From the Guidelines
Ear piercings, specifically daith piercings, are not scientifically proven to treat migraines and should not be considered a viable treatment option. The perceived benefits of ear piercings for migraines likely stem from a placebo effect or temporary nerve stimulation similar to acupuncture, as there is no solid medical evidence supporting this practice 1. For migraine management, it's better to rely on evidence-based treatments like prescription medications (such as triptans, CGRP antagonists, or preventive options like topiramate or propranolol), lifestyle modifications, trigger avoidance, and stress management techniques. Some key evidence-based treatments for migraines include:
- Beta blockers (atenolol, bisoprolol, metoprolol or propranolol), topiramate or candesartan as first-line medications 1
- Flunarizine, amitriptyline or (in men) sodium valproate as second-line medications 1
- CGRP monoclonal antibodies as third-line medications 1
- Neuromodulatory devices, biobehavioural therapy and acupuncture as adjuncts to acute and preventive medication or as stand-alone preventive treatment when medication is contraindicated 1 If you're considering a daith piercing despite the lack of evidence, be aware of potential risks including infection, pain, and cartilage damage, as well as other complications such as allergic reactions, auricular perichondritis, embedded earrings, keloid formation, perichondral abscess, and traumatic tear 1. Always consult with a healthcare provider about established migraine treatments before pursuing alternative approaches, as they can develop a personalized treatment plan addressing your specific migraine pattern and needs.
From the Research
Effectiveness of Ear Piercings for Treating Migraines
- There is limited scientific evidence to support the effectiveness of ear piercings in treating migraines 2.
- A case study reported a reduction in migraine attacks after a patient received a daith piercing, but the authors noted that the mechanism of action is unclear and may be due to a placebo effect or vagal modulation 2.
- Another case study found that an auricular piercing actually induced migraine symptoms in a 27-year-old female, which resolved after the piercing was removed 3.
- In contrast, auricular acupuncture has been shown to be effective in treating migraines in adults and children, with a study finding a significant reduction in pain scores after treatment 4.
- The available evidence suggests that while ear piercings may have some effect on migraine symptoms, the relationship is complex and not fully understood, and more research is needed to determine their effectiveness as a treatment option 2, 3.
Comparison to Other Treatments
- Established treatments for migraines include acetaminophen, nonsteroidal anti-inflammatory drugs, triptans, and antiemetics, which have been shown to be effective in reducing symptoms 5.
- Preventive therapies, such as anticonvulsants, antidepressants, and botulinum toxins, are also available and can be effective in reducing the frequency and severity of migraine attacks 6.
- Nonpharmacological options, such as cognitive behavior therapy and relaxation therapies, may also be beneficial in managing migraines 6.
Limitations and Future Research
- The current evidence on the effectiveness of ear piercings for treating migraines is limited to case studies and anecdotal reports, and more rigorous research is needed to fully understand their effects 2, 3.
- Further studies are needed to evaluate the duration of symptom resolution and comparative effectiveness of auricular acupuncture and other alternative interventions 4.