BACKGROUND. Migraine is a complex neurological disorder characterized by recurrent headache attacks influenced by genetic and environmental factors. In addition to pharmacological therapy, nonpharmacological approaches such as acupuncture and medical hypnosis are increasingly used and may provide long-term benefits. METHODS. In this single-center study, we compared classical acupuncture with hypnoacupuncture (scalp acupuncture supported by medical hypnosis) in patients with migraine. Participants were randomly assigned to two groups: the control group received ten acupuncture sessions, while the experimental group received four additional hypnoacupuncture sessions before or after acupuncture treatment. Outcomes included the number of migraine days, pain intensity , analgesic use, absenteeism, and headache impact on well-being and daily functioning . RESULTS. No statistically significant differences were observed between groups in any measured parameters. Both interventions demonstrated clinically relevant improvements in headache intensity and migraine frequency, with effects persisting for up to one year after treatment. All participants reported high satisfaction with therapy. Comparative analysis of baseline and one-year follow-up data showed significant improvement in both groups. DISCUSSION. Acupuncture and hypnoacupuncture are effective neuromodulatory methods for migraine management and represent valuable complements to pharmacological treatment. Active patient involvement and stress-management strategies further enhance long-term outcomes. Limitations include a small sample size, single-center design, and absence of a non-intervention control group. Larger randomized multicenter trials are needed to confirm these findings and define optimal integration of nonpharmacological methods into clinical practice.
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