Pain acceptance is getting back to life, not acting like your pain doesn't exist.

A recent trial showed activity engagement acceptance is a mechanism for migraine mindfulness treatments.therapy

, but it just sounds so bad. Do you want me to tell them they just have to get used to having migraine? That they should just accept it?”-based clinical trial helps provide some context for what we mean by “pain acceptance” in migraines and what components may be most important for improving migraine: the extent to which you engage in life activities even though you have pain, and the “pain willingness,” or the extent to which painful experiences are seen as a normal part of life .

If you have high pain willingness, you don’t see every migraine attack as unacceptable. You’re willing to live with migraine as part of your life and don’t see the complete elimination of migraine attacks as the only acceptable treatment goal. You just want the role migraine plays to be lessened by effective treatments.

The quote commonly used in acceptance-based approaches, “Pain is inevitable, but suffering is optional,” just doesn’t hit as well for painful diseases that are simply not inevitable. It is certainly inevitable that every person in their life experience some amount of emotional pain: the loss of a job, a parent, a relationship. It is likely inevitable that every person, at some point in their life, experiences some amount of muscle pain.

So what does “pain acceptance” mean for migraine? People with migraine engage in activities that are meaningful and bring value to their lives to the extent possible, even when experiencing some types of symptoms. People with migraine recognize that migraine is a neurologic disease and actively seek treatment options to reduce their symptoms while also acknowledging this fact: As a person with migraine when I wake up tomorrow, it’s possible I’ll have an attack. And I have to be ready.

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