND) May 1994, 235 (5) p451-6