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Chronic Migraine systematic review and meta-analysis

Data Over Doubt: Acupuncture Improves Migraine and Quality of Life in Patients With Migraine

Data Over Doubt: Acupuncture Improves Migraine and Quality of Life in Patients With Migraine

The real cost of having a migraine isn’t measured in a pain score of 8 or above. It’s measured in canceled plans, missed moments, and living your life around the fear of the next attack.
A 2025 systematic review and meta-analysis examined 23 randomized controlled trials involving 2,295 patients and found acupuncture significantly improved both migraine symptoms and quality of life.
Researchers found:
• Shorter migraine duration
• Fewer migraine attacks
• Fewer migraine days per month
• Improved daily functioning
• Better emotional well-being
Acupuncture outperformed sham acupuncture and, in some quality-of-life measures, performed better than medication alone.
Translation: This isn’t just about reducing pain.
It’s about helping people get back to work, spend time with family, make plans without fear, and live without constantly waiting for the next migraine to strike.
No, acupuncture isn’t a magic bullet. But the research continues to show it can be a powerful tool for reducing migraine burden and improving quality of life. Because the goal isn’t just fewer migraines, it’s getting your life back.
Dr. Michelle Wendt, L.Ac, DACM discovered acupuncture after suffering from chronic migraines for years. Meet with her for a one-on-one new patient consultation to step into your next era of migraine recovery. Call 512-686-0777 or book online!
A graphical display of migraine research.

Data Over Doubt: Acupuncture for Migraine Without Aura and Connection-Based Efficacy Prediction

Data Over Doubt: Acupuncture for Migraine Without Aura and Connection-Based Efficacy Prediction

Research citation: Zhang XChen QLiu Y, et al. Acupuncture for Migraine Without Aura and Connection-Based Efficacy PredictionA Randomized Clinical TrialJAMA Netw Open. 2026;9(1):e2555454. doi:10.1001/jamanetworkopen.2025.55454

A 2026 randomized clinical trial published in JAMA Network Open found acupuncture outperformed sham treatment for migraine without aura by reducing migraine days and improving daily function.

Not “woo.” Not placebo.
Measured outcomes.

According to the article, “Acupuncture was shown to reduce migraine pain and improve daily function after receiving twelve 30-minute acupuncture sessions over 4 weeks (3 sessions per week, ideally every other weekday). Brain imaging also showed it may work differently for different people helping predict who will experience the most relief and functional improvement.”

Start with a consultation by calling 512-686-0777. Your brain will thank you.

Headache and Migraines During Pregnancy

Pain During Pregnancy: Navigating Migraines

Let’s talk about the reality of pregnancy that doesn’t always make it into the glowy maternity photos: the crushing, debilitating migraine.

If you are currently navigating pregnancy in the Dripping Springs or Austin area, you’ve likely been told that your options for pain relief are “limited.” Perhaps you’ve been told to “just take some Tylenol and rest,” but when you’re dealing with a throbbing temples, light sensitivity, and the overwhelming task of preparing for a new human, “just resting” feels impossible.

At Indigo Healing Acupuncture & Massage, we view these migraines differently. We don’t see them as a localized “head problem” or an unfortunate side effect of hormones. Instead, we see them as a vital signal from your nervous system, a message that your body is struggling to find its center amidst the most profound physiological transformation a human can undergo.

The Signal vs. The Symptom

In conventional medicine, the focus is often on symptom suppression. While monitoring blood pressure and ensuring fetal safety is paramount, the actual management of the migraine often stops at “wait and see.” But a migraine is rarely just a headache; it is a neurological event.

Did you know that for many women, migraines actually improve during the second and third trimesters? This is often due to the stabilization of estrogen levels. However, for those who continue to suffer, or for those whose migraines begin during pregnancy, the body is essentially communicating that it has hit a limit in its ability to maintain homeostasis.

Homeostasis is your body’s internal thermostat. It regulates everything from your heart rate to your hormone levels. During pregnancy, that “thermostat” is being asked to work overtime to support two lives. When the demand exceeds the available resources, the nervous system can become hypersensitive, leading to the activation of the trigeminovascular system and the onset of a migraine.

The “Hidden” Risks: Why We Don’t Ignore the Signal

While we always aim for comfort, addressing pregnancy migraines is also about proactive health. Research shows that women who experience migraines, particularly migraines with aura, have a significantly higher risk of developing gestational hypertension or preeclampsia. In fact, some studies suggest a 40% higher risk of preeclampsia in migraine sufferers.

This isn’t meant to cause alarm, but rather to highlight why “powering through it” isn’t the best strategy. By focusing on nervous system regulation, we aren’t just stop-gapping the pain; we are helping your body manage the vascular and neurological stress that can contribute to these more serious complications. We want you to enjoy this phase of your life, but we also want to ensure your body is resilient and regulated.

The TCM Perspective: Pattern Differentiation

In Traditional Chinese Medicine (TCM), we don’t treat “migraines.” We treat the person experiencing a constellation of symptoms we view as a dusregulated pattern. Through tongue and pulse diagnosis, we determine which specific physiological system is out of balance. This allows us to provide a level of personalized care that goes far beyond a generic “one-size-fits-all” approach.

Here are the three most common patterns we see in our pregnant patients:

1. Liver Yang Rising (The Stress & Heat Pattern)

This is the “classic” throbbing migraine. It often feels like the pain is localized behind the eyes or at the temples. It is frequently triggered by stress, lack of sleep, or even a sudden change in temperature.

  • The Feeling: Sharp, bursting, or throbbing pain, often accompanied by irritability or a “hot” feeling in the body.
  • The Nervous System View: This is a state of sympathetic dominance, your “fight or flight” system is stuck in the ‘on’ position.

2. Blood Deficiency (The Depletion Pattern)

During pregnancy, your body’s primary directive is to grow the baby. The baby is an “efficient parasite”, it will take exactly what it needs from your nutrient and blood stores, often leaving you depleted. This is a common cause of migraines in the late second and third trimesters.

  • The Feeling: A dull, lingering ache that gets worse when you are tired or after a long day. You might also feel dizzy, fatigued, or have “floaters” in your vision.
  • The Nervous System View: This is a lack of “resource availability.” Your nervous system is sounding the alarm because it doesn’t have the metabolic fuel it needs to maintain stability.

3. Phlegm/Dampness (The Foggy & Heavy Pattern)

Pregnancy involves a massive shift in fluid dynamics. If the body struggles to transform and transport these fluids, we see what TCM calls “dampness.”

  • The Feeling: A heavy sensation, as if a wet towel is wrapped around your head. This is almost always accompanied by digestive health issues, intense nausea, or a “foggy” brain.
  • The Nervous System View: This relates to the gut-brain axis. When the digestive system is overwhelmed, it triggers inflammatory signals that affect neurological clarity and pressure.

Regulation Before Resolution

Our philosophy at Indigo Healing is simple: Regulation before Resolution.

Before the pain can fully resolve, the nervous system must feel safe. When we perform acupuncture, we are sending signals to the brain to down-regulate the stress response and improve blood flow. We aren’t introducing foreign chemicals; we are facilitating the body’s natural ability to find its own balance.

For our Dripping Springs and Austin clients, we provide a sanctuary where this regulation can happen. Our treatments are designed to be a “reset” button for your physiology. By stimulating specific points, we can:

  • Inhibit the release of pain-signaling neurotransmitters.
  • Promote the release of endogenous opioids (your body’s natural, pregnancy-safe painkillers).
  • Regulate vascular tone to prevent the “spasm and dilate” cycle of migraines.

Why Integrated Care Matters

Conventional medicine is excellent at monitoring for “red flags”, the life-threatening issues. But there is a wide gap between “not dying” and “thriving.” That gap is where integrative medicine lives.

We work alongside your OB-GYN or midwife to provide a secondary layer of support. While they monitor your protein levels and fetal heart rate, we monitor your nervous system and your ability to adapt to the stress of pregnancy.

If you are struggling with migraines, please know that you don’t have to wait until the baby is born to feel like yourself again. You deserve a pregnancy that is defined by connection and preparation, not by days spent in a dark room with an ice pack.

Your Path Back to Balance

If you’re ready to move beyond just “managing” your symptoms and want to start truly regulating your system, we are here to help. Dr. Michelle Wendt and her team specialize in women’s health and pregnancy offering a luxury experience grounded in clinical excellence.

How to get started:

  1. Schedule a Consultation: We’ll sit down and look at your specific migraine patterns, your health history, and your pregnancy goals.
  2. Assessment: We’ll determine if your migraines are rooted in depletion, heat, or fluid imbalance.
  3. Treatment: Relax (or take a rejuvenating nap) in our serene environment while we use science-backed tools to bring your nervous system back into a state of homeostasis.

You are doing the incredible work of bringing a new life into the world. Let us do the work of supporting yours.

Ready to find relief?
Visit us at Indigo Healing Acupuncture & Massage in Dripping Springs.
Click here to book your initial consultation and take the first step toward a more comfortable, balanced pregnancy.

Child with pediatric migraine headache covering closed eyes

Beyond the Headache: Understanding Pediatric Migraines through a New Lens

If you’re a parent, there’s nothing more heartbreaking than seeing your child in pain, especially when that pain is invisible. When we think of migraines, we usually picture an adult in a dark room with a cool cloth over their eyes. But did you know that pediatric migraines often look nothing like the “standard” headache?

In fact, for many children in Austin and Dripping Springs, a migraine might not even involve head pain at all.

At Indigo Healing Acupuncture & Massage, we see many families who have spent months, or even years, bouncing between specialists. They’ve seen the gastroenterologist for stomach aches and the behavioral therapist for mood swings, only to find that the root cause is a complex neurological event.

Let’s talk about why pediatric migraines are so frequently misunderstood, the “hidden” symptoms you should be looking for, and how we use the lens of Traditional Chinese Medicine (TCM) to bring your child’s nervous system back into a state of physiological coherence.

More Than Just a “Bad Headache”

Pediatric migraine is a complex neurological disorder characterized by neuronal hyperexcitability. In simpler terms, the brain is overly sensitive to stimuli. While adult migraines often present as a throbbing pain on one side of the head, children often experience bilateral pain (on both sides) or symptoms that affect the entire body.

Research shows that approximately 8% of children suffer from migraines. By the time they reach high school, that number climbs significantly. But the real challenge lies in the symptoms that no one discusses, the ones that happen in the gut, the eyes, and even the child’s perception of reality.

The “Hidden” Symptoms of Pediatric Migraines

If your child is struggling with mysterious health issues, it’s worth asking: could this be a migraine? Here are the symptoms that often fly under the radar of conventional diagnosis:

1. Abdominal Migraines

This is perhaps the most common “hidden” migraine. Instead of a headache, the child experiences intense, midline abdominal pain. It’s often accompanied by nausea, vomiting, and a total loss of appetite. Parents often mistake this for a recurring stomach bug or “school avoidance,” but it is actually a neurological event manifesting in the enteric nervous system (the “second brain” in the gut).

2. Cyclical Vomiting Syndrome

Does your child have bouts of intense vomiting that seem to come out of nowhere, last for hours or days, and then vanish completely? This is often a precursor to adult migraines. It’s an autonomic nervous system “storm” that disrupts the normal digestive rhythm.

3. Alice in Wonderland Syndrome (AIWS)

As terrifying as it sounds, some children experience distorted sensory perception. They might tell you that the furniture looks miles away (micropsia) or that their own hands look giant (macropsia). This happens because the “migraine wave” (cortical spreading depression) is moving through the parts of the brain responsible for visual processing and spatial orientation.

4. Emotional Lability and “The Crash”

Sometimes the only sign a migraine is coming is a radical shift in mood. A child might become unusually irritable, hyperactive, or profoundly fatigued 24 hours before any physical symptoms appear. This is known as the “prodrome” phase, where the brain’s neurochemistry is already beginning to shift.

Conventional Medicine vs. The TCM Perspective

When you take your child to a conventional clinic (for example, a pediatrician’s office), the focus is usually on symptom suppression. The goal is to stop the pain once it starts or to use daily medications to raise the “migraine threshold.” While these can be life-saving tools, they don’t always address why the nervous system is so reactive in the first place.

At Indigo Healing Acupuncture & Massage, we look at the body through the lens of Pattern Differentiation. We don’t just treat the migraine; we treat the specific way your child’s nervous system is losing its normal function.

By identifying these patterns, we can create a customized plan using acupuncture and nervous system regulation to help your child return to their best life.

Understanding the TCM Patterns

We avoid “woo” language here. Instead, we look at these patterns as clinical presentations of physiological dysregulation. Here are the three most common patterns we see in pediatric cases:

Liver Yang Rising (The “Stress” Migraine)

In this pattern, the nervous system is in a state of high alert. Think of it like a pressure cooker. These migraines are often triggered by school stress, bright lights, or emotional upset.

  • Symptoms: Sharp, throbbing pain, irritability, red face, and a “hot” temperament.
  • Our Goal: To calm the sympathetic nervous system and encourage “down-regulation.”

Blood Deficiency (The “Fatigue” Migraine)

This isn’t necessarily about anemia; it’s about the body’s inability to provide enough “fuel” or nourishment to the brain. These children are often pale, easily exhausted, and their headaches tend to get worse after physical activity or at the end of a long school day.

  • Symptoms: Dull, lingering ache, dizziness, difficulty concentrating, and a pale complexion.
  • Our Goal: To support nutritional absorption and improve “physiological coherence” so the brain has the resources it needs to stay stable.

Phlegm/Dampness (The “Foggy” Migraine)

In TCM, “phlegm” can refer to a metabolic sluggishness that affects the head. These children feel “heavy.” They might complain that their head feels like it’s wrapped in a wet towel.

  • Symptoms: Heavy sensation in the head, intense nausea, “brain fog,” and often a history of digestive health issues.
  • Our Goal: To clear metabolic waste and improve the communication between the gut and the brain.

Why Indigo Healing is Different: Nervous System Regulation

We understand that the idea of “needles” can be scary for parents (and kids!). However, pediatric acupuncture is vastly different from the shots a child receives at the pediatrician’s office. The needles are hair-thin, and for our youngest patients, we often use non-needle techniques like moxibustion or specialized abdominal massage to achieve the same results.

Our focus is on Nervous System Regulation.

When a child suffers from chronic migraines, their nervous system becomes “stuck” in a state of dysregulation. They are perpetually waiting for the next attack, which creates a feedback loop of stress and pain. By using medical acupuncture, we help “reset” the vagus nerve and promote a state of parasympathetic dominance (rest and digest).

This is what we call achieving Physiological Coherence. It’s not about masking the pain; it’s about training the body to maintain its own balance.

A Holistic Path Forward in Dripping Springs

If you are in the Dripping Springs or Austin area and your child is struggling, please know that you don’t have to just “wait for them to grow out of it.”

Migraines in childhood are a signal that the body’s internal regulatory systems need support. Whether your child is dealing with the strange sensations of Alice in Wonderland Syndrome or the debilitating pain of abdominal migraines, there is a science-grounded, holistic way to help them heal.

At Indigo Healing Acupuncture & Massage, we provide a luxury healthcare experience that prioritizes calm, empathy, and clinical excellence. We are led by Dr. Michelle Wendt, L.Ac., DACM, who specializes in complex cases where conventional medicine has reached its limit.

Are you ready to find answers for your child?

Don’t let another school week go by lost to pain and fatigue. Let’s work together to bring your child back to the activities they love and the joyful phase of life they deserve.

Book a Consultation today or visit us at our Dripping Springs acupuncture clinic to learn more about our integrative approach to pediatric wellness.

Black and purple brain illustration with Indigo logo and article headline

How Does Acupuncture Enhance Brain Activity?

How does acupuncture affect and enhance brain activity? Acupuncture has been shown to produce changes in brain wave activity, although the specific brain waves involved can vary depending on the type of acupuncture stimulation and the individual’s response to it.

During acupuncture, it is common to observe an increase in theta and alpha brain wave activity, which are associated with relaxation and a decrease in stress and anxiety.

Beta brain waves, which are associated with a state of alertness and cognitive processing, may also decrease during acupuncture.

In addition, studies have found that acupuncture can increase the production of neurotransmitters (such as endorphins, serotonin, and dopamine) that are involved in regulating pain and mood.

Reach out to us at 512-686-0777 to learn how acupuncture can enhance your brain.

Green leaves with text Why Try Acupuncture

Why Try Acupuncture?

There are many reasons why someone might want to try acupuncture. Some people use acupuncture as a way to manage pain, such as back pain, neck pain, shoulder pain, knee pain, or headaches. Others use it to address a specific health condition, such as asthma, insomnia, irritable bowel syndrome, infertility, or addiction. Still, others use acupuncture as a way to improve overall health and well-being or to reduce the stress of life.

Acupuncture is generally considered to be a safe and effective treatment option, with a low risk of side effects. It is often used in conjunction with other treatments, such as therapeutic massage or physical therapy, to help enhance the overall effectiveness of treatment. Medical doctors frequently refer patients to acupuncture as an alternative to medications, surgery, or injections.

There are thousands of clinical studies measuring the effectiveness of acupuncture in the treatment of disease and pain. Setting up a one-on-one consultation with the team at Indigo Healing Acupuncture is a great way to learn how acupuncture could specifically help you feel your best!

​3 Secrets to Being An Awesome Parent With Chronic Headaches

If you’re a parent and you suffer from migraines or chronic headaches, you already know the special challenges of parenting through severe pain. Busy lives full of school events, sports practices, and errands mean that the days of disappearing into a dark room to sleep off a headache are practically non-existent when tiny beings depend on you for everything.

So, what can you do?

Here are 3 secrets to being an awesome parent, even if you suffer from migraines or chronic headaches:

1. Invest in Yourself
No matter how busy your schedule is, write in 15 minutes of “me time” every day, without exception.

Why? Because you need a minimum of 15 minutes a day alone to be your best self.

My 15 minutes starts the second I wake up in the morning. Whether my daughter is awake or not, I head straight to my journal and write 1 page of affirmations to start my day. Then I spend 10-15 minutes reading book(s) that nourish my soul. This “me time” is non-negotiable. Can’t get your littles to give you 15 minutes? If you’re married, ask your spouse to backfill your parenting position. If your kids are easy persuaded with bribes, give them something to keep them happy for 15 minutes. Build your “me time” into a daily routine. It’s not always easy, but kids and spouses are trainable especially when something happens every day at the same time of day!

2. Reverse-Engineer Your Life
Identify what obstacles are blocking you from living a headache-free life. Is it too many looming deadlines at work? Is it unresolved tension in your marriage? Is it sitting in 2 hours of traffic everyday and feeling stuck? Obstacles are everywhere and they come in all different sizes and shapes. Write down 5 obstacles that contribute to your headaches. Then, reverse-engineer a solution to all 5 or as many as you can. Some may be easier to abolish than others. But you won’t know how hard or how easy it can be to overcome obstacles in your life until you figure out what they are.

3. Claim Your Strengths
What are you “good” at?  Are you good at helping others? Cooking? Showing up on time? Going  to church every Sunday? Dancing? Take a quick inventory to write down 5 things you do well. Then, think about why you do those things well. Are you good at showing up on time because you plan ahead? Are you good at dancing because you dance like no one else is watching? Embrace your strengths and celebrate them. If you do get a migraine or a horrendous headache, celebrate tiny victories like having enough energy to get out of bed and give your kids a hug after baseball practice. On headache days, the small victories count the most.

Are you interested in learning more about natural approaches to long-term relief from migraines and chronic headaches? Indigo Healing Acupuncture has teamed up with Julie Balderrama Coaching to offer a unique holistic program for anyone suffering from headaches.  We help people (who have tried everything) break free from headaches by discovering hidden obstacles to healing. We empower them with knowledge and tools to find long-lasting relief so they can thrive with freedom and joy in their life.

A Look at Pediatric Abdominal Migraine

What is Pediatric Abdominal Migraine? 
Pediatric abdominal migraine is a condition that is both mysterious and scary, but Oriental Medicine has kid-friendly tools that can help bring relief.

Unlike adolescent or adult migraine which involve pressure and pain in the head, in young children it appears like a headache in the abdomen that can last a few hours or as long as a week.

​​Symptoms of Pediatric Abdominal Migraine:

​It primarily affects children who are three to ten years old and can show up suddenly with symptoms like abdominal pain, nausea/vomiting, sudden loss of appetite, skin sensitivity, and pale complexion. These symptoms also appear in more serious conditions, like appendicitis, so if your child is suddenly sick with the symptoms listed here, it is best to immediately call your pediatrician and/or visit the emergency room.

Cause of Pediatric Abdominal Migraine:
Scientists have not yet identified all of the biomedical mechanisms or causes of migraine, but migraine is known to be hereditary, meaning it runs in families. If Mom and/or Dad suffer from migraine, their child is more prone to experience migraines in childhood, adolescence, and adulthood.

Pediatric Abdominal Migraine Triggers:
One way to help your child is to become aware of specific migraine triggers, or things/activities that can trigger the start of a migraine. Common migraine triggers in children include:

  • Sleep: Not enough sleep, sleeping in too late, waking up too early, getting overtired
  • Meals: Waiting too long between meals, dehydration, high-sugar diet, or food allergy
  • Emotions: Stress or anxiety about something going on at school or home, anger or frustration (can be as simple as feeling anger towards a sibling over not sharing toys)
  • Environmental: Changes in weather, exposure to gusty wind, exposure to bright lights or flickering lights, too much TV or computer screen time, general overstimulation
  • Travel: Car sickness or motion sickness, jet lag

Treatments for Pediatric Abdominal Migraine:
When a child is suffering from symptoms that look like abdominal migraine, I advise parents to carry a small notebook to record the date, time, and events leading up to the abdominal pain, such as long car ride, up late last night, skipped a meal, etc.  Your pediatric acupuncturist or pediatrician can review the log to help identify specific triggers and patterns.

At Indigo Healing Acupuncture we treat pediatric abdominal migraine holistically by examining all aspects of the child’s mind-body-spirit to identify areas of imbalance. Lifestyle adjustments, needle-free painless laser acupuncture, and customized Chinese herb drops can reduce the frequency, severity, and pain of abdominal migraine attacks in children.