Acupuncture and headaches- does it work?

Migraines are a highly prevalent neurological condition that can significantly impair quality of life for many. They include symptoms such as severe headache often behind one eye along often with an aura that may include flashing lights, blind spots, blurry vision or other visual impairments. This 2023 study systematically reviewed randomized controlled trials (RCTs) to assess the durable effect of acupuncture in adults with episodic migraines- these are migraine attacks occurring intermittently but not chronically.
Methods
- The researchers included 15 RCTs encompassing 3,035 participants.
- Acupuncture interventions were compared against:
- Sham acupuncture (placebo control)
- No treatment or waitlist control
- Pharmacological migraine prophylaxis (e.g., flunarizine, metoprolol)
- Outcomes assessed 3 months post-treatment included:
- Number of migraine days per month
- Number of migraine attacks per month
- Pain intensity, measured using the Visual Analog Scale (VAS)
Findings
- Acupuncture vs. sham: Acupuncture significantly reduced both migraine frequency and migraine days at 3 months post-treatment.
- Acupuncture vs. no treatment: Acupuncture showed a clear benefit in reducing migraine frequency and intensity compared to the waitlist.
- Acupuncture vs. preventive medication: Acupuncture performed comparably to pharmacologic prophylaxis, with some measures favoring acupuncture.
- Adverse events were generally mild (e.g., minor bruising or localized pain at needle insertion sites). No serious adverse events were reported.
Should you try it?
- Acupuncture appears to provide a sustained therapeutic effect for episodic migraine that persists at least three months after the treatment period.
- This finding is clinically relevant because conventional preventive medications typically lose efficacy once discontinued.
- However, evidence beyond three months is limited, making long-term durability uncertain.
Questions?
If you would like to try acupuncture, feel free to let us know or book online HERE. Physio Sayaka offers it at the clinic if you would like to discuss more before booking!





