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Yoga for Migraine Prevention: An Ancient Practice with Evidence for Current Use

  • Non-pharmacologic Aspects of Pain, Migraine, and Headache (D Buse, Section Editor)
  • Published:
Current Pain and Headache Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

The objective of this study is to review the recent literature on yoga for migraine prevention either as adjuvant or standalone therapy. Yoga is one of the most widely used complementary and integrative medicine (CIM) therapies; clinicians should be familiar with yoga practice so that they can best advise interested patients. It is also important to assess study design and types of yoga offered. Using PubMed and Litmaps, research published from 2018 to 2023 addressing yoga and migraine was assessed.

Recent Findings

Two systematic reviews and six studies have recently been published on yoga as adjunctive migraine preventive treatment.

Summary

There is class III evidence and a grade B recommendation for yoga as an adjunct migraine preventive treatment. Yoga has been shown to reduce headache frequency, disability, and likely also pain intensity and self-efficacy. Two studies (one in children and one in adults) suggested that yoga as standalone migraine preventive treatment reduces pain intensity, disability, and perceived stress. More research is needed on the long-term efficacy (including change in monthly migraine days specifically in addition to headache frequency) and adherence to yoga practice for the prevention of migraine. In addition, to our knowledge, there is no study evaluating yoga practice in the prodromal or headache phase of migraine as acute treatment.

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Data Availability

No datasets were generated or analyzed during the current study.

References

  1. Wells RE, Bertisch SM, Buettner C, Phillips RS, McCarthy EP. Complementary and alternative medicine use among adults with migraines/severe headaches. Headache. 2011;51(7):1087–97.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Dennis A, Matthew LJ, Yan Z, Holger C. Predictors of headache/migraine and the use of complementary medicine in US children: a population-based analysis of 2017 National Health Interview Survey Data. J Integr Complement Med. 2022;28(1):60–6.

    Article  PubMed  Google Scholar 

  3. Clarke T, Barnes P, Black L, Stussman BJ. Use of yoga, meditation, and chiropractors among U.S. adults aged 18 and over. National Center for Health Statistics [Internet]. 2018 [cited 2023 Nov 22];325. Available from: https://www.cdc.gov/nchs/data/databriefs/db325-h.pdf

  4. Patwardhan AR. Yoga research and public health. J Prim Care Community Health. 2017;8(1):31–6.

    Article  MathSciNet  PubMed  Google Scholar 

  5. Galantino, M, Musser J. Yoga. In: Complementary therapies for physical therapy: a clinical decision-making approach. p. 121–37.

  6. Cramer H, Krucoff C, Dobos G. Adverse events associated with yoga: a systematic review of published case reports and case series. PLoS ONE. 2013;8(10): e75515.

    Article  ADS  CAS  PubMed  PubMed Central  Google Scholar 

  7. Audette J, Bailey A. Chap 23. Body-oriented/manual therapies. In: Complementary and alternative medicine and the athlete. p. 317.

  8. National Center for Complementary and Integrative Health NCCIH [Internet]. 2023 [cited 2023 Nov 29]. Yoga: what you need to know. Available from: https://www.nccih.nih.gov/health/yoga-what-you-need-to-know

  9. Fishman L, Saltonstall E, Genis S. Understanding and preventing yoga injuries. Int J Yoga Therap. 2009;19:47–54.

    Article  Google Scholar 

  10. Kumar A, Bhatia R, Sharma G, Dhanlika D, Vishnubhatla S, Singh RK, et al. Effect of yoga as add-on therapy in migraine (CONTAIN): a randomized clinical trial. Neurology. 2020;94(21):e2203–12.

    Article  CAS  PubMed  Google Scholar 

  11. Reed SD, Guthrie KA, Newton KM, Anderson GL, Booth-LaForce C, Caan B, et al. Menopausal quality of life: RCT of yoga, exercise, and omega-3 supplements. Am J Obstet Gynecol. 2014;210(3):244.e1-11.

    Article  CAS  PubMed  Google Scholar 

  12. Lauritsen CG, Chua AL, Nahas SJ. Current treatment options: headache related to menopause-diagnosis and management. Curr Treat Options Neurol. 2018;20(4):7.

    Article  PubMed  Google Scholar 

  13. Brunner D, Abramovitch A, Etherton J. A yoga program for cognitive enhancement. PLoS One. 2017;12(8): e0182366.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Gothe NP, McAuley E. Yoga and cognition: a meta-analysis of chronic and acute effects. Psychosom Med. 2015;77(7):784–97.

    Article  PubMed  Google Scholar 

  15. Wu Y, Yan D, Yang J. Effectiveness of yoga for major depressive disorder: a systematic review and meta-analysis. Front Psychiatry. 2023;23(14):1138205.

    Article  Google Scholar 

  16. Batrakoulis A. Psychophysiological adaptations to yoga practice in overweight and obese individuals: a topical review. Diseases. 2022;10(4):107.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Wieland LS, Skoetz N, Pilkington K, Harbin S, Vempati R, Berman BM. Yoga for chronic non-specific low back pain. Cochrane Database Syst Rev. 2022;2022(11):CD010671.

  18. Li Y, Li S, Jiang J, Yuan S. Effects of yoga on patients with chronic nonspecific neck pain: a PRISMA systematic review and meta-analysis. Medicine (Baltimore). 2019;98(8): e14649.

    Article  PubMed  Google Scholar 

  19. Cramer H, Lauche R, Anheyer D, Pilkington K, de Manincor M, Dobos G, et al. Yoga for anxiety: a systematic review and meta-analysis of randomized controlled trials. Depress Anxiety. 2018;35(9):830–43.

    Article  PubMed  Google Scholar 

  20. Seng EK, Gosnell I, Sutton L, Grinberg AS. Behavioral management of episodic migraine: maintaining a healthy consistent lifestyle. Curr Pain Headache Rep. 2022;26(3):247–52.

    Article  PubMed  Google Scholar 

  21. Varkey E, GrünerSveälv B, Edin F, Ravn-Fischer A, Cider Å. Provocation of migraine after maximal exercise: a test-retest study. Eur Neurol. 2017;78(1–2):22–7.

    Article  PubMed  Google Scholar 

  22. Nourollahimoghadam E, Gorji S, Gorji A, Khaleghi GM. Therapeutic role of yoga in neuropsychological disorders. World J Psychiatry. 2021;11(10):754–73.

    Article  PubMed  PubMed Central  Google Scholar 

  23. John PJ, Sharma N, Sharma CM, Kankane A. Effectiveness of yoga therapy in the treatment of migraine without aura: a randomized controlled trial. Headache. 2007;47(5):654–61.

    Article  CAS  PubMed  Google Scholar 

  24. Kisan R, Sujan M, Adoor M, Rao R, Nalini A, Kutty BM, et al. Effect of yoga on migraine: a comprehensive study using clinical profile and cardiac autonomic functions. Int J Yoga. 2014;7(2):126–32.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Gulati K, Bhargav PH, Reddy PV, Govindaraj R, Ravindran A, Gayathri D, et al. Adjunct yoga therapy: influence on heart rate variability in major depressive disorder - a randomized controlled trial. Asian J Psychiatr. 2021;65: 102832.

    Article  PubMed  Google Scholar 

  26. Boroujeni MZ, Marandi SM, Esfarjani F, Sattar M, Shaygannejad V, Javanmard SH. Yoga intervention on blood NO in female migraineurs. Adv Biomed Res. 2015;4:259.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Narin SO, Pinar L, Erbas D, Oztürk V, Idiman F. The effects of exercise and exercise-related changes in blood nitric oxide level on migraine headache. Clin Rehabil. 2003;17(6):624–30.

    Article  PubMed  Google Scholar 

  28. Bhatia R, Dureja GP, Tripathi M, Bhattacharjee M, Bijlani RL, Mathur R. Role of temporalis muscle over activity in chronic tension type headache: effect of yoga based management. Indian J Physiol Pharmacol. 2007;51(4):333–44.

    CAS  PubMed  Google Scholar 

  29. Lou HC, Nowak M, Kjaer TW. The mental self. Prog Brain Res. 2005;150:197–204.

    Article  PubMed  Google Scholar 

  30. Vishnubhotla RV, Radhakrishnan R, Kveraga K, Deardorff R, Ram C, Pawale D, et al. Advanced meditation alters resting-state brain network connectivity correlating with improved mindfulness. Front Psychol. 2021;12: 745344.

    Article  PubMed  PubMed Central  Google Scholar 

  31. van Aalst J, Ceccarini J, Demyttenaere K, Sunaert S, Van Laere K. What has neuroimaging taught us on the neurobiology of yoga? A review Front Integr Neurosci. 2020;14:34.

    Article  PubMed  Google Scholar 

  32. Gothe NP, Hayes JM, Temali C, Damoiseaux JS. Differences in brain structure and function among yoga practitioners and controls. Front Integr Neurosci. 2018;12:26.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Desai R, Tailor A, Bhatt T. Effects of yoga on brain waves and structural activation: a review. Complement Ther Clin Pract. 2015;21(2):112–8.

    Article  PubMed  Google Scholar 

  34. Streeter CC, Whitfield TH, Owen L, Rein T, Karri SK, Yakhkind A, et al. Effects of yoga versus walking on mood, anxiety, and brain GABA levels: a randomized controlled MRS study. J Altern Complement Med. 2010;16(11):1145–52.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Kjaer TW, Bertelsen C, Piccini P, Brooks D, Alving J, Lou HC. Increased dopamine tone during meditation-induced change of consciousness. Brain Res Cogn Brain Res. 2002;13(2):255–9.

    Article  CAS  PubMed  Google Scholar 

  36. Kumari S, Dhar M, Pathania M, Kumar N, Kulshrestha P, Singh A. Yoga as an adjuvant therapy in management of migraine- an open label randomised trial. J Family Med Prim Care. 2022;11(9):5410–6.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Reddy G, Sharma K. Effect of yoga postures in children with migraine headache. Int J Yoga Allied Sci. 2020;9(1):21–5.

    Google Scholar 

  38. Nayak A, Fiaz S. A randomized clinical trial on the efficacy of siravedhana and Kumkumadi Ghrita Nasya along with Chandrakanta Rasa orally in Ardhavabehdaka w s r to migraine. Int Res J Ayurveda Yoga. 2022;5(2).

  39. Wells RE, Beuthin J, Granetzke L. Complementary and integrative medicine for episodic migraine: an update of evidence from the last 3 years. Curr Pain Headache Rep. 2019;23(2):10.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Mehta JN, Parikh S, Desai SD, Solanki RC, G Pathak A. Study of additive effect of yoga and physical therapies to standard pharmacologic treatment in migraine. J Neurosci Rural Pract. 2021;12(1):60–6.

  41. Vasudha MS, Manjunath NK, Nagendra HR. Changes in MIDAS, perceived stress, frontalis muscle activity and non-steroidal anti-inflammatory drugs usage in patients with migraine headache without aura following ayurveda and yoga compared to controls: an open labeled non-randomized study. Ann Neurosci. 2018;25(4):250–60.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Matko K, Burzynski M, Pilhatsch M, Brinkhaus B, Michalsen A, Bringmann HC. How does meditation-based lifestyle modification affect pain intensity, pain self-efficacy, and quality of life in chronic pain patients? An experimental single-case study. J Clin Med. 2023;12(11):3778.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Wu Q, Liu P, Liao C, Tan L. Effectiveness of yoga therapy for migraine: a meta-analysis of randomized controlled studies. J Clin Neurosci. 2022;99:147–51.

    Article  PubMed  Google Scholar 

  44. Long C, Ye J, Chen M, Gao D, Huang Q. Effectiveness of yoga therapy for migraine treatment: a meta-analysis of randomized controlled studies. Am J Emerg Med. 2022;58:95–9.

    Article  PubMed  Google Scholar 

  45. Wells RE, O’Connell N, Pierce CR, Estave P, Penzien DB, Loder E, et al. Effectiveness of mindfulness meditation vs headache education for adults with migraine: a randomized clinical trial. JAMA Intern Med. 2021;181(3):317–28.

    Article  PubMed  Google Scholar 

  46. Ramaswamy KA, Shetty S, Shetty P. Visual respiratory biofeedback to improve visuospatial cognition and cardiac interoception in migraineurs: a study protocol for a randomized controlled trial. Front Neurol. 2023;14:1197026.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Park CL, Groessl E, Maiya M, Sarkin A, Eisen SV, Riley K, et al. Comparison groups in yoga research: a systematic review and critical evaluation of the literature. Complement Ther Med. 2014;22(5):920–9.

    Article  PubMed  PubMed Central  Google Scholar 

  48. La Touche R, Fierro-Marrero J, Sánchez-Ruíz I, Rodríguez de Rivera-Romero B, Cabrera-López CD, Lerma-Lara S, et al. Prescription of therapeutic exercise in migraine, an evidence-based clinical practice guideline. J Headache Pain. 20237;24(1):68.

  49. Reina-Varona Á, Madroñero-Miguel B, Gaul C, Hall T, Oliveira AB, Bond DS, et al. Therapeutic exercise parameters, considerations, and recommendations for migraine treatment: an international Delphi study. Phys Ther. 2023;103(10):pzad080.

  50. Woldeamanuel YW, Oliveira ABD. What is the efficacy of aerobic exercise versus strength training in the treatment of migraine? A systematic review and network meta-analysis of clinical trials. J Headache Pain. 2022;23(1):134.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Woodyard C. Exploring the therapeutic effects of yoga and its ability to increase quality of life. Int J Yoga. 2011;4(2):49–54.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Azeez AM, Puri GD, Samra T, Singh M. Effect of short-term yoga-based-breathing on peri-operative anxiety in patients undergoing cardiac surgery. Int J Yoga. 2021;14(2):163–7.

    Article  PubMed  PubMed Central  Google Scholar 

  53. Yoga for doctors: a pathway to enhanced well-being and professional efficiency - AAYM [Internet]. 2023 [cited 2023 Nov 29]. Available from: https://aaymonline.org/yoga-for-doctors-a-pathway-to-enhanced-well-being-and-professional-efficiency/

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OB and CB wrote the manuscript text.

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Correspondence to Olivia Begasse de Dhaem.

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Begasse de Dhaem, O., Bernstein, C. Yoga for Migraine Prevention: An Ancient Practice with Evidence for Current Use. Curr Pain Headache Rep (2024). https://doi.org/10.1007/s11916-024-01234-6

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