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- Title
Non-Pharmacological Treatments in Paediatric Migraine.
- Authors
Baglioni, Valentina; Bozza, Fabiola; Beatrice, Annachiara; Cameli, Noemi; Colacino Cinnante, Elisa Maria; Lentini, Giuliana; Faedda, Noemi; Natalucci, Giulia; Guidetti, Vincenzo
- Abstract
Psychological, social, and biological aspects contribute synergistically to the maintenance and chronicity of pain in primary headaches. An integrated intervention seems to be the most appropriate in the management of these conditions, taking advantage not only of pharmacological strategies, but also of different approaches according to the global assessment and patient necessities. In this perspective, non-pharmacological treatments are becoming increasingly used to overcome these issues also in paediatric migraine treatment. Particularly, nutraceuticals, non-invasive neuromodulation, and behavioural approaches are well tolerated and of potential interest. This paper aims to present the main approaches reported in the literature in the management of migraine in children and adolescents presenting an up-to-date review of the current literature. We therefore performed a narrative presentation for each of these three categories: nutraceuticals (riboflavin; magnesium; melatonin; vitamin D; coenzyme Q10; and polyunsaturated fatty acid); non-invasive neuromodulation (trigeminal nerve stimulator; non-invasive vagal nerve stimulation; transcranial magnetic stimulation; and remote electrical neuromodulation), and behavioural therapies (biofeedback; cognitive behavioural therapy; and mindfulness-based therapy). These approaches are increasingly seen as a valid treatment option in primary headache management also in paediatrics, avoiding medication overuse and drug treatment contraindications.
- Subjects
VAGUS nerve stimulation; MINDFULNESS-based cognitive therapy; CONTRAINDICATIONS; TRANSCRANIAL magnetic stimulation; PRIMARY headache disorders; MEDICATION abuse
- Publication
Journal of Clinical Medicine, 2024, Vol 13, Issue 5, p1278
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm13051278