Debunking the myth of daith piercing

There’s a lot of buzz on social media about a rather unconventional treatment for migraine. Some patients are choosing to treat migraine or other headache disorders by ear piercing. More specifically, a daith piercing, which is a piercing of the innermost cartilage fold just above the opening to the ear canal. The theory is that an acupuncture point located here, when pierced, produces the same pain relief results as acupuncture.

Backstory

In mid-2015, “A ‘Piercing’ New Alternative for Migraine Relief” was published on a student-run website, The Purchase Journal(ism). It cited no studies or clinical data to support the idea that a daith piercing was effective or safe. The article quoted a nurse practitioner from a local neurology clinic and the owner of a tattoo parlor who offers ear piercing services. There is not a single piece of evidence from a board-certified headache specialist. In my opinion, this article is a poorly-researched “puff piece” that makes a mockery of true migraine research studies. A journalism student should know better than to rely on such weak sources.

Trending

Unfortunately, sensational quick fixes tend to spread like wildfire. Daith piercing is no exception. Desperate for relief, some migraine patients have jumped at this slim chance. Facebook and Twitter groups have sprouted up in support of this “treatment.” I’ve been tagged in articles referencing daith piercing several times by well-meaning friends and loved ones. I’ve received messages from patients who chose to get this piercing. They claim it has reduced the headache pain of migraine. Interestingly, I have yet to hear from anyone who has experienced long-term (greater than 6 months) elimination of migraine symptoms. It is not uncommon to experience a strong placebo effect from any new treatment. This effect wears off over time, so it can take several weeks or months to actually see the true results of a treatment. I am confident that daith piercing is no different.

Acupuncture link

Part of the appeal, I believe, is that this option is presented as an inexpensive alternative to acupuncture. The trouble with this claim is that it is not widely supported by practitioners of Traditional Chinese Medicine. Although treatment of the ear is common in acupuncture, there is no acupuncture point in the innermost fold just above the ear canal opening. It is also unlikely that anyone offering ear piercing is well-trained enough in TCM to correctly identify an acupuncture point. If one did manage to pierce through an acupuncture point, that piercing is more likely to permanently damage the acupuncture point rather than stimulate it in a healthy way.
Caroline Urquhart Adams of Left Hand Community acupuncture has this to say about daith piercings,

“Contrary to what you might have read on the internet, it’s at least 1 cm away from ‘Point Zero’ that regulates homeostasis in the body…An additional concern is that a piercing of this magnitude could well destroy the acupuncture points that we’re trying to effect.”

What the experts say

Neither the American Headache Society or the National Headache Foundation have endorsed or recommended this piercing as a treatment for migraine. I consulted with a board-certified headache specialist about this issue. Dr. Dave Watson confirmed that there are no scientific studies supporting the use of daith piercings as a treatment for migraine. He has the following tip for anyone considering such a piercing,

…if you are looking for effective treatments for migraine, unless you have been through the 100+ preventive treatments listed in this article (which would take more than 25 years) – Migraine and Headache Prevention – So Many Options, giving each of them a fair trial, you might want to think again.

My view

About half the people in the U.S. who experience migraine have never even talked to their doctor about their symptoms. I really hate the idea that people might jump at the idea of an ear piercing when they don’t have a confirmed diagnosis and haven’t even tried the most basic medical treatments. Migraine is a serious, genetic, neurological disorder with no known cause or cure. To trivialize it by suggesting that a simple ear piercing solves the problem is insulting to millions of patients who try countless treatments and still don’t find relief. This fad does more harm than good by perpetuating the myth that migraine is “easy to treat.”

Sources:

Left Hand Community Acupuncture
Snopes.com
Headache and Migraine News
The Purchase Journal(ism) – Original article
Dr. Dave Watson

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