Natural treatments for cluster headaches

  • DEFINITION: Treatment of severe headaches that strike suddenly after a long time without an episode.
  • PRINCIPAL PROPOSED NATURAL TREATMENTS: None
  • OTHER PROPOSED NATURAL TREATMENTS: Hyperbaric oxygen therapy, magnesium, melatonin, capsaicin cream, vitamin D, breathing exercises, dietary changes

Introduction

First recognized in 1867, cluster headaches remain one of the most painful and frustrating headache syndromes. Their cause is unclear, and no treatment is fully effective. People with cluster headaches may go for more than one year without any attacks, and then suddenly they have headaches that strike several times a day. Each headache lasts from thirty minutes to two hours and consists of severe pain on one side of the head, generally in the eye region. These daily headaches continue for four to eight weeks and then disappear for another year or more. A more chronic, continuous form of cluster headaches can also occur.

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Cluster headaches are different from migraine headaches (although they may possess some underlying similarities) and are much more difficult to treat. During cluster headache episodes, rapid-acting treatments are usually used to ease pain and stop the headache. Treatments include aerosolized ergotamine, pure oxygen, lidocaine nasal spray, and anesthetic inhalation. For prevention, drugs such as ergotamine, prednisone, methysergide, and lithium may reduce the severity and frequency of attacks.

Proposed Natural Treatments

Some evidence suggests that people with cluster headaches have lower-than-average levels of the hormone melatonin. In a double-blind, placebo-controlled study of twenty people with cluster headaches, using melatonin (10 milligrams daily) for fourteen days significantly reduced headache severity or frequency (or both) compared with placebo. About one-half of the participants who were given melatonin responded well to the treatment.

The inhalation of 100 percent oxygen is sometimes used to treat cluster headache attacks. In preliminary controlled trials, using hyperbaric oxygen (oxygen under pressure) not only treated the headaches but also helped prevent further attacks. Similarly, deep breathing exercises were shown to be effective in lessening the symptoms of cluster headaches. The intravenous use of magnesium has shown promise for cluster headache relief. However, the use of oral magnesium has not been evaluated. Capsaicin cream applied to the nose was also shown to be effective in treating cluster headaches. Because some individuals with cluster headaches were reportedly deficient in vitamin D, supplementation may be beneficial. During cluster headache episodes, deep breathing techniques may help to relieve stress and pain. Finally, removing alcohol, caffeine, and highly processed foods from one’s diet may help decrease cluster headache episodes. 

Bibliography

"Cluster Headache - Diagnosis and Treatment." Mayo Clinic, 26 Aug. 2023, www.mayoclinic.org/diseases-conditions/cluster-headache/diagnosis-treatment/drc-20352084. Accessed 24 Sept. 2024.

Di Sabato, F., and M. Giacovazzo et al. "Effect of Hyperbaric Oxygen on the Immunoreactivity to Substance P in the Nasal Mucosa of Cluster Headache Patients." Headache, vol. 36, 1996, pp. 221-223.

Di Sabato, F., and M. Rocco, et al. "Hyperbaric Oxygen in Chronic Cluster Headaches: Influence on Serotonergic Pathways." Undersea Hyperbaric Medicine, vol. 24, 1997, pp. 117-122.

Jena, S., et al. "Acupuncture in Patients with Headache." Cephalalgia, vol. 28, 2008, pp. 969-979.

Leone, M., et al. "Melatonin Versus Placebo in the Prophylaxis of Cluster Headache." Cephalalgia, vol. 16, 1996, pp. 494-496.

Mauskop, A., et al. "Intravenous Magnesium Sulfate Rapidly Alleviates Headaches of Various Types." Headache, vol. 36, 1996, pp. 154-160.

Nestoriuc, Y., et al. "Biofeedback Treatment for Headache Disorders." Applied Psychophysiology and Biofeedback, vol. 33, 2008, pp. 125-140.

Weatherspoon, Deborah, and Jill Seladi-Schulman. "How to Treat Cluster Headaches Yourself Naturally." Healthline, 28 Nov. 2023, www.healthline.com/health/cluster-headache-natural-treatment. Accessed 24 Sept. 2024.