Relaxation and biofeedback
Retrocontrol (biofeedback) is increasingly used and is based on the measurement of organic functions. The goal is to teach the patient to identify physiological variations in his body, such as pulse, skin temperature, muscle activity, then to control them to soothe them. Numerous publications conclude that biofeedback is effective in relieving migraines (Nestoriuc et al. 2007). Whether accompanied by relaxation or combined with behavioral treatment, the results indicate superior efficacy to the placebo group.
Medical hypnosis: a therapy
Medical hypnosis has often been studied in chronic pain and migraine (Michaux 2004). It intervenes on two axes: to allow the migraineur to control his emotions, which constitute powerful triggers of the crises, and when these settle, to allow him to modulate his pain to reduce its intensity. Several studies have shown the effectiveness of hypnosis in the management of chronic pain. Its effectiveness is essentially linked to the high production of endorphins which act as natural analgesics. After a more or less long apprenticeship, the patient can use self-hypnosis. By exercising regularly, he is able to relax his body and modulate his pain on his own.
Osteopathy: another therapy
Osteopathy is a manual therapy to which patients have recourse the most in the management of their migraines. There are very few studies that have evaluated the effectiveness of osteopathy in their prevention. On the one hand, it is difficult to carry out studies according to an adequate methodology or to compare them with each other. Indeed, the placebo group is often made up of pseudo massage sessions and the evaluation criteria differ from one study to another (Cerritelli et al. 2017). The action of osteopathy would be essentially to modulate parasympathetic activity by cranial and craniosacral techniques. Some osteopaths also claim to have an action on the drainage of the venous sinuses and the tensions of the falx and tents of the brain and cerebellum. Blockages of the first cervical and temporomandibular joints would also have an impact in the basic treatment of migraine patients in osteopathy (Pérot and Buch 2013).