NEWS Mental Health News Meditation and Yoga May Ease Migraine Symptoms, Study Shows By Elizabeth Millard Elizabeth Millard LinkedIn Elizabeth Millard is a freelance journalist specializing in health, wellness, fitness, and nutrition. Learn about our editorial process Updated on December 21, 2020 Fact checked Verywell Mind content is rigorously reviewed by a team of qualified and experienced fact checkers. Fact checkers review articles for factual accuracy, relevance, and timeliness. We rely on the most current and reputable sources, which are cited in the text and listed at the bottom of each article. Content is fact checked after it has been edited and before publication. Learn more. by Rich Scherr Fact checked by Rich Scherr LinkedIn Twitter Rich Scherr is a seasoned journalist who has covered technology, finance, sports, and lifestyle. Learn about our editorial process Share Tweet Email Print Key Takeaways Mindfulness-based stress reduction techniques like meditation and yoga could alleviate some major migraine symptoms, a recent study suggests.Even learning more about headaches could make you feel empowered enough to make beneficial changes that affect quality of life, the researchers added.Mindfulness is helpful, but so are other lifestyle changes, experts note, and those include exercise, diet, and sleep. Mindfulness-based stress reduction (MBSR) techniques such as meditation and yoga could help to alleviate some migraine symptoms, according to a recent study in JAMA Internal Medicine. Researchers recruited 82 participants, mostly women, predominantly in their mid-40s, who experienced between 4-20 migraine days per month. This is representative of migraine prevalence—more women than men get migraines, and one study found that after age 42, the condition is two-fold higher in women. Migraine is the second-leading cause of worldwide disability, and two-thirds of patients don’t find relief through medications, according to Rebecca Erwin Wells, MD, of Wake Forest Baptist Health, the lead author of the recent study appearing in JAMA Internal Medicine. “MBSR is associated with improvements in many chronic pain conditions,” she says. “Mindfulness may be particularly helpful for migraine, as it diminishes affective responses to stress, the most common migraine trigger.” Promising Study Results In the research, participants were split into two groups for eight weeks. One was instructed in mindfulness meditation and yoga, while the other received comprehensive education about headaches, including information on stress and common triggers. Both groups saw decreases in migraine frequency, but the mindfulness group had more significant outcomes in terms of: Better quality of lifeLower disabilityHigher self-efficacyLess pain catastrophizingLower rates of depression Most significantly, according to Wells, mindfulness decreased pain intensity and engaged brain regions responsible for pain modulation. But it’s also worth noting the effect of education alone, she adds. Researchers did not expect that drop in frequency for the information-only group, and it highlights how knowledge might provide empowerment that leads to beneficial behavior changes, says Wells. Simply knowing about headache triggers, for example, could cause migraine sufferers to be more proactive in implementing meaningful prevention tactics. Although more research needs to be done on these strategies, she notes, it’s possible that combining these techniques—putting MBSR together with more comprehensive education—could have a powerful effect on migraine sufferers. Health Benefits of Mindfulness-Based Stress Reduction Why Mindfulness Works (And When It Doesn’t) In terms of why the MBSR group would have such significant benefits, it’s likely related to neurotransmitter release that’s been shown in previous research to have de-stressing effects, according to Ilan Danan, MD, sports neurologist and pain management specialist at the Center for Sports Neurology and Pain Medicine at Cedars-Sinai Kerlan-Jobe Institute in Los Angeles. Ilan Danan, MD Even in cases when the migraine has different triggers than stress, though, these mindfulness-based practices can be helpful. — Ilan Danan, MD For example, one study found that yoga and meditation could play a major role in greater release of the neurotransmitter serotonin, which has been associated with lowered anxiety levels. Those who have migraines triggered by stress would see pain reduction as a result, Danan says. However, he adds, it may have less efficacy for migraines that have different triggers, which can include: Strong smells like cigarette smoke or perfumeIrregular sleep schedule or sleep disturbanceHormonal changesCaffeine and/or alcohol consumptionWeather changesFoods like cheese or chocolateArtificial sweetenersNatural lightDehydrationGenetics/family history “Even in cases when the migraine has different triggers than stress, though, these mindfulness-based practices can be helpful,” says Danan. “They may not change how often you get migraines, but anything that lowers pain level is worth considering. Also, sometimes feeling a migraine come on can cause stress, making the situation worse. So, addressing that stress can go a long way toward alleviating symptoms.” Yoga, Tai Chi, and Meditation Provide Physical and Emotional Relief for Veterans Importance of Lifestyle Changes While MBSR can be an important part of migraine management, so too can other lifestyle changes that ease symptoms and reduce pain, according to Danan. “There’s no question that lifestyle behavior can make a major impact, no matter what your trigger,” he says. The American Migraine Foundation calls it “headache hygiene,” aimed at reducing the frequency and severity of migraines. Strategies include: Maintaining regular sleep patterns, including consistent bedtime and wake timeRegular exercise, but avoiding overexertionDaily “stress breaks” that can relax youNot skipping meals or going too long between mealsAvoiding known triggersAdjusting for sudden weather changesWearing sunglasses whenever you’re outsideStaying on top of hormonal changesEstablishing daily routines With MBSR, some techniques might include a regular yoga practice a few times per week, deep breathing exercises during your stress breaks, mindful eating, and simply taking a few moments each day to pay attention, gently, to your surroundings and your tasks. When to See a Doctor Even with a breadth of lifestyle behaviors in place and plenty of stress reduction techniques, you may still be suffering from migraines, and if that happens, it’s helpful to talk with your healthcare provider, advises Medhat Mikhael, MD, pain management specialist and medical director of the non-operative program at the Spine Health Center at MemorialCare Orange Coast Medical Center in Fountain Valley, Calif. “Especially if you’ve been taking medication and trying to reduce stress and your migraines are getting worse or more frequent, you should go in,” he says, adding that the situation could be considered more urgent if you begin to have signs of neurological issues like weakness in the arm or numbness in the face. “In cases like that, there could be more going on, so it’s good step to get checked out.” What This Means For You Whether stress is your main trigger for migraines or not, mindfulness-based practices like meditation and yoga could help in reducing pain and improving quality of life. They're especially potent when combined with other beneficial lifestyle changes like regular exercise, consistent sleep, a healthy diet, and avoiding known triggers.But if your migraines are becoming more severe, more frequent, or involve numbness or weakness, you should get checked by your doctor. Mindfulness Might Not Remedy Stress How You'd Expect, Study Suggests 3 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Wells RE, O’Connell N, Pierce CR, et al. Effectiveness of Mindfulness Meditation vs Headache Education for Adults With Migraine: A Randomized Clinical Trial. JAMA Intern Med. Published online December 14, 2020. doi:10.1001/jamainternmed.2020.7090 Victor TW, Hu X, Campbell JC, Buse DC, Lipton RB. Migraine prevalence by age and sex in the United States: a life-span study. Cephalalgia. 2010 Sep;30(9):1065-72. Published March 12, 2010. doi:10.1177/0333102409355601 Krishnakumar D, Hamblin MR, Lakshmanan S. Meditation and yoga can modulate brain mechanisms that affect behavior and anxiety-a modern scientific perspective. Anc Sci. 2015;2(1):13-19. doi:10.14259/as.v2i1.171 By Elizabeth Millard Elizabeth Millard is a freelance journalist specializing in health, wellness, fitness, and nutrition. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist Online Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.