Which devices are used for migraine prophylaxis?

Updated: Oct 21, 2019
  • Author: Jasvinder Chawla, MD, MBA; Chief Editor: Helmi L Lutsep, MD  more...
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In March 2014, the FDA approved the first device for the preventive treatment of migraine headaches for adults, a transcutaneous electrical nerve stimulation (TENS) device that is worn for 20 minutes a day. The device fits across the forehead and over the ears and stimulates the trigeminal nerve with a self-adhesive electrode in the center of the forehead. Approval was based on a study of 67 migraine patients in which the device reduced the number of migraine days per month and medication use, and on a patient satisfaction study of 2313 device users, in which more than 53% of patients were satisfied with the device. [125]

Walling et al looked into developing a non-invasive treatment for medically refractory chronic migraine. Their work has shown some evidence that pulsed focused ultrasound in a rodent headache model of cutaneous allodynia may provide therapeutic option for patients suffering from chronic migraines. [126]

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