When it comes to migraine headaches, heavy workloads, emotional stress and rotating night shifts can create a perfect storm of triggers for healthcare professionals. Hence, it may be unsurprising that providers – particularly nurses – may have almost double the risk for developing migraines than the general population, according to a recent study published in the Journal of Headache and Pain.
Migraine headaches have been linked to career and financial instability and relationship upheavals. Based on a review by the Cochrane Collaboration and a recent statement from the American Headache Society, treatments can be imperfect, and effectiveness if associated with migraine pathophysiology and circumstantial confounders, such as age, gender or comorbidities.
The results of a randomized, controlled study published last week by the American Academy of Neurology support another accessible solution, specifically for episodic migraines: yoga.
An hour a day…
Previous studies suggest that yoga positively affects certain migraine measures, such as headache frequency or pain, but have not explored its role as a therapy alongside medication. In the current trial, 160 adult patients with episodic migraine were randomized to medical therapy alone (n=80) or add-on yoga (n=80). In the yoga group, a supervised, 60-minute yoga regimen was carried out three days each week for one month, followed by five days each of week of home regimen for two months. The method incorporated a pictorial yoga booklet and the ability to contact instructors for help. The findings showed:
- At three months, patients who added yoga to their medical regimen experienced significant reductions in headache frequency, intensity and mean Headache Impact Test (HIT).
- While improvements were seen in both groups, 12 percent (n=7) of patients that practiced yoga and took medication became headache-free at the end of three months versus none in the medical intervention alone group.
Wellness ‘on the go’
The study participants’ yoga routine was designed and verified by five reputed yoga centers. It comprised of breathing, meditation and a variety of yoga poses (asanas). Neuroimaging studies demonstrate that meditations and yoga asanas change various brain regions, such as the frontal cortex, hippocampus, anterior cingulate cortex and insula. And migraines themselves have been shown to alter connectivity within some of the same regions, reinforcing potential mechanisms for why adjunctive yoga practice might benefit migraine. Mindfulness and yoga have also been linked to stress reduction and overall improvements in wellness measures.
Additional studies are needed to tease out how yoga might boost medications to prevent episodic (or even chronic) migraines. Additionally, for busy HCPs, a one-hour daily yoga practice may be impractical. Fortunately, incorporating just five minutes a day may help reduce on-the-job stress, induce a relaxation response and perhaps help provide an extra oomph to keep migraines at bay.
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- The American Headache Society Position Statement On Integrating New Migraine Treatments Into Clinical Practice. Headache.
- Effect of Yoga as Add-On Therapy in Migraine (CONTAIN): A Randomized Clinical Trial. Neurology.
- Effectiveness of Yoga Therapy in the Treatment of Migraine Without Aura: A Randomized Controlled Trial. Headache.
- Effects of Yoga Interventions on Pain and Pain-Associated Disability: A Meta-Analysis. Journal of Pain.
- Yoga Effects on Brain Health: A Systematic Review of the Current Literature. Brain Plasticity.
- The pathophysiology of migraine: implications for clinical management. Lancet Neurology.
- Yoga, Mindfulness-Based Stress Reduction and Stress-Related Physiological Measures: A Meta-Analysis. Psychoneuroendocrinology.
- How to Use Yoga to Destress – Well Guides. The New York Times