1. INTRODUCTION
Headache is one of the most common diseases in the field of acupuncture. Acupuncture is more effective in reducing the number of headache days in episodic migraine and tension-type headache as compared to pharmacotherapy and sham acupuncture.1,2 The Clinical Practice Guideline for Chronic Headache 2013 recommended acupuncture as the preferred physical therapy among non-pharmacological therapies for managing primary headaches (Grade B).3 Our experience with acupuncture for managing headaches based on this guideline has been successful.4 In addition, acupuncture is reportedly more effective for managing secondary headaches, such as medication overuse headache (MOH).5 Thus, acupuncture has been shown to be effective for headaches and according to the current clinical practice guidelines, acupuncturists are members of the medical care team. However, their role remains unclear.
We report the intervention of an acupuncturist for MOH in a patient with myasthenia gravis (MG), with successful management of the headache and discontinuation of the inappropriate use of an over-the-counter (OTC) analgesic. We highlight the role of acupuncturists in medical care teams for managing headaches.