Evid Based Med 18:33-34 doi:10.1136/eb-2012-100723
  • Therapeutics
  • Randomised controlled trial

Acupuncture prophylaxis of migraine no better than sham acupuncture for decreasing frequency of headaches

  1. Hans-Christoph Diener
  1. Department of Neurology, University Hospital Essen, Essen, Germany
  1. Correspondence to: Hans-Christoph Diener
    Department of Neurology and Headache Center, University Hospital Essen, Hufelandstrasse 55, Essen 45147, Germany; h.diener{at}

Commentary on:


Migraine is a frequent and often disabling condition, in particular when migraine attacks occur frequently. Preventive therapy is recommended for patients with frequent attacks and related disability. Migraine prophylaxis can be performed with medications such as beta-blockers, flunarizine, amitriptyline and anti-epileptics such as valproic acid or topiramate.1 Non-drug treatment includes education, behavioural therapy and exercise. Acupuncture is popular in many Western countries for pain conditions including migraine. Many acupuncture trials have been performed in the past for migraine prophylaxis with conflicting results.2 In …